1. At the Clinic Scenario- Endocrine System
By: Gaby Molina

2. Scenario #9
Julie is pregnant and is not receiving any prenatal care. She has a poor diet consisting mostly of fast food. She drinks no milk, preferring colas instead. How will this situation affect Julie’s level of parathyroid hormone?

3. Parathyroid Hormone
The parathyroid hormone is the most important endocrine regulator of calcium and phosphorus concentration in extracellular fluid.

4. How the parathyroid hormone accomplishes its job
Mobilization of calcium from bone.
Enhancing absorption of calcium from small intestine.
Suppression of calcium loss in urine.

5. How the parathyroid hormone accomplishes its job

6. Prenatal Care
About once each month during your first six months of pregnancy
Every two weeks during the seventh and eighth month of pregnancy
Weekly in the ninth month of pregnancy

7. A Pregnant Woman’s Daily Diet
5 servings of fresh fruits and vegetables
6 servings of enriched, whole-grain breads & cereals
3 serving of nonfat or low-fat milk or milk products
2 or 3 servings of extra-lean meats
8 glasses of water

8. Parathyroid disease Hyperparathyroidism
Increased risk of hypertension in mother
Miscarriage can be as high as 85%
Risk of permanent hypoparathyroidism in baby
Heart rhythm problems during labor
Premature birth