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MN577 Pregnancy Chart: Case Study

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Assignment Directions: Case: Jane

For this Assignment, using the case information and best evidence, complete the chart below. Make sure to address all columns in the chart.

Case #1: Jane

Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago.

Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness.

Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.
Complete the following chart:

MN577 Unit 9 Pregnancy Case Review Chart

Description of the case chosen:

Case #1: Jane

Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness. Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.

Subjective data, identify both given and needed data

Objective findings, identify both given and needed data

Diagnostic or laboratory testing needed with rationales

List of three differential diagnoses with rationales

Medications and or treatments needed with rationales

Patient education needed

Referrals for collaborative care needed with rationales

· Make sure to address all sections. Do not leave any section blank.

· Include relevant subjective and physical objective findings.

· Identify appropriate diagnostic and laboratory testing needed.

· List at least three differential diagnoses with rationales for choosing.

· Identify usual medications, treatments, or patient education needed.

· Determine referrals for collaborative care.

· Summarize the case study and include any further research, diagnostics, procedures, or follow-up needed.

· Provide evidence-based references.

 

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