MATERNAL NEWBORN – CASE STUDY 2022 A client, a 26 -year old, arrives at the women’s clinic. She thinks she may be pregnant. She has experienced nausea and vomiting for the past month. She feels tired all the time and has trouble sle eping because she frequently has to get up in the middle of the night to urinate. Her last menstrual period (LMP) was six weeks ago. Her menstrual periods have always been regular, every 28 to 30 days. When asked about her past obstetrical history she sta tes she had an elective abortion when she was 17 years old. She has no children. The client states she smokes 1 pack of cigarettes a day and has a few beers on the weekends with friends. She does not like to cook so most meals are take -out. The health car e provider (HCP) does a pregnancy test and it is positive. Her physical exam confirms the pregnancy. An ultrasound is performed and the client is approximately 6 -8 weeks pregnant. The patient is ecstatic about the pregnancy but has many questions. The HCP reviews the importance of prenatal care and informs the client of the scheduled visits neede d and what will be done at each visit. Lab work is ordered and a consultation with a dietician is scheduled for next week. List the three positive signs of pregnancy. They include fetal heart sounds, ultrasound scanning of the fetus, palpation of the entire fetus, palpation of fetal movements, x -ray, and actual delivery of an infant. How would you calculate the client’s delivery date? Calculate the estimat ed date of birth (EDB) if the client states her last menstrual period was on January 17, 2014. Naegele's rule involves a simple calculation: Add seven days to the first day of your LMP and then subtract three months. EDB= October 24, 2014 Identify the clie nt’s obstetrical history using the GTPAL method? G – 2 T- 0 P-0 A – 1 L - 0 List five expected changes that will occur during pregnancy. A woman's body undergoes many transformations during the nine months of pregnancy. Some of these physical changes are v isible, such as an expanding belly and weight gain, while others are well known, such as an enlarged uterus, morning sickness and backaches . What initial routine laboratory tests will be conducted? Complete blood count, Blood group and antibody screen, Rub ella antibody status. Syphilis serology, Hepatitis B serology, HIV. At the initial prenatal visit what should the client expect? What should the client expect at ongoing prenatal visits? At your first prenatal visit, your provider will calculate your due d ate, schedule blood tests, may perform a pelvic and breast exam, measure your height and weight, listen to your heart and lungs, and touch and push lightly on your stomach. You will see your provider every 4 weeks List four common discomforts of pregnanc y. Morning sickness, Backache in pregnancy, Bladder and bowel problems during pregnancy, Changes to hair during pregnancy, Changes to your skin during pregnancy. ... Dealing with fatigue during your pregnancy .
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