What Categories Should You Address With P. M.?
Case Study 1-Antepartum/Prenatal
There is a total of 11 questions
Scenario
P.M. comes to the obstetric (OB) clinical because she has missed 2 menstrual periods and thinks she may be pregnant She states she is nauseate, especially in the AM, so she completed a home pregnancy test and it was positive. As the intake nurse in the clinic, you are responsible for gathering information before she sees the physician.
1. What are the two most important questions to ask to determine possible pregnancy?
The most important questions to ask to determine pregnancy are the first day of their last period and if they have ever been pregnant before.
2. She tells you she has never been pregnant. How would you record this information?
If she has never been …show more content…
It is important to complete the intake interview. What Categories should you address with P.M.?
The first prenatal visit is an extremely important one that should take place as early as possible during pregnancy. As the nurse it is extremely important to obtain an accurate prenatal history while obtaining and maintaining a therapeutic relationship. During P.M. intake interview I would ask about her medical history including dental and eye health, immunizations, history of STI’s. We would discuss diet, exercise, and her pregnancy expectations. It is also important to collect biographical data, psychosocial history and a medical exam as well.
According to the clinic protocol, you obtain the following for her prenatal record: CBC, blood type, urine of urinalysis (UA) (protein, glucose, blood), vital signs (VS), height, and weight. Next, the physician or nurse-midwife does a physical examination, including a pelvic exam, and confirms P.M. is pregnant. The fetus is at approximately 6 weeks’ gestation, and she has a gynecoid pelvis by measurement.
5. How would you calculate her due …show more content…
Education would include health promotion, self-care, diet, and exercise.
9. What are the “danger signs” of pregnancy?
Symptom Potential Problem Other possible causes
Vaginal Bleeding
Miscarriage, placental abruption, placenta previa
Hormonal bleeding, Implantation bleeding
Pelvic or Abdominal Pain Miscarriage, ectopic pregnancy, abruption Cyst, uterine growth, round ligament pain
Persistent Back Pain Miscarriage, preterm labor Kidney/bladder infection, cyst, normal pregnancy pain
Gush of Fluid from Vagina Preterm labor, preterm rupture of membranes, miscarriage Leaky bladder, watery mucous
Swelling of the Hands/Face Preeclampsia, Ecclampsia
Swelling
Severe Headaches, Blurry Vision Preeclampsia, Ecclampsia Headaches caused by hormonal changes or stress
Regular Contractions prior to 37 Weeks Preterm labor Gastric upset
No Fetal Movement Fetal distress, Fetal Demise
Slowed movements, anterior placenta
10. Is a vaginal exam done at every visit? Why or why
There is a total of 11 questions
Scenario
P.M. comes to the obstetric (OB) clinical because she has missed 2 menstrual periods and thinks she may be pregnant She states she is nauseate, especially in the AM, so she completed a home pregnancy test and it was positive. As the intake nurse in the clinic, you are responsible for gathering information before she sees the physician.
1. What are the two most important questions to ask to determine possible pregnancy?
The most important questions to ask to determine pregnancy are the first day of their last period and if they have ever been pregnant before.
2. She tells you she has never been pregnant. How would you record this information?
If she has never been …show more content…
It is important to complete the intake interview. What Categories should you address with P.M.?
The first prenatal visit is an extremely important one that should take place as early as possible during pregnancy. As the nurse it is extremely important to obtain an accurate prenatal history while obtaining and maintaining a therapeutic relationship. During P.M. intake interview I would ask about her medical history including dental and eye health, immunizations, history of STI’s. We would discuss diet, exercise, and her pregnancy expectations. It is also important to collect biographical data, psychosocial history and a medical exam as well.
According to the clinic protocol, you obtain the following for her prenatal record: CBC, blood type, urine of urinalysis (UA) (protein, glucose, blood), vital signs (VS), height, and weight. Next, the physician or nurse-midwife does a physical examination, including a pelvic exam, and confirms P.M. is pregnant. The fetus is at approximately 6 weeks’ gestation, and she has a gynecoid pelvis by measurement.
5. How would you calculate her due …show more content…
Education would include health promotion, self-care, diet, and exercise.
9. What are the “danger signs” of pregnancy?
Symptom Potential Problem Other possible causes
Vaginal Bleeding
Miscarriage, placental abruption, placenta previa
Hormonal bleeding, Implantation bleeding
Pelvic or Abdominal Pain Miscarriage, ectopic pregnancy, abruption Cyst, uterine growth, round ligament pain
Persistent Back Pain Miscarriage, preterm labor Kidney/bladder infection, cyst, normal pregnancy pain
Gush of Fluid from Vagina Preterm labor, preterm rupture of membranes, miscarriage Leaky bladder, watery mucous
Swelling of the Hands/Face Preeclampsia, Ecclampsia
Swelling
Severe Headaches, Blurry Vision Preeclampsia, Ecclampsia Headaches caused by hormonal changes or stress
Regular Contractions prior to 37 Weeks Preterm labor Gastric upset
No Fetal Movement Fetal distress, Fetal Demise
Slowed movements, anterior placenta
10. Is a vaginal exam done at every visit? Why or why