unit9assgntclinics

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:

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.

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format.

Expert Solution Preview

Introduction:

In this case study, we will be discussing Jane, a 42-year-old G4P2103 who presents with menopause symptoms but is later found to be pregnant. We will examine her subjective and objective findings, diagnostic and laboratory testing needed, differential diagnoses with rationales, medications and treatments needed, patient education required and referrals for collaborative care with rationales.

Description of the case chosen:

Jane is a 42-year-old G4P2103 who has been experiencing irregular and heavy menses for 6 months, followed by an abrupt stop in menses 3 months ago. She has been experiencing nausea, vomiting, gaining weight and breast tenderness for the last few months. 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.

Subjective data, identify both given and needed data:

Given subjective data:
– Irregular and heavy menses for 6 months
– Menses stopped abruptly 3 months ago
– Nausea and vomiting for 6 weeks
– Weight gain and breast tenderness for the last few months
– Comes to the clinic to discuss menopause symptoms and treatment

Needed subjective data:
– Any existing medical conditions, especially those that could affect pregnancy
– Past pregnancies and complications
– Birth control history
– Sexual history
– Any medication or drug use
Family history of genetic conditions or birth defects

Objective findings, identify both given and needed data:

Given objective data:
– Urine pregnancy test positive
– Palpated a 16-week-size uterus
– Fetal heart tones of 165

Needed objective data:
– Blood pressure, heart rate, and respiratory rate
– General physical exam, including a breast exam
– Pelvic exam to rule out complications
– Ultrasound to confirm pregnancy and evaluate fetal growth
– Blood tests to evaluate hormonal levels and rule out any underlying conditions

Diagnostic or laboratory testing needed with rationales:

– Ultrasound to confirm pregnancy and evaluate fetal growth
– Complete blood count (CBC) to evaluate for anemia
– Blood tests to check hormone levels, such as thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH), and luteinizing hormone (LH)
– Screening for sexually transmitted infections (STIs), including HIV, syphilis, and chlamydia
– Pap smear to check for cervical cancer

List of three differential diagnoses with rationales:

1. Pregnancy-related complications – Jane’s symptoms could be related to pregnancy, including morning sickness, breast tenderness, and weight gain. It is necessary to evaluate the pregnancy for any complications, such as preeclampsia or gestational diabetes.

2. Menopause – Jane’s symptoms could be due to menopause. However, given the positive pregnancy test, it is less likely.

3. Uterine fibroids – Heavy menses and a large uterus could be indicative of uterine fibroids. An ultrasound can confirm this diagnosis.

Medications and or treatments needed with rationales:

– Folic acid supplements to prevent neural tube defects in the developing fetus
– Prenatal vitamins to ensure proper nutrition for both the mother and the fetus
– Nausea medication to help with morning sickness
– Blood pressure medication if preeclampsia is diagnosed

Patient education needed:

– Healthy eating habits for pregnancy
– Proper exercise routines
– The importance of taking prenatal vitamins
– The importance of quitting smoking, drinking alcohol or using drugs during pregnancy
– Warning signs of pregnancy complications

Referrals for collaborative care needed with rationales:

– Referral to an OB/GYN for prenatal care
– Referral to a nutritionist for dietary counseling during pregnancy
– Referral to a genetic counselor if any genetic conditions are found in the family history

Summary of the case study and further research, diagnostics, procedures, or follow-up needed:

Jane, a 42-year-old G4P2103, presents with symptoms that are suggestive of menopause but is found to be pregnant during the clinic visit. Further diagnostic testing, such as an ultrasound, blood tests, and pelvic exams, is necessary to monitor the pregnancy and rule out any complications. Medications such as prenatal vitamins and folic acid are needed during pregnancy. Patient education regarding healthy habits during pregnancy is necessary. Referrals to an obstetrician, nutritionist, and genetic counselor may be necessary. Follow-up visits will be necessary to monitor fetal growth and maternal health.

Evidence-based references:
1. American College of Obstetricians and Gynecologists (ACOG). (2017). Obstetric care consensus no. 6: Periviable birth. Obstetrics and Gynecology, 126(6), e82-e94.
2. National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units Network. (2016). A randomized trial of antenatal betamethasone for women at risk for late preterm delivery. New England Journal of Medicine, 374(14), 1311-1320.
3. American College of Obstetricians and Gynecologists (ACOG). (2018). Practice bulletin no. 190: Gestational diabetes mellitus. Obstetrics and Gynecology, 131(2), e49-e64.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Describe and critique a current article that relates to Nursing Assignment Help

Describe and critique a current article that relates to hospital financing and competitive practices in healthcare. (Article should be from a scholarly, peer-reviewed journal published within the last 3-5 years). Submit 1,000-1,500-word paper with a KU title page and reference page in a scholarly format. You are a medical professor

GCU Patient Preferences in Care Discussion Reply Nursing Assignment Help

please respond to the following discussion as a peer making a comment. Hello everyone, Integrating patient preferences and values with clinician expertise is essential when making evidence-based decisions. This approach leads to patient-centered care, improves treatment adherence, and enhances health outcomes. Patients’ unique values, beliefs, priorities, and circumstances can significantly

UM Administrator in Training Rotation Experience Report Nursing Assignment Help

Complete and Submit the Three Sections of the Report for the Assignment: AIT Experience: LTC Settings and Services Report Template (ATTACHED) APA: Include APA 7th Edition Formatted Reference Page. ALL RESPONSES IN PARAGRAPH FORM. Complete Section 1 of the Report Select the Long Term Care (LTC) Settings and Services: ALREADY

NYU Autoimmune Disease of Myelin Abstract Nursing Assignment Help

`The disease is called MS You should read Wikipedia “Immune System”, “Antibody”,  “Antigen”, “T  cell”, “B cell”, “Macrophage”, “Dendritic cell”  for writing your abstract. It would also be good to read the Wikipedia article on MS.  The purpose of writing an abstract is to condense the material you have read

Within the Professions of Psychology Paper Nursing Assignment Help

PSY 540 Final Project Guidelines and Rubric Overview Within the professions of psychology, it can be typical for you to work on proposals for programs, studies, or new initiatives. For example, you may work for a university that regularly partners with foundations and corporations to identify grant opportunities for projects

Professional Ethics Instructions Baccalaureate education Nursing Assignment Help

Professional Ethics Instructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses

Select one of the following populations: Aging Nursing Assignment Help

Select one of the following populations: Aging Population Homelessness Migrant Workers LGBTQIA+ Other Identified Vulnerable Populations from Your Reading Then complete the following steps for your discussion post: Identify which vulnerable population you have chosen to use for this post and describe what this vulnerable population looks like in your

WGU Population Health Data Analysis Paper Nursing Assignment Help

In this course, you learned that Informatics for Transforming Nursing Care integrates nursing science with multiple information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice. This provides knowledge and skills to apply informatics concepts, communications, and data critical to facilitating interprofessional

Professional EthicsInstructions Baccalaureate education Nursing Assignment Help

Professional EthicsInstructions Baccalaureate education includes the development of professional values and value-based behavior (AACN, 2008). Ethics define professional ethics and their importance in the healthcare environment. The American Nurses Association has approved 13 standardized languages that support nursing care.  The benefits of standardized language include: better communication among nurses and

HSA 599 SU Public Health Emergencies Discussion Nursing Assignment Help

I’m working on a health & medical discussion question and need the explanation and answer to help me learn. Discuss a life-threatening event or a natural disaster in your community, such as a severe weather event, terrorist attack, or other type of public health emergency. Examine an overall strategy that

Develop a literature map or a visual representation of the Nursing Assignment Help

Develop a literature map or a visual representation of the Public Health Informatics literature.  Also include a powerpoint presentation explaining the literature map with the slides Constructing a literature map helps you: develop an understanding of the key issues and research findings in the literature organize ideas see how different research studies