MN577 Unit 5 Assignment.
\nSelect a case study of interest to you from the listed scenarios.
\nDownload and complete the Pregnancy Case Review Chart.
\n\u2022\tMake sure to address all sections. Do NOT leave any section blank.
\n\u2022\tInclude relevant subjective and physical objective findings.
\n\u2022\tIdentify appropriate diagnostic and laboratory testing needed.
\n\u2022\tList at least three differential diagnoses with rationales for choosing.
\n\u2022\tIdentify usual medications, treatments, or patient education needed.
\n\u2022\tDetermine referrals for collaborative care.
\n\u2022\tProvide evidence-based references in APA formatting. Consult with the Writing Center as needed.
\nAssignment Requirements
\nBefore finalizing your work, you should:
\nBe sure to read the Assignment description carefully (as displayed above).
\n\u2022\tConsult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary.
\n\u2022\tUtilize spelling and grammar check to minimize errors.
\n\u2022\tFollow the conventions of Standard English (correct grammar, punctuation, etc.)
\n\u2022\tBe well ordered, logical, and unified, as well as original and insightful
\n\u2022\tDisplays superior content, organization, style, and mechanics.
\n\u2022\tUse Evidence-Based Practice guidelines.
\n\u2022\tUtilize APA formatting.
\n\u2022\tCase #1: Jane
\n\u2022\tJane 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.
\n\u2022\tCase #2: Natalie
\n\u2022\tNatalie is a 27-year-old G4P0120. Natalie is married; she and her husband both work two part-time jobs to cover the bills. Natalie presents to your office at about 20 weeks gestation for her initial OB visit. Natalie states she has not been evaluated prior to today for the pregnancy because of lack of funds and ability to get off work. Natalie also complains of multiple yeast infections during this pregnancy. During your interview with Natalie, you find she has no known medical diagnoses, she is not taking medications, she is a smoker, and she has a negative surgical history. Natalie\u2019s OB history includes two spontaneous losses at 8 and 12 weeks gestation and a loss of a 32 weeks infant following premature rupture of membranes. The 32-week infant was 7 pounds; lived 24 hours; and experienced hypoglycemia, respiratory distress, and ultimately died of sepsis. Natalie tells you she waited to seek prenatal care until this point because she did not have enough money to pay for the visit. She and her husband are still paying off medical expenses from the death of their 32-week infant. She tells you that she probably would have waited longer, but she keeps getting these terrible yeast infections. On exam, you note a fundal height of 26 weeks and urine dip reveals 1+ leukocytes, 1+ protein, trace blood and 3+ glucose.
\n\u2022\tCase #3: Katie
\n\u2022\tKatie is a 17-year-old G1P0. She presents to your office with four missed periods in a row. Katie is a high school student; she is in the 10th grade. She lives with her mother and four siblings. You ask Katie about the father of the baby and she tells you he states, \u201cthat baby is not mine.\u201d They are not speaking to each other right now. Katie tells you she has been \u201cvomiting a lot and her stomach hurts when she pees.\u201d A urine pregnancy test comes back positive. Katie is so confused because she has been using douching after intercourse as her method of birth control. Katie\u2019s past medical history is positive for chlamydia twice in the last year. She was treated at the Health Department but never went back for a follow up. Katie has had no surgeries and is on no medication. When asked, Katie states her last known weight was about 120 lbs. Katie\u2019s V\/S are BP 110\/70, temp 102.5, weight 107. You note enlarged cervical lymph nodes, FHTs are 160, and fundal height is 18. Katie\u2019s urine reveals 2+ ketones, 2+ nitrates, and 3+ leukocytes.
\n\u2022\tCase #4: Sara
\n\u2022\tSara is a 32-year-old G1P1001. She presents to your office for a 6-week postpartum check following a normal vaginal delivery of a healthy baby girl. Sara had an 18-hour labor with Pitocin augmentation and delivered a 7 pound 2 oz. girl with a second-degree laceration repaired with sutures. Sara spent 2 days in the hospital and was discharged home with her infant and husband. Over the last few weeks, Sara has called the office multiple times with questions about breastfeeding and her sutures healing. Upon walking into the exam room to see Sara, you see her baby in the stroller crying and Sara sitting on the exam table crying into her hands.<\/p>\n
Description of the case chosen:<\/p>\n
Subjective data, identify both given and needed data\tObjective findings, identify both given and needed data\tDiagnostic or laboratory testing needed with rationales\tList of three differential diagnoses with rationales\tMedications and or treatments needed with rationales\tPatient education needed
\nReferrals for collaborative care needed with rationales<\/p>\n
_______________
\nSample Answer, Writing Guide
\nCase #1: Jane.<\/p>\n
Subjective data:<\/p>\n
Irregular and heavy menses for 6 months, abruptly stopped 3 months ago
\nNausea and vomiting for 6 weeks, attributed to flu
\nWeight gain of 10 pounds in the last few months
\nBreast tenderness
\nCame to discuss menopause symptoms and treatment
\nPositive urine pregnancy test
\nObjective findings:<\/p>\n
Palpable 16-week-size uterus
\nFetal heart tones of 165
\nDiagnostic or laboratory testing needed with rationales:<\/p>\n
Ultrasound to confirm gestational age and viability of the pregnancy.
\nComplete blood count to determine hemoglobin level and to check for anemia, which is common in pregnancy.
\nBlood type and Rh factor to determine the need for Rh immunoglobulin.
\nUrine culture to rule out urinary tract infection which can cause nausea and vomiting, and to check for proteinuria.
\nList of three differential diagnoses with rationales:<\/p>\n
Pregnancy: The positive pregnancy test and the presence of fetal heart tones and a palpable uterus support the diagnosis of pregnancy.
\nUterine fibroids: The heavy and irregular menses, along with the palpable uterus, can be caused by uterine fibroids. However, the fetal heart tones and a positive pregnancy test indicate that the patient is pregnant.
\nOvarian cysts: Ovarian cysts can cause nausea, vomiting, and breast tenderness. However, the palpable uterus and the fetal heart tones suggest that the patient is pregnant.
\nMedications and\/or treatments needed with rationales:<\/p>\n
Prenatal vitamins with folic acid to ensure proper fetal development.
\nAntiemetics such as doxylamine-pyridoxine or metoclopramide to treat nausea and vomiting during pregnancy.
\nCounseling and education about a healthy pregnancy lifestyle including a balanced diet, exercise, and avoidance of smoking and alcohol.
\nPatient education needed:<\/p>\n
Importance of attending regular prenatal visits for proper monitoring of pregnancy and fetal development.
\nSigns and symptoms of preterm labor, preeclampsia, and other complications that require immediate medical attention.
\nImportance of taking prenatal vitamins and a healthy pregnancy lifestyle.
\nReferrals for collaborative care needed with rationales:<\/p>\n
Referral to an obstetrician\/gynecologist for ongoing prenatal care, management of any pregnancy complications, and delivery planning.
\nReferral to a genetic counselor for advanced maternal age and to discuss prenatal genetic testing options.
\nReferral to a registered dietitian for nutrition counseling and management of gestational diabetes, if diagnosed.
\nEvidence-based references:<\/p>\n
American College of Obstetricians and Gynecologists. (2021). Antepartum care. Retrieved from https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2021\/03\/antepartum-care
\nAmerican College of Obstetricians and Gynecologists. (2021). Nausea and vomiting of pregnancy. Retrieved from https:\/\/www.acog.org\/clinical\/clinical-guidance\/practice-bulletin\/articles\/2021\/07\/nausea-and-vomiting-of-pregnancy
\nAmerican College of Obstetricians and Gynecologists. (2020). Health care for women with obesity in pregnancy. Retrieved from https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2020\/01\/health-care-for-women-with-obesity-in-pregnancy<\/p>\n","protected":false},"excerpt":{"rendered":"
MN577 Unit 5 Assignment. Select a case study of interest to you from the listed scenarios. Download and complete the Pregnancy Case Review Chart. \u2022 Make sure to address all sections. Do NOT leave any section blank. \u2022 Include relevant subjective and physical objective findings. \u2022 Identify appropriate diagnostic and laboratory testing needed. \u2022 List […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8969,4486,10419,994],"tags":[10467,10470,10471,10466,10468,10461,10460,10463,10464,10465,10469,10462],"class_list":["post-121666","post","type-post","status-publish","format-standard","hentry","category-healthcare-case-study-help","category-case-study-homework-help","category-medical-case-study-help","category-nursing-case-study-help","tag-do-my-university-assignment-for-me","tag-essay-pro-dissertation-writers","tag-get-assignments-done","tag-homework-help-services-best-websites","tag-i-need-help-writing-my-homework","tag-masters-essays","tag-mn577-unit-5-assignment","tag-pay-someone-to-write-a-paper-for-you","tag-phd-essay-writers","tag-research-paper-writing-service-for-any-topic","tag-study-bay-essay","tag-website-that-writes-assignments"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/121666","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/comments?post=121666"}],"version-history":[{"count":1,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/121666\/revisions"}],"predecessor-version":[{"id":121668,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/posts\/121666\/revisions\/121668"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/media?parent=121666"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/categories?post=121666"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/assessments\/wp-json\/wp\/v2\/tags?post=121666"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}