24-year-old Jewish single female. Patient is it a G 5 P 2022 and has private insurance. HPI: presents to the office with amenorrhea 8 weeks ago. She did have an ultrasound done two weeks ago in the ER which is where she found out she was pregnant. The ultrasound was normal with the crown rump length that was consistent with six weeks three days.
In this module, you will review Adeline’s record and complete the risk assessment table based on the information you have about your patient at her 8 week initial prenatal visit. Include the appropriate testing for this patient, patient education, anticipatory guidance and treatment options if needed.
In this module, you will review Adeline’s prenatal visit. Using the risk assessment table please identify any new risks and include the appropriate testing for this patient, patient education, anticipatory guidance and treatment options, if needed, for current or previous risks and routine matters.
16 week prenatal visit
Adeline returns to clinic at 16 weeks. Her blood pressures is 116/60. She weighs 134 lbs. Fetal heart tones are 160 beats per minute. She reports no vaginal bleeding, discharge or contractions. Urine dip shows trace protein, no nitrates, no glucose. Fundal height is mid position between the umbilicus and symphysis pubis. Adeline missed her sequential screen appointment. She is smoking 3/4 a pack per day.
In this module, you will review Adeline’s prenatal visit. Using the risk assessment table please identify any new risks and include the appropriate testing for this patient, patient education, anticipatory guidance and treatment options, if needed, for current or previous risks and routine matters.
24 week prenatal visit
Adeline returns to clinic at 24 weeks. Her blood pressure is 118/65. She weighs 144 lbs. Fetal heart tones are 155 beats per minute. Fundal exam is 26 cm. Urine dip negative for protein, glucose, nitrates. She reports cramping, light vaginal bleeding and yellow discharge. She continues to smoke. She is still with her current boyfriend in a monogamous relationship. no vaginal odor, itching or irritation, no urinary frequency or dysuria.
In this module, you will review Adeline’s prenatal visit. Using the risk assessment table please identify any new risks and include the appropriate testing for this patient, patient education, anticipatory guidance and treatment options, if needed, for current or previous risks and routine matters.
36 week prenatal visit
Adeline returns to clinic at 36 weeks. Her blood pressure is 122/72, she weighs 155 lbs. Fetal heart tones are 145 bpm. Fundal heart is 39 cm. She reports no bleeding, contractions of vaginal discharge. She informs you that an outbreak of fifths disease has occurred at the daycare. She is still smoking but trying to stop. she is excited about the baby coming.