MN 561 Assignment Case Study

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MN 561 Assignment Case Study

MN 561 Assignment Case Study

 

For this Assignment, you will select one of the following
case studies below. Then, using the case information and best evidence,
complete the chart below. Make sure to address all columns in the chart.

Select a case study of interest to you from the listed
scenarios below.

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.

Case #2: Natalie

Natalie 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 of 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’s 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 sepsis infections. 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.

Case #3: Katie

Katie 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 “that baby is not
mine.” They are not speaking to each other right now. Katie tells you she has
been “vomiting a lot and her stomach hurts when she pees.” 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. You ask Katie about
the father of the baby, and she tells you he states “that baby is not mine.”
They are not speaking to each other right now.

Katie’s 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. Katie’s V/S are BP
110/70, temp 102.5, weight 107. You note enlarged cervical lymph nodes, FHTs
are 160, fundal height is 18. Katie’s urine reveals 2+ ketones, 2+ nitrates,
and 3+ leukocytes.

Case #4: Sara

Sara 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.

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Complete the following chart:

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.

How to Submit:

Submit your Assignment to the unit Dropbox before midnight
on the last day of the unit.

When you are ready to submit your Assignment, click the
Dropbox tab and select this unit’s basket from the dropdown menu, then attach
your file. Make sure to save a copy of your work and be sure to confirm that
your file uploaded correctly.

How to Submit:

Submit your Assignment to the unit Dropbox before midnight
on the last day of the unit.

When you are ready to submit your Assignment, select the
unit Dropbox then attach your file. Make sure to save a copy of the Assignment
you submit.

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