womens health
Case Scenario 2 Tables 1 GA by weeks Lab Testing and/or Diagnostic Testing Medication Expectations 6-10 weeks 10-14 weeks 15-20 weeks 20- 24 weeks 24-28 weeks 28-32 weeks 34 weeks 36 weeks 37 weeks onwards Table 2 Scenario A normal ongoing pregnancy, the expectation for the beta HCG level is to _____ (hint: increase by how much) within 48-72 hours During a spontaneous abortion (miscarriage), the expectation for the beta HCG level is to ____ (hint: decrease by how much) within 48-72 hour During an ectopic pregnancy, the expectation for the beta HCG level is to ____ within 48-72 hour During a molar pregnancy, the expectation for the beta HCG level is to ____ within 48-72 hour Lisa is a 29-year-old female G3P2 at 28 weeks EGA who is coming to the clinic for her routine checkup. She is Rh negative. Her VS are normal and prenatal routine screenings are WNL. Lisa asks if it is normal to be experiencing frequency and mild burning when she urinates which she says has increased over the last 2 days. She has been drinking more water recently and thinks that maybe this is causing the urinary frequency. Write a brief SOAP note regarding this patient. Make sure to include your answers to these questions in your SOAP note. 1. Subjective: a. What other relevant questions should you ask regarding the HPI? b. What other medical history questions should you ask? c. What other OB history questions should you ask? d. What important lab results should you review prior to 28 weeks? 2. Objective: a. Describe the appropriate physical assessment that needs to be included in this visit. b. Explain what test(s) you will order and perform, and discuss your rationale for ordering and performing each test. 3. Assessment/ Diagnosis: a. What is your diagnosis? b. Include any appropriate differential diagnosis 4. Plan: a. What will you prescribe for this patient? Why? Explain what medications and treatments you would recommend HINT: patient should be receiving at least 2 injectable medications at this visit plus oral medication b. Explain treatment guidelines and side effects including any possible side effects of the medication and treatment(s), partner notification, and follow-up plan of care. c. What patient education is important to include for this patient? What should the patient expect for the upcoming weeks? d. Explain complications that can occur if patient does not comply with treatment regimen. e. When should the patient return? Provide evidence from the research to support your decision-making.
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