Question

Case Study 1:

On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.

Post the estimated date of delivery for the patient in the case study you selected. Include an explanation of how you dated a pregnancy and which of the patient’s factors led to your estimated date of delivery. Then, based on the dating of the patient’s pregnancy, explain the appropriate clinical guidelines for procedures and screenings. Explain implications of any missed procedures and/or screenings. Finally, explain a plan of care for the patient, including procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments, management strategies, and patient education.

Answer 1

Pregnancy is also called as Gestation where one or more offsprings develops in the womb of a woman.

LMP(Last Menstrual Period): -1st December 2012

She checked on 15th January 2013 where pregnancy test is Positive

EDD(Estimated Date of Delivery)

Add "7" in date and "9" in month = so the EDD is 8 September 2013, She is 6 weeks 3 days pregnant

or by simply adding 280 days

Nausea , breast tenderness are some of the initial changes in the pregnant ladies.

The 9 months are more precious for a mother , she has to under go certain basic tests

Ultrasound:

There are different types of Ultrasound

• Trans abdominal
• Trans vaginal
• Doppler
• 3-D Ultrasound
• 4-D Ultrasound

The first Ultrasound is used for conformation at 6 to 10 weeks are before 12 weeks

Second ultrasound is done at 18 to 20 weeks for testing Nuchal Transulency for ruling out Down Syndrome, Anamolies

Normally 2 ulrasound are sufficient if the obstetrician feels a requirement for more will be done at third trimester

The mother will be given 2 doses if Injection TT at 3rd month and 7th month

Iron supplements are started from 3 rd months

Blood investigations are done to rule out any infectious disease

The mother is adviced for taking a balanced healthy diet

A proper sleep,rest,exposure to toxins,recreational drugs, proper weight gain etc.,

Hence all these thing as to be taken care while making a plan of care for this female