1. What is your insight on the patient’s case concerning her pregnancy? 2. How can you best minimize risks and optimize health for this patient presenting late to prenatal care?
Case Scenario
A 22-year-old woman, gravida 2, para 1, presents at the maternity clinic for a prenatal visit. She is unsure of her due date and states that her last menstrual period was about seven or eight months ago. She had one prenatal check-up in the community health center, although she does not have any records from her physician or nurse-midwife. She reports that she has had an uncomplicated pregnancy so far and that earlier ultrasonography indicated that she is going to have a girl. Her medical history is unremarkable aside from a full-term cesarean delivery performed in the government hospital four years ago because of “complete breech presentation.” She is not taking any prenatal vitamins. On examination, her vital signs are unremarkable, her fundal height measures 27 cm, the fetal heart rate is 165 beats per minute, and the fetus is cephalic by Leopold’s maneuvers.
1. What is your insight on the patient’s case concerning her pregnancy?
2. How can you best minimize risks and optimize health for this patient presenting late to prenatal care?
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