A 36-year-old female client arrives at her primary health care provider's office for her initial prenatal visit at 9 weeks gestation. The nurse collect and records the client's health and obstetric history: Allergies: None Current medications: Sertraline daily, acetaminophen and naproxen as needed for headache Past health history: tonsillectomy as a child, asthma Family health history: Ovarian cancer - grandmother First day of last menstrual period: 12/12/2021
A 36-year-old female client arrives at her primary health care provider's office for her initial prenatal visit at 9 weeks gestation.
The nurse collect and records the client's health and obstetric history:
- Allergies: None
- Current medications: Sertraline daily, acetaminophen and naproxen as needed for headache
- Past health history: tonsillectomy as a child, asthma
- Family health history: Ovarian cancer - grandmother
- First day of last menstrual period: 12/12/2021
Date of Delivery | Weeks of Gestation | Delivery Style | Fetal Demise |
02/21/2010 | 39 | Spontaneous vaginal | No |
04/16/2012 | 18 | Spontaneous vaginal | Yes |
08/08/2014 | 36 | Cesarean | No |
08/08/2014 | 36 | Cesarean | No |
For each health assessment finding below, indicate whether it "Requires Nursing Follow-Up" (could be harmful to the client) or is "Expected" (no follow-up is required) for the client at this time.
Temperature = 98.6
RR = 14 breaths/min
HR = 76 beats/min
BP = 132/78 mm Hg (sitting)
Timing of initial visit (9 weeks)
Previous term delivery(ies)
Previous preterm delivery(ies)
Estimated date of delivery
Daily sertraline
Acetaminophen as needed for headache
Naproxen as needed for headache
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