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

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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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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