Submitted by: Submitted by deyamontoya
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Pages: 4
Category: Other Topics
Date Submitted: 10/22/2015 05:18 PM
Case Study Linda Linda
Client Profile
Linda is a 23-year-old, married, white female (MWF). Linda went to see her family doctor after she had experienced two months of nausea and vomiting. She had been on depo-pervera and was certain that she could not be pregnant. The physician did a pregnancy test and it was positive. Linda had often skipped periods while on the ‘shot’ and did not consider three months without a period unusual. She had been pregnant twice before. The first time was when she was 17 years old and she had a first trimester elective abortion. The second time was three years ago when she experienced a preterm birth at 25 weeks and the baby died shortly after birth. That was a very traumatic experience for her and she doesn’t remember much about the pregnancy.
Case Study
Today is her first prenatal visit with her midwife. Linda’s family doctor sent her for an ultrasound and she brings the results with her to this appointment. It indicates that the pregnancy is at 13 weeks gestation. Her due date is, or estimated date of delivery (EDD), is April 18. Linda has the following concerns: “I am worried about these bumps on m nipples, and why are my breasts so tender? Are my hormones all messed up? Look at this line on my abdomen; where did that come from? I have this vaginal discharge. It doesn’t itch or smell bad, but I notice I am a lot wetter than I have ever been before.” She also expresses concerns about genetic problems and wants to know if she will need an amniocentesis, since she has a cousin with downs syndrome. She expresses concerns about her previous pregnancy loss of her very preterm infant. Her VS are 144/80 T 98.4, pulse 88, RR 16. She is 5ft. 4 inches and weighs 135 pounds prior to pregnancy, she now weighs 145 pounds. Her physical exam is normal and her uterine size is consistent with her dates. Her urine dip is negative for protein, glucose and ketones.
Questions:
What would be the best way for the nurse to respond to Linda’s concerns?...