NRNP6552 Week 8 Discussion Latest 2022 March

Case Study: Obstetrics

Phillipa Hudson is a 39-year-old female presenting today at your clinic with a positive home pregnancy test. Her medical history is negative. Surgical history is remarkable for a c section.  Gyn history 1st menses age 12, with cycles coming every 28 days and lasting for 5 days.  Her pap and std history are negative. She has been taking a woman’s vitamin for the past 6 years. Her OB history is:

Date

gestation

outcome

anesthesia

Length of labor

weight

gender

complications

1-2015

41 weeks

nsvd

epidural

18

7’6

female

none

2-2016

37 weeks

nsvd

epidural

6

7’11”

female

Disappearing twin

3-2017

39 weeks

Primary c/s

spinal

na

8’2”

male

c/s for breech after failed version

3-2019

6 weeks

ectopic

Treated with methotrexate

Phillipa relates her last period (LMP) was 12-25-2021. She reports breast tenderness, fatigue, and nausea (which is what made her suspect she was pregnant).

Common Health Conditions with Implications for Women

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans.

For this Case Study Discussion, you will propose a differential diagnosis with a minimum of 3 possible conditions or diseases. You will prioritize these diagnoses and explain which you would recommend.

To prepare:

By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Review the Learning Resources for this week as well as Weeks 5 and 6 and specifically review the clinical guideline resources specific to your assigned case study.

Use the Focused SOAP Note Template found in the Learning Resources to support Discussion.

By Day 3

Based on your assigned case study, post the following:

Provide a differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.

Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment.

Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests or treatment options your colleagues suggested and why. Use your learning resources and/or evidence from the literature to support your position.