What instructions should be included for follow-up visits and signs of potential complications?


Obstetric Case Study

M.S. is a 46 y/o African American who presents to the prenatal clinic alone for her second visit. Her last LMP was 07/22/20. This is pregnancy number six. She had deliveries at 34.3, 36.2, 38.5 and 37.6 weeks and a spontaneous abortion with a dilatation and curettage at 8 weeks in 2006. She reports mild contractions that started the previous evening. She took Motrin twice to stop the pain and had good results.

She has no vaginal bleeding and feels the baby moving; She also reports nasal stuffiness, and not feeling like eating breakfast on most mornings; her antepartum course has been significant for prenatal labs with an elevated glucose challenge test followed by a normal glucose tolerance test and a brief hospitalization @ 22 weeks for dehydration due to gastroenteritis.

Her Gyn history: she was diagnosed with HPV in 1994, and has no fibroids or ovarian cysts; her past medical history is significant for hypothyroidism, and her medications include Synthroid 88 mcg, prenatal vitamins; she gets a rash from sulfa containing medications, and a family history is significant for a maternal grandfather with CHF and a paternal aunt with post-menopausal breast cancer; her social history is significant for a 15 pack-year history of smoking cigarettes ending prior to her first pregnancy; no alcohol or drugs; her review of systems is significant for generalized fatigue and constipation.

Physical exam: she is alert and in mild discomfort with contractions; vital signs are stable; there is murmur loudest over the left lower sternal border; her abdomen is soft, gravid and non-tender; fundal height is 30 cm, NST reactive, vaginal exam is 2 cm/40% /-2; the fetal heart rate has a baseline of 130’s with accelerations and no decelerations; there are 30 second contractions every six minutes; extremities have no edema. Terbutaline was ordered and she has not had any contractions for 24 hours. Pt was sent home with instructions.

1. Calculate her EDD/EDB. – Show calculation

2. What is her gestational age?

3. Document her pregnancies. Use the 5-digit and the 2-digit methods.

4. List 3 NANDA diagnoses (include related to and AEB). List two interventions for each nursing diagnosis with rationales (cite source).

5. What are risk factors for this patient?

6. Is this pregnancy progressing normally? – include supporting data

7. List the medications the patient is taking.

a. Are these medications appropriate? If no, which ones? Provide rationale.

b. What are the nursing responsibilities for each medication?

8. You are preparing a teaching plan for this patient. What are the points that you would include based on the scenario?

9. What are the nursing responsibilities for this patient?

10. What instructions should be included for follow-up visits and signs of potential complications?

Elitewriterhelp.com is an online academic writing platform that provides essay and assignment solutions to students from all nations around the world. Based in the United States, Elitewriterhelp.com assists students from over 100 countries with their assignments and essays.

The countries that Elitewriterhelp serves are Australia, Canada, New Zealand, United Kingdom (UK), United States (USA), Ireland, South Africa, Austria, Belgium, Bulgaria, Denmark, Finland, France, Germany, Greece, Hungary, Iceland India Italy Japan Liechtenstein Malta Netherlands Norway Poland Portugal Romania Slovakia Slovenia Spain Sweden Switzerland Turkey Ukraine Uzbekistan Vietnam.

Elitewriterhelp specialists offer custom-written papers covering various topics on different academic levels, such as High School/College/ University/Master/ Ph.D., depending upon the requirements of the customer’s individual assignment or project type. Through our services, you can get help in any subject from math problem-solving to proofreading and editing essays for spelling errors or simply helping with English class assignments for those non-native English speakers out there who need some extra help translating their papers into perfect English!

Whether it be research papers or just essay writing for an exam preparation course – we have you covered! We also specialize in providing customized thesis and dissertation writing services which include literature review analysis & composing high-quality content within your given timeline so you do not miss any important deadlines set by your professor or instructor! Our experts guarantee top-quality papers no matter what type of academic level they may be written at; whether it’s a college freshman student looking to pass his first history class or a graduate school student trying to finish her Ph.D. dissertation – EliteWriterHelp has got them covered!

In addition to this plethora of services offered through our website, we also provide professional consultation on various topics including personal branding advice; career development guidance; resume/CV design assistance; cover letter draft-building tips; informative speech guidance; data visualization techniques coaching & more! So whatever educational challenge lies ahead – EliteWriterHelp is here to provide appropriate solutions tailored exactly according to each customer’s individual needs and preferences!

Elite Writer Help
Calculate your paper price
Pages (550 words)
Approximate price: -

Why Work with Us

Top Quality and Well-Researched Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional and Experienced Academic Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

24/7 Customer Support

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.


Essay Writing Service

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.


Admission Essays & Business Writing Help

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.


Editing Support

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.


Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.