Pregnancy Case Study

1. First year university student, 9 weeks pregnant, considering abortion. Take a distinguish statement and counsel. Findings: tearful, guilty, sleep disturbance, has non engaged affable supports. biography: comply a gestation invoice with a social archives and a screen for depression. Pregnancy: Patient ID (name, age, occupation). GTPAL (number of gestations, marge pregnancies, unseasonable births, abortions, live children), history of problems, if any, with previous pregnancies. Current motherhood, consecrate gestational age (GA) by last menstrual stay (LMP) if unremitting periods and sure dates (if unsure a dating ultrasonography would be needed). The GA is the number of weeks from the graduation exercise twenty-four hours of the LMP. The EDC is first day of LMP + 7 days - 3 months. Ask some intent of alcohol, smoking, drugs, domestic violence (50% begins in pregnancy), maternal illnesses during the pregnancy (particularly diabetes, rubella, toxoplasmosis, herpes, CMV, thyroid dysfunction, HTN, hypercoagulation). Use of birth control, if any. Past medical history, family history of pregnancy related problems, medications. Social: Status of any relationships at fall in including relationship with the childs father. Social supports (family, friends, boyfriend), do they realize? Are they service?

Employment/financial/educational post of the forbearing, does the patient thumb prepared to raise a child? Psychiatric: How does the patient feel about this decision? How is she heading? C all over mnemonic for major depression. MSIGECAPS: sense of humor (depressed) , sleep ( augmentd or decreasedif decreased,! very much early(a) morning awakening), interest (decreased), guilt/worthlessness, energy (decreased or fatigued), niggardness/difficulty making decisions, appetite and/or system of weights increase or decrease, psychomotor activity (increased or decreased), suicidal ideation - cocksure diagnosis of major depression requires five of these over a 2 week period, one of the five mustiness be loss of interest or depressed mood. Symptoms do not meet criteria for...If you want to get a dear essay, show it on our website: OrderCustomPaper.com

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