Essay by hodgkissA+, October 2014

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Age__19___, Gravida___2___, Para__0___, Living Children__1___, EDD____04Jun2014_____, confirmed by ______OBAC_______test, at ___7____Weeks gestation.

Some topics that were discussed at my visit were as followed.


Chief Complaint

Medication Review

Allergies Review

Vitals, including weight and height

Open episodes of care

EDD/ Dating/ LMP

Flu Shot, TDAP, Verify Immunizations

Medical, OB, and Surgical History

Genetic Screening

Prenatal Lab Orders

Offer MyChart

ROI signed for outside records

When listening to some of the advice from the nutritionist, I was surprised to see that she wasn't focusing on the proper diet and exercise one would expect to hear. The nutritionist was more focused on making sure the patient was getting plenty to eat for both herself and her baby. Then the nutritionist talked about how the patient should eat small meals every 3 hours throughout the day. The patient asked if there was anything that could be done to help with her morning sickness and with her constant nausea.

The patient stated that she is not able to eat full meals or much of anything since she has nausea. The nutritionist then started discussing how fresh ginger and some carbonated water might help settle her stomach and maybe trying something called e-bands. E-bands she said are little bracelets that are supposed to help cure nausea. Finally she did order some Zofran which is an antiemetic drug that helps prevent both nausea and vomiting.

Risk Factors for this pregnancy: Some of the risk factors that play a major role are the mother didn't know she was pregnant and keep drinking and doing drugs. She wouldn't say which drugs she was using, just said she was doing drugs and drinking until she noticed she didn't have a period two times in a row. Some other concerns are that she has genital herpes. She then...