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MN577 Pregnancy Chart: Case Study
MN577 Pregnancy Chart: Case Study
Assignment Directions: Case: Jane
For this Assignment, using the case information and best evidence, complete the chart below. Make sure to address all columns in the chart.
Case #1: Jane
Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago.
Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness.
Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.
Subjective data, identify both given and needed data
Objective findings, identify both given and needed data
Diagnostic or laboratory testing needed with rationales
List of three differential diagnoses with rationales
Medications and or treatments needed with rationales
Patient education needed
Referrals for collaborative care needed with rationales
路 Make sure to address all sections. Do not leave any section blank.
路 Include relevant subjective and physical objective findings.
路 Identify appropriate diagnostic and laboratory testing needed.
路 List at least three differential diagnoses with rationales for choosing.
路 Identify usual medications, treatments, or patient education needed.
路 Determine referrals for collaborative care.
路 Summarize the case study and include any further research, diagnostics, procedures, or follow-up needed.
路 Provide evidence-based references.
Unit 8 Grading Rubric
| Unit 9: Pregnancy Case Study | ||||||
| Introductory | Emergent | Practiced | Proficient/Mastered | Score | Weight | Final Score |
| 0-1.9 | 2-2.9 | 3-3.9 | 4 | |||
| Case Selection | Did not select case from list provided or did not describe case. | n/a | n/a | Selected appropriate case from list provided and described case. | 5% | 0.00 |
| Subjective and Objective data | Did not outline all subjective questions that would need to be asked. Did not outline all objective data and exams to be gathered. | Satisfactorily outlined all subjective questions that would need to be asked. Satisfactorily outlined all objective data and exams to be gathered. | Adequately outlined all subjective questions that would need to be asked. Adequately outlined all objective data and exams to be gathered. | Thoroughly outlined all subjective questions that would need to be asked. Thoroughly outlined all objective data and exams to be gathered. | 20% | 0.00 |
| Diagnostic and laboratory needs with rationales | Did not provide a list of labs and diagnostic tests to be performed with rationale. | Provided a satisfactory list of labs and diagnostic tests to be performed with rationale. | Provided an adequate list of labs and diagnostic tests to be performed with rationale. | Provided a thorough list of labs and diagnostic tests to be performed with rationale. | 10% | 0.00 |