Exam (elaborations) NUR 3330 Stephanie Gold Room 303 Med-Surg (ALL EVALUATIONS)

Stephanie Gold, 19-year-old Caucasian female, G1 T0 P0 A0 L0, 32 weeks gestation. Uncomplicated pregnancy except for anemia treated with PO iron. States 3 times in last week has called on-call obstetrician about fatigue, body aches, mild nausea during the evening. The client reports, “I don’t feel well, I haven’t vomited, but nausea makes me not want to eat too much. I am drinking ok, just want to eat bland foods.” Rest and acetaminophen were recommended. Client is first-year nursing student and states several students have had a “GI bug”. States during day felt better and went to school all but one day. No fever. She stated: “Can’t be absent from nursing school!” No contractions, leaking of fluid or vaginal bleeding. Came in this morning (Saturday) due to pain by right rib cage. States this is new today. Boyfriend accompanies client. You responded correctly to 5 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Status Assessment reports r/t change in condition Fall Risk Normal acuity Status Assessment reports r/t physiological shifts of pregnancy/center of gravity