, Focused Exam: Non-Reassuring Fetal Status
Introduction
The patient, a [insert age] year-old [insert gravida and parity, e.g., G2P1] woman, presents with
concerns regarding non-reassuring fetal status as evidenced by abnormal fetal heart rate patterns
and maternal symptoms. The purpose of this exam is to assess the clinical situation in detail, including
maternal and fetal well-being, to determine the appropriate course of action.
Chief Complaint
The patient reports [describe complaint, e.g., reduced fetal movement, abnormal fetal heart rate on
routine monitoring, maternal complaints of dizziness or fatigue, etc.]. She is concerned about the
well-being of her fetus, especially after recent changes in fetal activity or abnormal results from a
non-stress test (NST) or biophysical profile (BPP).
History
1. Obstetric History:
o Gravida/Para: G2P1 (or other relevant gravida and parity)
o Gestational Age: [insert weeks]
o Previous Pregnancies: [list details of previous pregnancies, deliveries, or
complications such as preeclampsia, gestational diabetes, or previous non-
reassuring fetal status]
o Prenatal Care: [insert details on prenatal care including frequency of visits,
screening tests, and any complications or abnormal findings such as hypertension,
preeclampsia, or gestational diabetes]
2. Current Pregnancy:
o Recent Tests/Monitoring: Non-stress test (NST) results, biophysical profile (BPP)
results, and ultrasound findings.
o Fetal Movements: [insert patient’s description of fetal movements; decreased fetal
movement is a key symptom of non-reassuring fetal status]
o Symptoms: [insert symptoms such as cramping, abdominal pain, dizziness, or other
complaints]
3. Medical History:
Introduction
The patient, a [insert age] year-old [insert gravida and parity, e.g., G2P1] woman, presents with
concerns regarding non-reassuring fetal status as evidenced by abnormal fetal heart rate patterns
and maternal symptoms. The purpose of this exam is to assess the clinical situation in detail, including
maternal and fetal well-being, to determine the appropriate course of action.
Chief Complaint
The patient reports [describe complaint, e.g., reduced fetal movement, abnormal fetal heart rate on
routine monitoring, maternal complaints of dizziness or fatigue, etc.]. She is concerned about the
well-being of her fetus, especially after recent changes in fetal activity or abnormal results from a
non-stress test (NST) or biophysical profile (BPP).
History
1. Obstetric History:
o Gravida/Para: G2P1 (or other relevant gravida and parity)
o Gestational Age: [insert weeks]
o Previous Pregnancies: [list details of previous pregnancies, deliveries, or
complications such as preeclampsia, gestational diabetes, or previous non-
reassuring fetal status]
o Prenatal Care: [insert details on prenatal care including frequency of visits,
screening tests, and any complications or abnormal findings such as hypertension,
preeclampsia, or gestational diabetes]
2. Current Pregnancy:
o Recent Tests/Monitoring: Non-stress test (NST) results, biophysical profile (BPP)
results, and ultrasound findings.
o Fetal Movements: [insert patient’s description of fetal movements; decreased fetal
movement is a key symptom of non-reassuring fetal status]
o Symptoms: [insert symptoms such as cramping, abdominal pain, dizziness, or other
complaints]
3. Medical History:
