N144 Week 2 Case Study - Susan Wilson (1)
1. Important to Know
1. Your first answer is the one
that counts towards your score,
but you'll be prompted to try
again if you get the wrong an-
swer. When you get the right
answer, you'll go to the next
section.
2. If you choose to re-take a Pa-
tient Review, you will no longer
be able to see your previous
score.
2. Section 1
You work in an OB-GYN clin-
ic. You greet Susan Wilson, a
26-year-old woman who has
come to the clinic for her first
prenatal visit.
Three days ago, Susan per-
formed a home pregnancy test
that was positive. A serum
pregnancy test done in the clin-
ic lab yesterday was also posi-
tive for pregnancy.
Susan's menstrual period is
four weeks late and she reports
having "symptoms of pregnan-
cy."
, N144 Week 2 Case Study - Susan Wilson (1)
After reviewing the health his-
tory completed by Susan and
checking her weight and vital
signs, you enter data into her
medical record.
Susan's last menstrual period
was two months ago. Her pe-
riods usually occur regularly
every 28-30 days and last 5-7
days.
3. You also review Susan's lab human chorionic gonadotropin
work, recalling that pregnancy
tests on urine or blood are de- Human chorionic gonadotropin (HCG), produced by the tro-
termined to be positive based phoblast cells of the placenta soon after implantation of a
on the presence of a particular fertilized ovum, is a biologic marker of pregnancy. It can be
hormone. This biologic marker detected in maternal serum and urine as early as six days
of pregnancy is: after conception, depending on the test performed. It reach-
es its maximum level in 50-70 days. The presence of HCG in
human chorionic go- Susan's blood is considered a probable sign of pregnancy.
nadotropin Positive pregnancy tests can also occur if the client has certain
estrogen tumors which produce HCG. Progesterone is not a biological
progesterone marker of pregnancy, but increases in progesterone levels are
follicle-stimulating hormone critical for the maintenance of a pregnancy.
Estrogen is produced by the ovaries during each menstrual
cycle. During pregnancy, estrogen is produced by the corpus
luteum from the time of ovulation to the seventh week of
pregnancy, and by the placenta after the seventh week of
pregnancy. Its presence is not diagnostic of pregnancy.
Progesterone is produced by the ovaries during each men-
, N144 Week 2 Case Study - Susan Wilson (1)
strual cycle. During pregnancy, progesterone is produced by
the corpus luteum from the time of ovulation to about the
tenth week of pregnancy, and after that time by the placenta.
Its presence is not diagnostic of pregnancy, although increas-
es in progesterone levels are critical for the maintenance of a
pregnancy.
Secretion of follicle-stimulating hormone (FSH) by the anteri-
or pituitary is suppressed during pregnancy by elevated levels
of estrogen and progesterone. Its presence is not diagnostic
of pregnancy.
Submit
4. You begin your interview with
Susan. She is excited about be-
ing pregnant and eagerly tells
you about herself. You ask Su-
san to describe how she has
been feeling.
Susan reports that she has
been experiencing periods of
nausea with occasional vom-
iting, particularly in the early
morning.
She also says that she is al-
ways tired and that her breasts
feel heavier and are more sensi-
tive than usual. And, she "can't
seem to stay out of the bath-
room."
1. Important to Know
1. Your first answer is the one
that counts towards your score,
but you'll be prompted to try
again if you get the wrong an-
swer. When you get the right
answer, you'll go to the next
section.
2. If you choose to re-take a Pa-
tient Review, you will no longer
be able to see your previous
score.
2. Section 1
You work in an OB-GYN clin-
ic. You greet Susan Wilson, a
26-year-old woman who has
come to the clinic for her first
prenatal visit.
Three days ago, Susan per-
formed a home pregnancy test
that was positive. A serum
pregnancy test done in the clin-
ic lab yesterday was also posi-
tive for pregnancy.
Susan's menstrual period is
four weeks late and she reports
having "symptoms of pregnan-
cy."
, N144 Week 2 Case Study - Susan Wilson (1)
After reviewing the health his-
tory completed by Susan and
checking her weight and vital
signs, you enter data into her
medical record.
Susan's last menstrual period
was two months ago. Her pe-
riods usually occur regularly
every 28-30 days and last 5-7
days.
3. You also review Susan's lab human chorionic gonadotropin
work, recalling that pregnancy
tests on urine or blood are de- Human chorionic gonadotropin (HCG), produced by the tro-
termined to be positive based phoblast cells of the placenta soon after implantation of a
on the presence of a particular fertilized ovum, is a biologic marker of pregnancy. It can be
hormone. This biologic marker detected in maternal serum and urine as early as six days
of pregnancy is: after conception, depending on the test performed. It reach-
es its maximum level in 50-70 days. The presence of HCG in
human chorionic go- Susan's blood is considered a probable sign of pregnancy.
nadotropin Positive pregnancy tests can also occur if the client has certain
estrogen tumors which produce HCG. Progesterone is not a biological
progesterone marker of pregnancy, but increases in progesterone levels are
follicle-stimulating hormone critical for the maintenance of a pregnancy.
Estrogen is produced by the ovaries during each menstrual
cycle. During pregnancy, estrogen is produced by the corpus
luteum from the time of ovulation to the seventh week of
pregnancy, and by the placenta after the seventh week of
pregnancy. Its presence is not diagnostic of pregnancy.
Progesterone is produced by the ovaries during each men-
, N144 Week 2 Case Study - Susan Wilson (1)
strual cycle. During pregnancy, progesterone is produced by
the corpus luteum from the time of ovulation to about the
tenth week of pregnancy, and after that time by the placenta.
Its presence is not diagnostic of pregnancy, although increas-
es in progesterone levels are critical for the maintenance of a
pregnancy.
Secretion of follicle-stimulating hormone (FSH) by the anteri-
or pituitary is suppressed during pregnancy by elevated levels
of estrogen and progesterone. Its presence is not diagnostic
of pregnancy.
Submit
4. You begin your interview with
Susan. She is excited about be-
ing pregnant and eagerly tells
you about herself. You ask Su-
san to describe how she has
been feeling.
Susan reports that she has
been experiencing periods of
nausea with occasional vom-
iting, particularly in the early
morning.
She also says that she is al-
ways tired and that her breasts
feel heavier and are more sensi-
tive than usual. And, she "can't
seem to stay out of the bath-
room."
