Week 9 WORKING THROUGH COMMON PREGNANCY CASE STUDIES AND OTHER ISSUES IN ADVANCED
NURSING PRACTICE
Perveen Mistry
MSN-FNP, Walden University
NRNP 6552 Section 8, OB/GYN
Dr. Sarah DeLong
April 25, 2024
, Case # (1, 2, 3 or 4) and Description of the Case Chosen:
Case 4: Laura: The patient is a 16-year-old female who presents for her second missed period and positive urine
pregnancy test. She reports being sexually active with her boyfriend and not using a second form of birth control in
addition to the withdrawal method. She has accompanying symptoms of nausea, vomiting, and dysuria. She has a recent
history of STI treatment for chlamydia and gonorrhea but is unsure if her partner was treated. She is a current 1 pack per
day smoker and denies EtOH and drug use.
Outline Outline Identify diagnostic tests, Distinguish at Identify Explain key Describe
Subjective data. Objective procedures, laboratory least three appropriate Social collaborative
findings. work indicated. differential medications, Determinants of care referrals
Identify data diagnoses. treatments or Heath (SDoH) and patient
provided in your Identify findings Describe the rationale other for your chosen education needs
chosen case and provided in your for each test or Describe the interventions case. for your chosen
any additional chosen case and intervention with rationales for associated with case.
data needed. any additional supporting references. your choice of each differential Socioeconomic
data needed. each diagnosis diagnosis. predictors Describe
She is “worried” with supporting involving rationales and
as she “always VS: BP: 110/68 CT/GC NAAT: The references. Describe education, supporting
gets her period on P: 80, RR: 18 patient had a recent rationales and income, references for
time”. T: 37.1 Wt: 110 infection of chlamydia Dx1 Pregnancy: supporting social/family each.
lbs. and gonorrhea, but The patient has a references for upbringing can
Reports daily positive urine each. shape the No specialist
because she does not
nausea, vomiting Cloudy, yellow test making this decisions of a referrals are
and dysuria for mucoid cervical know for sure if her my primary There are no person from a needed at this
the past 2 weeks. discharge on partner was treated, she diagnoses. Also, necessary young age. In this time.
speculum needs repeat testing. a palpable 8- treatments for case, the patient
She is in high exam; friable “Nucleic acid week sized pregnancy. It is is 16 years old The patient
school- about to appearance of the amplification testing uterus is likely to important to keep with no parental should be
enter the 11th cervix with (NAAT) has become the cause various up with routine support or child educated on
NURSING PRACTICE
Perveen Mistry
MSN-FNP, Walden University
NRNP 6552 Section 8, OB/GYN
Dr. Sarah DeLong
April 25, 2024
, Case # (1, 2, 3 or 4) and Description of the Case Chosen:
Case 4: Laura: The patient is a 16-year-old female who presents for her second missed period and positive urine
pregnancy test. She reports being sexually active with her boyfriend and not using a second form of birth control in
addition to the withdrawal method. She has accompanying symptoms of nausea, vomiting, and dysuria. She has a recent
history of STI treatment for chlamydia and gonorrhea but is unsure if her partner was treated. She is a current 1 pack per
day smoker and denies EtOH and drug use.
Outline Outline Identify diagnostic tests, Distinguish at Identify Explain key Describe
Subjective data. Objective procedures, laboratory least three appropriate Social collaborative
findings. work indicated. differential medications, Determinants of care referrals
Identify data diagnoses. treatments or Heath (SDoH) and patient
provided in your Identify findings Describe the rationale other for your chosen education needs
chosen case and provided in your for each test or Describe the interventions case. for your chosen
any additional chosen case and intervention with rationales for associated with case.
data needed. any additional supporting references. your choice of each differential Socioeconomic
data needed. each diagnosis diagnosis. predictors Describe
She is “worried” with supporting involving rationales and
as she “always VS: BP: 110/68 CT/GC NAAT: The references. Describe education, supporting
gets her period on P: 80, RR: 18 patient had a recent rationales and income, references for
time”. T: 37.1 Wt: 110 infection of chlamydia Dx1 Pregnancy: supporting social/family each.
lbs. and gonorrhea, but The patient has a references for upbringing can
Reports daily positive urine each. shape the No specialist
because she does not
nausea, vomiting Cloudy, yellow test making this decisions of a referrals are
and dysuria for mucoid cervical know for sure if her my primary There are no person from a needed at this
the past 2 weeks. discharge on partner was treated, she diagnoses. Also, necessary young age. In this time.
speculum needs repeat testing. a palpable 8- treatments for case, the patient
She is in high exam; friable “Nucleic acid week sized pregnancy. It is is 16 years old The patient
school- about to appearance of the amplification testing uterus is likely to important to keep with no parental should be
enter the 11th cervix with (NAAT) has become the cause various up with routine support or child educated on
