MN577 Pregnancy Chart: Case Study

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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.

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Case #1: Jane

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.

MN577PregnancyChart.docx

Complete the following chart:

MN577 Unit 9 Pregnancy Case Review Chart

Description of the case chosen:

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. MN577 Pregnancy Chart: Case Study

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

· Make sure to address all sections. Do not leave any section blank.

· Include relevant subjective and physical objective findings.

· Identify appropriate diagnostic and laboratory testing needed.

· List at least three differential diagnoses with rationales for choosing.

· Identify usual medications, treatments, or patient education needed.

· Determine referrals for collaborative care.

· Summarize the case study and include any further research, diagnostics, procedures, or follow-up needed.

· Provide evidence-based references.

MN577_Unit9AssignmentGradingRubric.xlsx

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
List of 3 Differential diagnoses	Did not list three pertinent differential diagnoses with rationales.	n/a	n/a	Listed three pertinent differential diagnoses with rationales.	10%	0.00
Medications or treatment orders with rationales	Did not list pertinent medications or treatments needed with rationales.	Satisfactorily listed pertinent medications or treatments needed with rationales.	Adequately listed pertinent medications or treatments needed with rationales.	Thoroughly listed pertinent medications or treatments needed with rationales.	20%	0.00
Patient education and Referrals for collaborative care and follow up	Did not provide a review of patient education needed and referrals for collaborative care and follow up.	Provided a satisfactory review of patient education needed and referrals for collaborative care and follow up.	Provided an adequate review of patient education needed and referrals for collaborative care and follow up.	Provided a thorough review of patient education needed and referrals for collaborative care and follow up.	20%	0.00
Case Summary	Did not outline the case study in a summary discussing diagnostics, research, or follow up needed.	Satisfactorily outlined case study in a summary discussing diagnostics, research, or follow up needed.	Adequately outlined case study in a summary discussing diagnostics, research, or follow up needed.	Thoroughly outlined case study in a summary discussing diagnostics, research, or follow up needed.	10%	0.00
References/ APA	Did not provide evidence-based references, grammar, and APA issues.	n/a	n/a	Provided evidence based references and correct APA and grammar.	5%	0.00
85%	0.00
Final Score	0
Percentage	0.00%
Total available points =	35	4
Rubric Score	Grade points	Percentage
Low	High	Low	High	Low	High
3.5	4.0	32	35	90%	100%
2.5	3.49	28	31	80%	89.99%
1.7	2.49	25	28	70%	79.99%
1.0	1.69	21	24	60%	69.99%
0.0	1.00	0	21	0	59.99%