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Week 4 Discussion

see attachment 

Case Scenario 1

Table 1

Classification and Symptoms of hypertensive Disorder of Pregnancy

Table 2

Define and differentiate between the following PP disorders:

Classification Definition Gestational
Age in
weeks

Maternal
BP

Proteinuria Seizures

example >20 weeks >120/80 Yes or No Yes or No

Gestational
HTN

Mild
Preeclampsia

Severe
Preeclampsia

Eclampsia

Chronic HTN

Superimposed
Preeclampsia

Definition Signs and
symptoms

Management of the
Diagnosis

Postpartum
Blues

Postpartum
Depression

Postpartum
Obsessive
Compulsive
Disorder

Hannah is 38 years old, G1P0, 32 weeks EGA and comes to you for her routine prenatal
appointment. Her BP is 156/96 and her urine has 2+ protein. She complains of having a headache
that will not go away and just not feeling “right” for the past 7 days.

Write a brief SOAP note regarding this patient. Make sure to include your answers to these
questions in your SOAP note.

1. Subjective:
a. What other relevant questions should you ask regarding the HPI?
b. What other medical history questions should you ask?
c. What other OB history questions should you ask?

2. Objective:
a. Describe the appropriate physical assessment that needs to be included in this visit.
b. Explain what test(s) you will order and perform, and discuss your rationale for

ordering and performing each test.

Postpartum
Psychosis

Definition Presentation
(include Signs
and Symptoms)

Management of the
Diagnosis

Puerperal
Fever

Postpartum
Hematoma

Secondary
(delayed)
Postpartum
Hemorrhage

Sore Nipples

Mastitis

Breast Abscess

3. Assessment/ Diagnosis:
a. What is your diagnosis?
b. Include any appropriate differential diagnosis

4. Plan:
a. Do you feel that this can be managed via outpatient? Why? How will you manage

this?
b. Do you feel that should be managed inpatient? Why? What do you think will be done

in patient?
c. If you chose to manage outpatient- explain the medication regimen, testing, and

follow up that needs to be done.
d. If you chose to manage inpatient- explain what medication and testing will be done in

patient, and how will you continue management once patient is discharged. What
medication and testing do you need to continue for this patient?

e. What patient education is important to include for this patient?
f. Explain complications that can occur if patient does not comply with treatment

regimen.

Provide evidence from the research to support your decision-making.

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