MN577 W8 – Case Study 3-Katie

Select a case study of interest to you from the listed scenarios below.

Case #3: Katie
Katie is a 17-year-old G1P0. She presents to your office with four missed periods in a row. Katie is a high school student; she is in the 10th grade. She lives with her mother and four siblings. You ask Katie about the father of the baby and she tells you he states, that baby is not mine. They are not speaking to each other right now. Katie tells you she has been vomiting a lot and her stomach hurts when she pees. A urine pregnancy test comes back positive. Katie is so confused because she has been using douching after intercourse as her method of birth control. Katies past medical history is positive for chlamydia twice in the last year. She was treated at the Health Department but never went back for a follow-up. Katie has had no surgeries and is on no medication. When asked, Katie states her last known weight was about 120 lbs. Katies V/S are BP 110/70, temp 102.5, weight 107. You note enlarged cervical lymph nodes, FHTs are 160, and fundal height is 18. Katies urine reveals 2+ ketones, 2+ nitrates, and 3+ leukocytes.

Download and complete the Pregnancy Case Review Chart.
    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 the usual medications, treatments, or patient education needed.
    Determine referrals for collaborative care.
    Provide evidence-based references in APA formatting.

3 or more references

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