Swift River OB day 1 OB CLINICAL 316

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Swift River OB day 1 Chastidy Haswell A G1P0 at 40 weeks gestational age presents to OB Triage with complaints of a constant leakage of small amounts of clear fluid vaginally for the last 3 hours.... She denies any foul odor to the fluid and denies any sensation of contractions. The physician checked her cervix yesterday in the office and found it to be 1-2 cm. dilated and 50% effaced. The position of the fetus had been at a -3 station. Vickie Dunn A G1P0 presents at 35 weeks pregnant with complaints of decreased fetal movements and severe upper right quadrant pain that has persisted for 24 hours. She denies bloody show, uterine contractions or tightening of any kind. She has a “migraine headache and seeing spots” that has not been relieved with OTC Tylenol and Ice packs for the last 8 hours. She states she weighs 5 pounds more in the office than last week and has had “a lot more swelling” than before. Her BP in the office is 160/98; pulse 90, and 2+ protein was shown in her urine. She states she feels ill and tired but is not sure exactly what is causing her to feel this way, as she has been resting for the last 2 days. Linda Hunter A G1P0 at 41 1/7 weeks gestational age presents to the OB triage desk with complaints of active labor that has lasted for the last 20 hours. Her doctor has sent her over from the office and when checking the cervix noted that the patient had an intact bulging bag of amniotic membrane and a cervical exam of 3-4 cm. dilation and 80% effacement. The patient states active fetal movements and FHR of 120’s in the doctor’s office. This report was confirmed by the physician over the phone. Phyliss Deisenroth A G5P4 presents to OB triage at 32 weeks gestational age with complaints of leakage of a moderate amount of clear fluid vaginally that “soaked her jeans” She states her last baby was born at 33 weeks gestational age. She states a discomfort when her abdomen “tightens up” and states her contractions/tightening are regular every 3-4 minutes. She has a history of rapid labors. She is crying and upset and states that she felt some loose stools and cramping last night but thought it was just “the spicy food” that she had eaten. When she awoke this morning, she reported the cramping had remained the same, but now the loose stools and regular tightening of her abdomen began. She states she currently feels active fetal movements. Sally Johnson A G1P0 patient at 35 weeks gestational age patient presents to the Maternity unit from her Obstetrician’s office with complaints of a lack of sensation of fetal movement for an 8-hour period while at home. Fetal heart rate was 120’s by Doppler assessment. She has had little to drink and has been shopping most of the day. She denies having any symptoms of contractions. [Show More]

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