Psychiatric Diagnosis: A Case Study

Candace is a 41yo, G11 P3255, who recently transferred her PNC back to Knoxville from Florida. The majority of her PNC and assessment has occurred in Florida during the early part of this pregnancy. She does have a history of 5 previous vaginal deliveries from 1996 through 2008; three of these were term and 2 were preterm. The one in 2007 was at 36 weeks’ gestation but she had a partial placental abruption in that pregnancy but delivered vaginally and the child did well. The last one was a 35-week preterm delivery. In that pregnancy, she was told that based on her screen that there was an increased risk for trisomy 18 but the child was negative at delivery and did not have trisomy 18. Because of her 5 deliveries she is grand multiparous. She …show more content…
The fetal measurements ag by about 4-5 days using the average assessment of 26 1/7 weeks. The EFW falls at the 36%ile. The amniotic fluid volume is normal, and the cervix appears to over 3 cm in length with no evidence of membrane funneling. A complete fetal anatomical survey was performed and overall, was within normal limits. No major malformations were noted at this time within the resolution of the ultrasound equipment, though complete views of portions of the face were not seen on today’s …show more content…
She has been scheduled to follow-up in 2 weeks to undergo a Prenate III assessment. BPP’s will be performed in 2 weeks. She states that Florida did discuss with her about 17-alpha hydroxyprogesterone because of the 35-week delivery but she never started on this and is already 26 weeks into the pregnancy. Lastly, she is aware that she is at risk for a postpartum hemorrhage being grand multiparous and had questions regarding family members who might be able to donate blood. In the meantime, she was told to follow daily fetal kick counts and monitor for any signs/symptoms of preterm