Question

4 A 43-year-old woman, gravida 1, para 0, was admitted in labor to the hospital obstetrical department. Unexpectedly but happily, this woman found herself pregnant after 15 vears of marriage. She had been under the care of a physician who specialized in high-risk pregnancies Because of her age, the woman was thought to be at higher risk for complications, but her pregnancy was uneventful. The physician described her as an "elderly primigravida, full term 38 week pregnancy, normal delivery with no maternal or infant complications." She had a manually assisted vaginal delivery of a healthy 7 lb, 5 oz girl. Mother and baby were able to leave the hospital on day 2 after delivery. t b t a Principal Diagnosis: to Secondary Diagnoses: F Principal Procedure: Secondary Procedure(s):

Answer 1

Principal Diagnosis - Elderly primigravida, full-term 38-week pregnancy

The principal diagnosis is the condition that made the doctor admit the patient to the hospital

Secondary diagnosis - Nil

Conditions that were present at the time of admission along with the principal diagnosis and develop gradually is the secondary diagnosis. Here, no such conditions are present with the patient.

Principal procedure - Manually assisted vaginal delivery.

The procedure done for a specific treatment is the principal procedure. Here, Manually assisted vaginal delivery was done.

Secondary procedure - Nil

A secondary procedure is done when any complication is found during the primary surgery. Here, no such complications arise.