Question

Antenatal Scenario

Sara Mohammed a 37- year old female pregnant came to hospital for follow up during 35 weeks gestation age.

She is G2p1A0.

Her LMP: 11/7/2019.

She had complaints of back pain , incontinence and constipation .

Past Obstetrical History:

-1 previous NSVD (Normal spontaneous vaginal delivery

-Last birth was 3 years ago by NSVD, weighed 3200 grams

-No previous obstetrical complications or morbidity

-No Past Medical Surgical History or Family history

Social History:

Patient lives with her husband in Riyadh . Denies any smoking, alcohol or other drug use during her pregnancy. Currently works as a housewife. Good economic status.

Physical exam :

Vital Signs: Stable (BP – 120/70, P – 72)

General Appearance: No apparent distress, appeared clinically stable

Uterine Height: 35cm

Fetal Lie: Longitudinal

Presentation: Cephalic

Position: Right

Contractions: Present

Fetal Heart Tones: 144 / minute

Questions:

- Sara tells you her last menstrual period was Jun 11th, 2019. According to that when is her expected due date? (0.5)

- What is the physical examination and tests should be done to evaluate the patient's ? (1.5)

-Sara is suffering from constipation. What is the best education you will give to Sara about relief measures? (1)

- Develop nursing care plan ? (3)

Answer 1

Answer: According to the client, the LMP was on 11th June 2019. This means that the expected due date will be 17 march 2020. The expected due date can be calculated as by adding 280 days to the last menstrual period. So, rhe expected due date will be 17th march 2020, if the menstrual cycle is of 28 days.