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Nursing Case Study

Case #1: Jane

Jane is a 42-year-old G4P2103. Jane is divorced and works long, hard hours as a real estate agent. Jane was having irregular and heavy menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been having nausea and vomiting for 6 weeks but attributed it to having the flu recently. She also admits to gaining about 10 pounds in the last few months and experiencing breast tenderness. Jane comes to the clinic today to discuss menopause symptoms and treatment. During the visit, a urine pregnancy test came back positive. During the exam, you palpate a 16-week-size uterus and get fetal heart tones of 165. Jane is in disbelief.

  • 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 usual medications, treatments, or patient education needed.
  • Determine referrals for collaborative care.
  • Provide evidence-based references in APA formatting. Consult with the Writing Center as needed.

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