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Case Study Situation: A client presents to the OB clinic with amenorrhea, breast changes, 43 0.4 points nausea and vomiting, and the client believes that she is pregnant. Background: After the provider confirms the pregnancy with an ultrasound, the nurse The client has the following OB history: calculates the GTPAL as:| 5/0/2/2/3 . Her first pregnancy was a spontaneous miscarriage at 12 weeks NOTE: Use the G/T/P/A/L format Her second pregnancy she delivered at 35 weeks due to complications from example: 9/4/0/4/3 preeclampsia. This child is a 6 year old boy. . Her third pregnancy she delivered a stillborn at 37.5weeks. . Her fourth pregnancy she delivered twins at 31 weeks. The twin girls are now Her last pregnancy was an induced abortion at 9 weeks. . Medical History: anxiety, asthma, pre-eclampsia with multiple pregnancies, appendectomy . Medications: Herbal supplements, inhaler for asthma Assessment: BP: 116/72 HR: 70 Temp: 97.9 RR: 20 On physical exam, the client is noted to have a positive Chadwick’s sign. The urine dipstick testing indicates a positive pregnancy test. The client reports her LNMP was 4/12/2024. Next

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