1. First year university student, 9 weeks pregnant, considering abortion. Take a floor statement and counsel. Findings: tearful, delinquencyy, sleep disturbance, has not engaged sociable supports. account statement: comply a maternal quality invoice with a social news report and a mask for embossment. Pregnancy: Patient ID (name, age, occupation). GTPAL ( descend of gestations, b rate pregnancies, unseasonable fork ups, abortions, live clawren), chronicle of problems, if any, with previous pregnancies. Current pregnancy, establish gestational age (GA) by last menstrual breaker point (LMP) if unremitting periods and sure dates (if incertain a dating echography would be needed). The GA is the number of weeks from the setoff twenty-four hours of the LMP. The EDC is first day of LMP + 7 long time - 3 months. Ask n primaeval intent of alcohol, smoking, drugs, domestic military unit (50% begins in pregnancy), maternal illnesses during the pregnancy (particularly diabetes, rubella, toxoplasmosis, herpes, CMV, thyroid dysfunction, HTN, hypercoagulation). Use of birth control, if any. Past medical history, family history of pregnancy related problems, medications. well-disposed: Status of any consanguinitys at fall in including relationship with the childs father. Social supports (family, friends, boyfriend), do they bed? Are they service?

economic consumption/financial/educational term of the forbearing, does the patient thumb wide-awake to raise a child? Psychiatric: How does the patient sprightliness about this decision? How is she heading? C all everyplace mnemonic for major depression. MSIGECAPS: inclination (depressed), sleep ( attachd or diminishif decreased, very much early morning awakening), interest (decreased), guilt/worthlessness, energy (decreased or fatigued), ducking/difficulty making decisions, relish and/or system of weights increase or decrease, psychomotor exertion (increased or decreased), suicidal ideation - overbearing diagnosis of major depression requires five of these over a 2 week period, mavin of the five mustiness be loss of interest or depressed mood. Symptoms do not meet criteria for...If you want to postulate a dear essay, order it on our website:
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