History: comply a gestation invoice with a social history and a screen for depression.
Pregnancy: Patient ID (name, age, occupation). GTPAL (number of gestations, term pregnancies, unseasonable births, abortions, live children), history of problems, if any, with previous pregnancies. Current pregnancy, establish gestational age (GA) by last menstrual period (LMP) if unremitting periods and sure dates (if unsure a dating ultrasound would be needed). The GA is the number of weeks from the first twenty-four hours of the LMP. The EDC is first day of LMP + 7 days - 3 months. Ask about intent of alcohol, smoking, drugs, domestic violence (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.
Social: Status of any relationships at fall in including relationship with the childs father. Social supports (family, friends, boyfriend), do they know? Are they service?
Employment/financial/educational status of the forbearing, does the patient thumb prepared to raise a child?
Psychiatric: How does the patient feel about this decision? How is she coping? C all over mnemonic for major depression. MSIGECAPS: mood (depressed), sleep (increased or decreased…if decreased, very much early morning awakening), interest (decreased), guilt/worthlessness, energy (decreased or fatigued), concentration/difficulty making decisions, appetite and/or system of weights increase or decrease, psychomotor activity (increased or decreased), suicidal ideation - positive diagnosis of major depression requires five of these over a 2 week period, one of the five mustiness be loss of interest or depressed mood. Symptoms do not meet criteria for...If you want to get a dear essay, order it on our website: Orderessay
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