Patient

Age

Gestational
Age

Support

Socialcultural

Risk factors

Health issues

15

14 weeks

Low income

Teen

Obese

20

18 weeks

Middle class

Poor dentition

Low weight
gain

24

28 weeks

Works 50
hours/week
on feet

Late prenatal
care (began at
20 weeks)

History of
drug abuse 3
years ago
Hypothyroid

Positive
Chlamydia
culture
(untreated)
Declined all
genetic testing

No exercise

Rh negative

29

32 weeks

Poverty

34

36 weeks

Family &
father of
baby
supportive
Lesbian,
partner
supportive
Father of
baby in
jail,
grandma
supportive
Abusive
partner
Father of
the baby
supportive

Grand
multiparity
Last baby
born preterm
at 32 weeks

Excessive
weight gain
Lactose
intolerant

Rubella NonImmune
Hemoglobin 9.2

38

38 weeks

Placing
baby for
adoption

Unemployed

40

40 weeks

Underweight
at start of
pregnancygained 35 lbs
Vegetarian

Abnormal pap
at 1st prenatal
visit

Smokes
pack/day
History of
previous
c-section;
planning
vaginal birth
History of
herpes on
suppressive
therapy
Chronic
constipation

Spanish
speaking
only

Advanced
maternal age

Nutrition/
Exercise
status
Eats at
McDonalds
daily

Labs

Father of
Pregnant
Postpartum
GBS positive
th
the baby
with 4 girl
depression in
not
previous
involved
pregnancy
Instructions: For each patient listed below identify the HIGHEST priority issue to address at todays visit (taking into account gestational age). Be
prepared to present your patient, your priority issue and your rationale for your groups decision to the rest of the class.