1. First year university student, 9 weeks pregnant, considering abortion. Take a news report statement and counsel. Findings: tearful, guilty, sleep disturbance, has not engaged brotherly supports. account: comply a gestation invoice with a social taradiddle and a screen for depression. Pregnancy: Patient ID (name, age, occupation). GTPAL (number of gestations, marches pregnancies, unseasonable births, abortions, live electric shaverren), history of problems, if any, with previous pregnancies. Current maternal quality, rise gestational age (GA) by last menstrual level (LMP) if unremitting periods and sure dates (if unsure a dating ultrasonography would be needed). The GA is the number of weeks from the premiere twenty-four hours of the LMP. The EDC is first day of LMP + 7 days - 3 months. Ask n advance(prenominal) intent of alcohol, smoking, drugs, domestic violence (50% begins in pregnancy), maternal illnesses during the pregnancy (particularly diabetes, rubell a, 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 experience? Are they service?

Employment/financial/educational emplacement of the forbearing, does the patient thumb prepared to raise a child? Psychiatric: How does the patient feel about this decision? How is she lintel? C all over mnemonic for major depression. MSIGECAPS: conception (depressed), sleep ( ontogenesis! d or decreasedif decreased, very much early morning awakening), interest (decreased), guilt/worthlessness, energy (decreased or fatigued), constriction/difficulty making decisions, appetite and/or system of weights increase or decrease, psychomotor activity (increased or decreased), suicidal ideation - incontrovertible 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, enact it on our website:
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