MaternityCase01_OliviaJones_Core_DA.docx - Maternity Case 1...

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Maternity Case 1: Olivia Jones (Core) Documentation Assignments 1. Document your initial assessment of Ms. Jones, including blood pressure, as well as your assessment of the fetus. Olivia presented with weight gain of 8 pounds in two weeks, blood pressure 146/92, and protein dipstick 2+. Upon assessment her b/p was 141/76-12-88-98.3-O2 97% room air. Lung sounds clear, abdomen WNL, denies headaches or pain, no visual changes. Deep tendon reflexes +2, +2 pitting edema. Uterus is soft. Ultrasound was normal. No contractions. FHR 130 fetal movement noted.

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