Initial history for primiparous client

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Reference no: EM133793607

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The nurse is recording the initial history for a primiparous client and her partner. Based on the review of the information, the nurse recognizes the fetus is at greatest risk for having which of the following genetic concerns? Hypothyroidism Death at delivery Duchenne's muscular dystrophy Trisomy 21 Client Data Initial OB Visit 3/8/XXXX Maternal Information Client is a Japanese, 24-year-old G1P0 at 9 weeks 4 days based on LMP and confirmed with ultrasound. Experiencing some nausea but states it's transient and mild. Denies HA, vaginal bleeding, or abnormal discharge. Presentation is appropriate and states pregnancy is wanted. Partner is supportive and is in attendance. Client states she'd like to talk to the staff lactation consultant about breastfeeding. Surgical: Wisdom teeth pulled at age 17. Broken arm requiring surgical repair at age 10. Medical: NKA, no significant medical history. Family Medical History: Maternal: type 2 diabetes, insulin dependent. Maternal uncle with Duchenne's muscular dystrophy. Paternal: colorectal cancer, hypertension. Sister has trisomy 21. Paternal grandfather died of colorectal cancer. Paternal Information 27-year-old Hispanic male, currently active-duty Army. States he is excited about being a father. Medical: History of migraines. No other significant medical history. Family Medical History: Maternal: hypertension, hypothyroidism. Paternal:

Reference no: EM133793607

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