Reference no: EM133241387

A 36-year-old female client arrives at her primary health care provider's office for her initial prenatal visit at 9 weeks gestation.

The nurse collects and records the client's health and obstetric history:

• Allergies: None
• Current medications: Sertraline daily, acetaminophen and naproxen as needed for headache
• Past health history: tonsillectomy as a child, asthma
• Family health history: Ovarian cancer - grandmother
• First day of last menstrual period: 12/12/2021

Date of Delivery	Weeks of Gestation	Delivery Style	Fetal Demise
02/21/2010	39	Spontaneous vaginal	No
04/16/2012	18	Spontaneous vaginal	Yes
08/08/2014	36	Cesarean	No
08/08/2014	36	Cesarean	No

For each health assessment finding below, indicate whether it "Requires Nursing Follow-Up" (could be harmful to the client) or is "Expected" (no follow-up is required) for the client at this time.

Temperature = 98.6

RR = 14 breaths/min

HR = 76 beats/min

BP = 132/78 mm Hg (sitting)

Timing of initial visit (9 weeks)

Previous term delivery(ies)

Previous preterm delivery(ies)

Estimated date of delivery

Daily sertraline

Acetaminophen as needed for headache

Naproxen as needed for headache