What are the possible maternal and newborn

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Reference no: EM133808703

Case: A 32-year-old African American woman presents to the clinic for her 24-week check-up. Pt states her morning sickness has resolved. However, she states she seems sad often and does not understand why, as she is happy about the pregnancy.

HPI: Pt is 24 weeks gestation. The patient is having sad moods at least once a day. She also states she is tired all the time, but figures that is just part of being pregnant, but has no energy and does not feel like doing her usual daily chores. She finds it difficult to go to work every day. This moodiness started about a week ago. She tried going to bed earlier but it did not seem to help. Get Help Now!

Taking 1 prenatal vitamin every day, No known drug, food, or environmental allergies. Family history is significant only for diet-controlled DM in paternal grandfather with onset in mid 40's, Mother 58 yrs old is healthy; Father 60 yrs old with hx of DM with onset at age 45 and chronic depression which began in early 20s.
Objective Info
Height 5'4" Wt 147 lbs; BMI 25.2; 132/78 (sitting); HR-88/min
General: Appears well nourished, hair is in disarray, with flat affect
HEENT: Normocephalic, no lumps/lesions
Neck: supple without adenopathy , no thyromegaly.

Lungs: Eupneic, CTA-bilaterally
CV: RRR, soft systolic murmur Grade II/VI, no rubs noted; 2+ peripheral pulses, no edema noted
Breast: Soft, enlarged, fibrocystic changes bilaterally noted without masses, dimpling or discharge, no redness or inflammation noted. Breast self-exam reviewed
GU: Uterus at umbilicus- approximately 24 wks size and non-tender. FHT present with Doppler

Questions
What other information do you need?
What diagnostic would be appropriate for this pt?
What are the risk factors for this patient?
What other screenings are appropriate for this patient?
What management treatment would be most effective for this patient?
What are the possible maternal and newborn complications with this health problem?

Reference no: EM133808703

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