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Question
Mrs. Rivers is a 40 year old gravida 1 at 28 weeks gestation who presents to the doctor's office for a scheduled visit. Mrs. Rivers has a past medical history of diabetes (type 2). She stated that she has felt fine until 2 days ago; she noticed swelling in her hands, feet, and face. She is complaining of a frontal headache that started yesterday. Mrs. Rivers did take Tylenol, but has not had any relief. She also asked the nurse about her insulin needs during pregnancy, because she forgets to take her insulin at times. Based on the above information answer the following questions appropriately.
What other assessment questions should you ask her at this time? What laboratory test should be included in her plan of care and why? Based on the above information what do you think could be a possible diagnosis? What should be some medical management options? What other professional roles should you contact for her care?
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