Patient Case Scenarios

We the following patient case scenarios to work on

1. An unwed early 20-year-old female Muslim patient presents to the clinic with excessive cramping and bleeding during her menstrual cycle. Discuss the complications, concerns, and any other concepts associated with this scenario. How should the health care team progress? About 4 years later, she represents to the clinic married and late in her second trimester of pregnancy. After the physical examination and abnormal blood work, the doctor would like to perform an amniocentesis.
2. A 16-year-old female,whose parents are devoted Christians, presents to the clinic alone because she hasn’t had her menstrual cycle for two straight months, has abdominal-pelvic pain and a burning sensation when urinating. A urine and blood analysis confirms that she is pregnant and has the sexual transmitted disease (STD) gonorrhea. When told of her diagnosis, the teenager instantly states she wants an abortion.
3. A same sex couple, both women are 39 years of age, present to their obstetrics and gynecologist (OB/GYN) wanting to become pregnant to have a child of their own.
4. Rhoda is a 16-year-old woman from a semi-remote First Nation community. She is 36 weeks pregnant and attending a prenatal visit with her community midwife. This is her first pregnancy and she has attended all previous visits with her mother and/or Frank, the father of her baby. Tracy is very quiet and makes limited eye contact during these visits. Tracy’s pregnancy has been fairly uneventful. Her weight gain has been 23 pounds. Laboratory values and blood pressure have been within normal limits. A 20-week ultrasound found no abnormalities of fetal anatomy. At her last visit the midwife told her they would be discussing place of birth today. Rhoda’s options are to deliver in one of two tertiary care centres in a large city 9 hours away, or at a hospital in a smaller city closer to home. Tracy arrives for her visit with her mother and her midwife notices that they seem to be more serious than usual today

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