Dylan's Pregnancy Check-up: Obstetrical History, Symptoms, and Vital Signs

Obstetrical History

Dylan is a 36 year old female who has come for a routine 28 week prenatal check-up. She is a non-smoker, is physically active and has gained 4 kg of weight so f ar in her pregnancy. Dylan’s obstetrical history is G2 T0 P0 A1 L0. Both pregnancies have been assisted with in-vitro fertilization. During this first trimester, Dylan has suffered from nausea and vomiting but it has now resolved. Now, Dylan states she is exhausted all the time. The fetus is active and Dylan has been keeping track of movement by daily kick counts. Dylan’s blood pressure has been stable throughout the pregnancy. You are the clinic nurse for the day and are caring for Dylan during her prenatal appointment. 1.What are your six priority assessments? (6 marks)You step out of the room for a minute to assess Dylan’s urine. 2.Name four abnormal urine findings during pregnancy. What is thesignificance of each of these findings? (2 marks)You have Dylan lay down to measure fundal height. The measurement you obtain is 29 cm.3.Explain how a fundal height is measured and if the finding of 29 cm is normalor abnormal for this point in Dylan’s pregnan