History of Present Problem: Anne Jones is a 17-year-old Caucasian teenager who thinks she may be pregnant because she ha

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answerhappygod
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History of Present Problem: Anne Jones is a 17-year-old Caucasian teenager who thinks she may be pregnant because she ha

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History of Present Problem: Anne Jones is a 17-year-oldCaucasian teenager who thinks she may be pregnant because she hasmissed two periods. Her last menstrual period, she thinks, wasabout one month ago. She states she had a little bit of spottinglast week but didn’t have a “full period”. She complains of herbreasts being tender, swollen, frequent urination, and nausea inthe morning. This is her first office visit and she is not sure whyshe feels so crummy but suspects she might be pregnant. Her urinepregnancy test is positive. Her primary care provider orders aprenatal lab panel and a urinalysis. Personal/Social History: Anneis a senior in high school who stands on her feet while working atMcDonalds after school. She drinks six colas daily, denies alcoholuse, and does not smoke. She takes no medications except foroccasional acetaminophen for headaches and ibuprofen for menstrualcramps. Anne is 5’4” (160 cm) and weighs about 105 lbs. (47.7 kg)according to Anne. A 24-hour recall nutrition history reveals atypical day’s diet: breakfast- pop tart and can of cola; Lunch- aslice of pizza, chocolate chip cookie, can of cola; Dinner- friedchicken, green beans, biscuit, can of cola; snacks, includingcookies and can of cola. She broke up last week with her boyfriend,and he is not aware she might be pregnant. She wants to keep thebaby but has not told her parents.
Question: What educational/discharge priorities will be neededto develop a teaching plan for this patient
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