684L week 4 ACA
1. Look for an article that discusses maternal mortality and morbity amount women
minority. Make sure the article is not more than 5 years old. Please submit a PDF copy
of the article (not just the link). Answer the following questions based on the article that
you are using.
a. Who belongs in the minority population? Why is there a health disparity in
minority women when it comes to maternal morbidity and mortality?
b. What factors affect this disparity? What are the most common factors have you
observed in the location that you want to work/practice?
c. What interventions can be done to help close the gap?
d. What will you do in your own practice to help close the gap?
2. Watch this video and answer the following questions
https://www.youtube.com/watch?v=T09oiyoy6ek
Gestational Diabetes – Overview (signs and symptoms, pathophysiology, diagnosis,
treatment)
a. What are the risk factors for gestational diabetes
b. What is the pathophysiologic difference between A1DM and A2DM?
c. Specify the difference in treatment between A1DM and A2DM
d. When should glucose screening be done in pregnancy and what are
the desired results?
e. In treating gestational diabetes, when should an oral agent vs.
insulin be used? Be specific.
Mini Note
– 29 year old female
– G2P1L1 Vaginal delivery in 3 years ago
– office visit date is today
– 33 GA
– Pt has a sudden onset of intense itching, itching mostly on hands and feet
– no rash, no papules or vesicle noted
Subjective Data
– Include HPI
Include her non-pregnant medical health history and her previous pregnancy & delivery
history
– Include ROS
Objective Data
–
Include vital signs
Include point of care testing (POCT)
Include any labs and diagnostic testing done in clinic
Include an appropriate exam- What important body parts should you be checking to
make sure this isnt worse
Assessment
– Include ICD 10 code
– Include DDX
Plan
– Include medication (if appropriate)
– Include education, teaching, follow up, and referral (if appropriate)
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