Complete Shadow Health Obstetric Assessment for Rachel Hardy. Gestational hypertension at 32 weeks — BP 148/96 mmHg, fundal height 32cm, fetal heart tones 152 bpm, urine protein trace. Complete Leopold maneuvers, preeclampsia monitoring and patient education documented. Used in Chamberlain, STU and West Coast University maternity nursing programs.
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Rachel Hardy is a 28-year-old G2P1 at 32 weeks gestation presenting for her prenatal visit. She reports mild headache for two days and slight swelling in her ankles. Blood pressure on arrival is 148/96 mmHg — elevated above the threshold for gestational hypertension (≥140/90 on two occasions). She denies visual changes, epigastric pain or severe headache (warning signs of severe preeclampsia).
The Obstetric Assessment covers the complete prenatal history, obstetric history (G2P1), fundal height measurement (32cm — appropriate for 32 weeks), Leopold maneuvers (vertex presentation), fetal heart tones (152 bpm — normal), urine dipstick (protein trace), deep tendon reflexes and the complete preeclampsia symptom review.
BP 148/96. Protein trace on urine dipstick. No severe features. Diagnosis: Gestational hypertension — preeclampsia monitoring initiated. 24-hour urine protein ordered, twice-weekly BP monitoring, fetal kick counts and return precautions documented.