Doorway Information

Doorway Information
Lynn Zimmel, 30 years old, is 25 weeks pregnant, comes to the clinic today to follow up on a positive glucose challenge test
(tested after clinic visit last week). Serum glucose level 145 mg/dL after 1 hour. She returns for a three-hour glucose
challenge. Of note, serum glucose at the initial visit 88 mg/dL.
Test results: Results of three-hour glucose challenge 148 mg/dL.
Last prenatal visit – 24 weeks
–
• G1PO.
• Denies headache, vision change, swelling of hands and feet, epigastric pain.
• Denies dysuria/urgency; increase or change in vaginal discharge.
• Denies recent travel, illness, stressors, exposure to infection.
• Fetal movement – positive
Negative depression screen.
Negative domestic violence screen.
Denies smoking and the use of substances.
· BP – 115/68.
Weight – 155 pounds.
• FHT – 145 bpm.
Fundal height – 5 cm above the umbilicus.
• Edema – none noted in hands, face, lower extremities bilaterally.
Urinalysis – trace glucose; negative for protein.