Royanne (Anne) Moore, DNP, APRN

All articles by Royanne (Anne) Moore, DNP, APRN

Mrs. E, a 55-year-old G1,P1 presents as a new patient, having just moved to the area. She admits to “missing” her annual GYN exams for “several years.” She describes herself as “healthy and active” and states that she engages in regular exercise (walking).

Three separate case studies assess different problematic prenatal presentations: unexpected bleeding during the second trimester; unexplained rash development in the third trimester; and pain in the groin combined with numbness in one leg.

Ms. H, a 36-year-old G0 arrives at the clinic for a focus visit complaining of heavy menstrual bleeding. Her periods are “regular,” occurring monthly, but have become increasingly heavy. She complains that she now “soaks through” her sanitary protection and often passes clots.