Royanne (Anne) Moore, DNP, APRN

Many women who are pregnant or considering pregnancy have concerns regarding immunizations.

Ms. R, a 28-year-old G1P1 presents at four weeks postpartum requesting long-acting contraception via an IUD.

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).

Mrs. B, a 53-year-old G2P2 comes in for her annual visit. Her medical history is significant for DCIS (ductal carcinoma in situ) Stage 1 of the right breast five years ago.

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.

Mrs. A, a 32-year-old G2, P2 arrives at the office for a focus visit complaining of right lower quadrant pain for two days that is increasing in intensity.

Mrs. D, a 36-year-old G0, comes in for a fertility evaluation. She and her husband have been attempting to conceive with regular unprotected intercourse for six months with no pregnancy. Mrs. D is uncertain about whether their timing is appropriate for conception.

Miss R, a 22-year-old G0 patient comes in for a focus visit. She is complaining of vaginal burning and discharge that has lasted for one week. She has tried over-the-counter (OTC) yeast infection medication but “nothing has helped.”

Although Miss A doesn’t need a pap test, based on her age (18), sexual history, and recommendations by the CDC, she provides a urine sample that is sent for chlamydia and gonorrhea testing. Miss A’s urine test comes back positive for gonorrhea.