Case Study: Crystal Acton, a 27 year old married woman, pregnant with her first child, presents at the ob/gyn clinic for her first prenatal visit. The nurse midwife begins her assessment of this patient by documenting a medical and family history

Case Study: Crystal Acton, a 27 year old married woman, pregnant with her first child, presents at the ob/gyn clinic for her first prenatal visit. The nurse midwife begins her assessment of this patient by documenting a medical and family history

Case Study: Crystal Acton, a 27 year old married woman, pregnant with her first child, presents at the ob/gyn clinic for her first prenatal visit. The nurse midwife begins her assessment of this patient by documenting a medical and family history

Crystal Acton, a 27-year-old married woman, pregnant with her first child, presents at the ob/gyn clinic for her first prenatal visit. The nurse midwife begins her assessment of this patient by documenting a medical and family history.

Mrs. Acton states that the only medication she is taking is a multivitamin with folic acid daily. She has no family history of breast, ovarian, or vaginal cancer.

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While performing the physical assessment, the nurse midwife notes a thrill over the thyroid gland, which feels markedly enlarged. Auscultation confirms a bruit in the thyroid area.

Documentation includes the following: Head WNL; submental and submandibular lymph nodes hard and enlarged; thyroid gland markedly enlarged, thrill palpated, bruit auscultated.

The nurse prepares a teaching plan for this patient.

What risks involving the head and neck are addressed by assessment documentation?

What diagnostics would the nurse midwife expect from her assessment discoveries?

How would the nurse midwife proceed in light of her assessment data?