Crystal Acton, a 27-year-old married woman, pregnantwith her first child, presents at the ob/gyn clinic for her firstprenatal visit. The nurse midwife begins her assessment of thispatient by documenting a medical and family history.
Mrs. Acton states that the only medication she is takingis a multivitamin with folic acid daily. She has no family historyof breast, ovarian, or vaginal cancer.
While performing the physical assessment, the nursemidwife notes a thrill over the thyroid gland, which feels markedlyenlarged. Auscultation confirms a bruit in the thyroidarea.
Documentation includes the following: Head WNL;submental and submandibular lymph nodes hard and enlarged; thyroidgland markedly enlarged, thrill palpated, bruitauscultated.
The nurse prepares a teaching plan for thispatient
a. What risks involving the head and neck are addressed byassessment documentation?
b. What diagnostics would the nurse midwife expect from herassessment discoveries?
c. How would the nurse midwife proceed in light of herassessment data?
