Acknowledgment:

The completion of this undertaking could not have possible without

the participation of our patient Janice Cabusa with her live-in partner and
their children. And the assistance in each one of us for so many, whose
name may not all be enumerated. We thank our colleagues from Northern
Mindanao Medical Center who provided insight and expertise that greatly
assisted the case study. Their contributions are sincerely appreciated are
gratefully acknowledged. However, the group would like to express their
deep appreciation and indebtedness particularly to the following:

Dr. Tristan Babaylan; Ms. Sona Oculam, RN RM,MN, Ms. Elvie A.

Cosmiano, RM, RN, MN for their endless support; kind and understanding
spirit during our case presentation.

To all our family, relatives and friends who in one way or another
should their support, either morally, financially and physically. Thank you.

Above all, to the Great Almighty, he author of knowledge and wisdom,

for this countless love.

We thank you.

BSMID 3rd yr. Group II

Prenatal Record

Patient: Janice L. Cobusa G5 P 4 A 0

Address: Zone 4 Poblacion, Tagoloan, Misamis Oriental
LMP January 11, 2016
EDC October 18, 2016

Given Tetanus Toxoid at Health Center

1st 2nd 3rd 4th 5th

12/08/07 23/08/07 25/08/08 25/03/10 21/04/16

Checkup
1st 7wks 14wks 2nd 5mos./6mos. 7mos. 8mos.
(1st visit)
02-20-16 04-21-16 06-07/16 08/02/16
Dat 08/19/16
Health Health Health Health
e NMMC
Center Center Center Center
Wt. 54.4
BP 100/80 100/80 100/70 100/70 100/70
FHt. 7cm 8cm 20cm

Folic Acid 30tabs (Start 4/21/16 > 6-7/16)

Social History:

Patient is unemployed. She is non-smoker and non-alcohol beverage

drinker.

General Assessment:
(-) Fever Gastrointestinal
(-) Weight Loss (-) abdominal pain
(-) melena
Skin: (-) vomiting
(-) pallor (-) nausea
(-) jaundice (-) loss of bowel movements
(-) rashes
(-) skin lesions Genitourinary
 (-) dysuria
Chest and Lungs (-) urethral discharge
(-) cough
Neurology
Cardiovascular (-) seizure
(-) Chest pain (-) loss of consciousness
(-) Orthopnea (-) body weakness
(-) Paroxysmal nocturnal dyspnea

Physical Assessment

Breast tenderness / (-) mass noted (+) milk noted

Axilla both side (-) mass noted