Sarah and Tom

Office Visit: March 30, 2001

OFFICE PREGNANCY TESTING

Sarah is 24 year old Caucasian female who has come to the office because she missed her regular menses. Her last menstrual period (LMP) was February 1, 2001. Sarah is a legal aid and is married to
Tom who is an accountant. Sarah has a history of regular menses and no prior pregnancies. She complains of fatigue, nausea/vomiting and breast tenderness.

What is the best and most cost effective test to order to evaluate the missed menses?

a. Urine hCG
b. Serum hCG
c. TSH
d. FSH
e. LH

Size of Uterus in Pregnancy
Alcohol
Facts about Drug Categories
Expected Date of Confinement (EDC)
Tobacco
Yes to vitamin and mineral supplements

Facts about illicit drugs
Office Pregnancy Testing
Rhogam Information

Maternal Status (Gravity and Parity)
Orders for Prenatal Lab Testing
Maternal Weight Gain