Belle, 24-year-old primigravida at 12 weeks gestation, was admitted… Belle, 24-year-old primigravida at 12 weeks gestation, was admitted at FUMC hospital. Patient is complaining of vaginal spotting for one week accompanied by uterine cramping, persistent backache and, feeling of pelvic pressure. Ultrasound and maternal serum beta-hCG and progesterone tests are requested. Belle asks whether her actions may have contributed to the situation because she often goes out for a walk and continuously drinks alcohol and smoke cigarette. Patient is prescribed with dydrogesterone 40 mg stat dose followed by 10 mg twice a day for one week. *create pathophysiology Health Science Science NursingShare
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