Author Question: Dr. Balby writes the following note: Onset of contractions started at 4:00 a.m. Patient refused ... (Read 101 times)

folubunmi · **on:** Jul 12, 2018

Dr. Balby writes the following note: Onset of contractions started at 4:00 a.m. Patient refused medications. Normal presentation. Outcome of delivery: single male infant. This information would be documented as part of the:
A) antepartum record
B) labor and delivery record
C) prenatal record
D) postpartum record

Question 2

Dr. Jones reviews the following information located in the patient record. In which report is the information documented?

Date

1/2/YYYY

1/3/YYYY

1/4/YYYY

1/5/YYYY

1/6/YYYY

1/7/YYYY

Blood Pressure

130/75

128/78

120/75

130/80

135/80

130/78

Temperature

99.3

99.5

99.8

99.5

99.8

99.9

Weight

139

139

137

137

136

138
A) history of present illness
B) physical examination
C) nursing care plan
D) vital signs record