Patient is 26-year-old pregnant woman who has been admitted to the Well-Health Critical Care ward for management and treatment of diagnosed HELLP syndrome at 28 weeks gestation.
On the second day of admission, patient complained of right upper quadrant pain and developed pitting edema and neck pain associated with right upper quadrant pain. Patient began expressing difficulty breathing and then developed adult respiratory distress with concomitant decrease in fetal movements. Obstetrics noted decreased fetal heart rate. A detailed history was collected, detailed physical examination performed, and complexity of medical decision making was high during this subsequent inpatient visit. Emergency C-section recommended. Total time of visitincluding review of diagnostic results, discussion of case and symptoms with patient and husband, discussion with neonatology and obstetricswas 100 minutes. Which of the following best represents the service provided? a. Critical care services
b. Subsequent hospital care, level 3, and inpatient prolonged service with direct patient contact
c. Intensive neonatal and pediatric critical care
d. Physician standby services
Question 2
Which of the following best reflects the purpose of this visit?
a. Subsequent inpatient neonatal critical care for neonate younger than 28 days
b. Care provided for critically ill newborn under 24 months of age
c. Subsequent hospital care of healthy newborn, per day
d. Subsequent intensive care of infant younger than 28 days
Critical thinking and delegation
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