34 year old, White, female

1. Ms Reid presently weight 62kg (136pounds). Delivered 3rd child yesterday 34 year old, White, female spontaneous vaginal delivery Recently noted her hair texture is ather “coarse” rarely has a headache. Headaches in the past have always been relieved with Tylenol Male, weight=3.8 kg, height =50cm catches a cold 2-3 times a year which “often cause pressure in my sinuses” 168 cm tall Mother and child progressing well recently noted that her scalp has been drier than usual dull sinus pressure just under her cheekbones Pregnancy full term, No complications describes as “mild-not that bad really’ Last night she was awake twice during the night because she was caring for her baby perineum is “slightly tender” “small amount” of red lochia sinus pressure increases when lying down at night She sees well with glasses for myopia small amount of clear nasal discharge has never experienced nosebleeds no skin problems no hearing problems plans to breast-feed experiencing only “mild” post-partum pains There has been no hair loss applies a perineal cold pack every 4-6 hours breasts feel “full but soft” She napped throughout the day, but still feels tired. However, there is no impairment in performance of ADL No chest or leg pain does not take any medications began menstruating at age 12 periods are regular every 28-30 days moderate flow lasting 3-4 days No major health problems discontinued smoking during both of her previous pregnancies, but returned smoking within 6 months post-partum each time Prior to pregnancy smoked 1 pack per day (X18 years), visits the ophthalmologist every 2 years Takes 1 iron pill daily gained 16kg (35pounds) during pregnancy has not smoked since finding out she was pregnant no known allergies the last couple of weeks found it difficult to obtain a sound sleep because she “just could not find a comfortable position” and had a “bit of a cold” does not consume alcoholic beverages does not remember ever having an ear infection or earaches has a soft-formed brown BM’s every 1-2 days eats well generally a good sleeper (7-8hours a night) does not have varicose veins or problems with circulation, leg infection or ulcers drinks 2-3 cups/ glasses of juice or tea a day but doesn’t like water has never experienced dizziness, vertigo, or syncope She wears a partial upper denture, which she soaks each night in Polident She always wears a seat belt She now eats approximately 10 servings of grain products per day No chest or leg pain Since delivery, she has a “ravenous appetite Eats meat, fish or chicken twice a day eats whole grain cereals to suppress her appetite Both paternal grandparents died at the age of 76 from complications related to IDDM always eats 6 to 7 fruits or vegetables a day lives with her husband and 2 children (Ronda aged 8 and John aged 4). doesn’t skip meals makes sure that she drinks more milk (around 4 glasses/day) She enjoys cooking and rarely eats out she has one sister (age 38) who has a history of NIDDM She takes pride in her role as a mother and housewife her relationship with her husband (aged 42) is “very close” with no marital problems they are financially secure has been a stay-at-home mother since birth of her second child Her husband manages a large business Their home is a single family dwelling in a safe neighbourhood She feels good about herself Her father is 60 years old and has hypertension She hopes to remain a non-smoker for life All immediate family members are healthy Her mother is 56 years old has no medical problems she has had the usual childhood illnesses like chicken pox, measles and Mumps She says that she was “pretty stressed” last year upon the sudden death of a close friend. She found that talking to her husband, parents, and her faith/ prayer helped her get through this episode in her life her immunizations are up to date she had an appendectomy at age 12 graduated high school, and completed an Early Childhood Educator’s diploma Her parents live within walking distance