Primary Survey and Initial Action

From the symptoms presented by the 20-year-old G1P0A0 female patient, an ultrasonography test will be ideal as the first clinical assessment. This will allow the care provider to establish whether the pregnancy is intrauterine, ectopic, or heterotopic (Jiang et al., 2018). Crampy lower abdominal pain and spotting symptoms presented by the patient are non-specific and cannot be used by a clinician to consider the possibility of extrauterine or heterotopic pregnancy. Therefore, an ultrasonography confirmation would help raise any suspicions of an interstitial pregnancy (Brincat et al., 2019).

After being certain that the 20-year-old G1P0A0 female patient is expectant, a thorough medical history and physical assessment will follow. While obtaining the medical history from a pregnant patient experiencing spotting and crampy lower abdominal pain, various questions arise and mainly entail the patient s obstetric and gynecologic history. As a clinician, I would ask to understand the frequency of the patient’s menstrual period before the pregnancy and the amount of bleeding. Consequently, I would need to understand whether the patient was under any contraception before pregnancy, her sexual activeness, and whether she has had a variety of partners. Other significant information to extract from the patient would be to understand whether she experiences dyspareunia and whether she has had a prior sexually transmitted disease history and if they were treated.