NUR 2026 Week 9 i-Human Case Study
30-Year-Old Female with Lower Abdominal Pain & Spotting
Complete OB/GYN Case Study, SOAP Note & Plan
2025/2026 A+ Guide
Document Information
Element Details
Course NUR 2026 – Women's Health & OB/GYN Nursing
Week Week 9
Case Type i-Human Virtual Patient Encounter
Patient 30-year-old female
Chief Complaint Lower abdominal pain and spotting
,2|Page
Element Details
Format Complete SOAP Note + Clinical Reasoning + Management Plan
Year 2025/2026
Table of Contents
Section Content Page
1 Case Overview & Demographics 4
2 Subjective Data (History of Present Illness) 5
3 Objective Data (Physical Examination) 8
4 Assessment (Differential Diagnoses & Primary Diagnosis) 11
5 Plan (Diagnostic Workup & Management) 14
,3|Page
Section Content Page
6 Patient Education & Follow-Up 16
7 Clinical Reasoning & Critical Thinking 17
8 Sample i-Human Question Responses 18
9 References & Evidence-Based Guidelines 20
SECTION 1: CASE OVERVIEW & DEMOGRAPHICS
Patient Profile
Attribute Details
Age 30 years
Gender Female
, 4|Page
Attribute Details
Ethnicity Caucasian
Occupation Marketing Manager
Marital Status Married
G2 P1 (one living child, one previous miscarriage at 8
Gravida/Para
weeks)
Last Menstrual
6 weeks ago (patient unsure of exact date)
Period (LMP)
"I've been having this crampy pain on my lower left side for
Chief Complaint
the past 2 days, and today I noticed some light spotting."
Presenting Problem
The patient presents to the women's health clinic with a 2-day history of intermittent, crampy lower
abdominal pain localized to the left lower quadrant, accompanied by light vaginal spotting. She