Case Study Solution: 30-Year-
Old Female with Lower
Abdominal Pain & Vaginal
Spotting | Advanced Health
, Based on the 2025/2026 i-Human case study for Week 9 (NUR 601/6512 curriculum), I have prepared a
comprehensive SOAP note. **Please verify your specific case version** as Week 9 has two common
variants: the **Obstetric case (lower abdominal pain + spotting)** and the **Neck Pain case
(musculoskeletal)** .
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## i-Human Week 9 Case Study: 30-Year-Old Female
### Version A: Lower Abdominal Pain & Vaginal Spotting (Obstetric)
**Patient Name:** Ana Rodriguez / Stephanie / Patient varies by simulation
**Age:** 30 years
**Setting:** Emergency Department / Urgent Care
**Chief Complaint:** *"I've been having lower abdominal pain and some spotting"*
### S – SUBJECTIVE
**History of Present Illness (HPI):**
The patient is a 30-year-old G2P0 female presenting with gradual onset of lower abdominal pain and
vaginal spotting beginning 3 days ago . She reports a missed menstrual period; her last menstrual period
(LMP) was approximately 6 weeks ago . The pain is described as **dull and cramping**, located in the
**suprapubic region** with occasional radiation to the right lower quadrant. She rates the severity as
**5/10**. Aggravating factors include physical movement and intercourse, while rest and
acetaminophen provide partial relief .