Ms Reid 34 year old, White, female Male child, Mother and child weight=3.8 kg, height =50cm Mother and child progressing well presently weight 62kg (136pounds). No chest or leg pain sinus pressure increases when lying down at night She sees well with glasses for myopia experiencing only “mild” post-partum pains 168 cm tall Pregnancy full term, No complications applies a perineal cold pack every 4-6 hours Delivered 3rd child yesterday plans to breast-feed periods are regular every 28-30 days recently noted that her scalp has been drier than usual moderate flow lasting 3-4 days has never experienced nosebleeds does not take any medications perineum is “slightly tender” began menstruating at age 12