PSYCHOLOGICAL TASK OF DANGER SIGNS OF PREGNANCY 4.

Past Medical History

PREGNANCY  Vaginal bleeding no matter how  Hx of kidney disease, heart
First trimester – accepting the slight disease etc.
pregnancy  Swelling of face or fingers  Hx of childhood diseases
Second trimester – accepting the  Severe, continuous headache  Hx of allergies
baby  Dimness or blurring of vision 5. Family History
Third trimester – preparing for  Flashes of light or dots before  Illnesses that occur frequently
parenthood the eyes in the family
LENGTH OF NORMAL PREGNANCY  Pain in the abdomen  Any known inherited disease
 38 – 42 WEEKS  Persistent vomiting or congenital anomalies
PRENATAL VISIT
COMPONENTS OF  Chills and fever 6. Social Profile
THE HEALTH HISTORY  Sudden escape of fluid from the  Lifestyle
1. Demographic Data vagina  Exercise
 Name, age, address, telephone  Absence of fetal heart sounds  Hobbies
number, religion and health after they have been initially  Smoking or drinking habits
insurance information auscultated on the 4th or 5th  Medication history
2. Chief Concern month 7. Gynecologic History
 LMP  Decrease in urine output  Menarche
 Pregnancy test  Rapid weight gain  Usual cycle, duration, amount,
 Signs of early pregnancy any discomfort
 Exposed to any contagious 3. Family Profile  Past surgery on the
disease  Who lives at home with the reproductive tract
 Any medications taken client  Any uterine surgery
 Any danger signs of pregnancy  Any support people  If she has undergone D & C
 Financial support
  Reproductive planning  Ears
methods used, if any  A woman who has had two  Nose
 Sexual history previous pregnancies has  Mouth
8. Obstetric History delivered two term children  Neck
 Was it planned? and is again pregnant.  Breast
 Did she have any o Answer: Gravida 3, Para 2  Respiratory system
complications?  A woman who has had two  Cardiovascular system
 Did she take any medication? abortions at 12 weeks and is  Gastrointestinal system
 Did she receive prenatal care? again pregnant.  Genitourinary system
 What was the duration of the o Answer: Gravida 3, Para 0  Extremities
pregnancy/labor? o G3P0 (0020)  Skin
 What was the type of birth?  A pregnant woman who has had
 What type of anesthesia was the following past history……. 11. Physical Assessment / Examination
used? baby girl born at 40 weeks, now 12. Baseline Height & Weight + Vital
 Did she have any alive and well baby boy, still Signs
complications, such as born at 34 weeks, twin girl born 13. Measurement of Fundal Height and
bleeding or infection? at 39 weeks, healthy and alive Fetal Heart Sounds.
o Answer: G5P4 (31041)  Palpate for Fetal Outline and
T : The number of full term infants Position
born at 37 weeks or after 9. Typical Day History  Leopold’s Maneuver
P : The number of preterm infants  Information about current
born before 37 weeks nutrition, elimination, sleep,
A : The number of spontaneous or recreation
induced abortions 10. Review of Systems
L : The number of living children  Head
M : Multiple pregnancies  Eyes
PELVIC EXAMINATION 10.5 to 11 cm. 3. Rh factor and blood type
Papanicolaou (Pap Smear) 3. Ischial Tuberosity - is the (Venous blood)
distance between the ischial  to determine the blood type and
Rh factor (positive or negative),
tuberosities or the transverse
blood type is important in case of
diameter of the outlet. Average is hemorrhage; Rh factor alerts
11 cm. providers to possible
incompatibility disease in fetus
4. Indirect coomb’s test/Rh titer
(Venous blood)
 done when mother is Rh
negative and father is Rh positive
to assay danger to fetus
(signified by rising titer). If the
titers are not elevated, an Rh-
PELVIC MEASUREMENT negative woman will receive
1. Diagonal Conjugate - this is the RhIG (RhoGAM) at 28 weeks of
distance between the sacral LABORATORY ASSESSMENT pregnancy and after any
promontory and the anterior 1. CBC (Venous blood) procedure that might cause
placental bleeding.
surface of the inferior margin of  Hematocrit and hemoglobin –
5. Titer for Rubella and Hepatitis
the symphysis pubis. Average is screen for anemia
B (Venous blood)
12.5 cm  White blood count and
 to determine if mother has been
2. True Conjugate/Conjugate Vera - differential – identify infectious
exposed previously to rubella
processes, screen for blood
is the measurement between the and has built up antibodies, and
dyscrasias, folic acid deficiency
anterior surface of the sacral whether a newborn will have the
 Platelets – assess blood clotting
prominence and the posterior chance developing hepatitis B
mechanism
(HBsAG) ( is immune or not)
surface of the inferior margin of 2. Serological test for syphilis
the symphysis pubis. Average is (Serum)
 to screen for syphilis
6. Gonorrhea culture (Cervical HEALTH PROMOTION DURING RECOMMENDED EXERCISE
discharge) PREGNANCY 1) Pelvic rocking
 to diagnose gonorrhea; often A. BATHING  relieve low backache and
done routinely as gonorrhea is
B. BREAST CARE abdominal pressure
frequently asymptomatic in
woman C. DENTAL CARE  Strengthens abdominal muscles
7. Maternal serum for alpha- D. PERINEAL HYGIENE following delivery
fetoprotein (MSAFP) (Venous E. DRESSING 2) Tailor sitting
blood) F. SEXUAL ACTIVITY  Help stretch and strengthen
 to determine chromosomal  Contraindicated in the following perineal muscles
anomaly, neural tube or
conditions: 3) Squatting
abdominal defect present in the
fetus. o Ruptured bag of water  Stretches the perineal muscles
8. Human immunodeficiency virus o Spotting or bleeding and increase blood flow to the
(HIV) (Venous blood) o Incompetent cervical os perineum
 to screen woman who are at high o Deeply-engaged presenting 4) Kegel’s exercise
risk for contracting acquired part  strengthen perineal muscles
immunodeficiency syndrome G. EXERCISE
(AIDS)  relieves congestion and
9. Glucose tolerance test (Venous  Benefits of exercise: discomfort in pelvic region
blood) o Lower cholesterol level  tones up pelvic floor muscles
 to rule out gestational diabetes o Reduce risk of osteoporosis  help prevent stress
10. Urinalysis (Midsteam urine) o Increase energy level incontinence
 Glycosuria – to screen for o Maintenance of healthy body  Increase sexual responsiveness
diabetes weight
 Pyuria – to screen for urinary  postpartally – promote perineal
o Decrease risk of heart disease healing
tract infection
 Albuminuria – to screen for
preeclampsia, kidney stress or
renal problems
5) Abdominal muscle contractions H. SLEEP
 help strengthen abdominal
muscles during pregnancy and
therefore help restore
abdominal tone after
pregnancy
6) Calf stretching
 relieve leg cramps
7) Shoulder circling
 relieve upper backache and L. MEDICATIONS
I. WORK TERRATOGENIC DRUGS
numbness of arms and fingers J. TRAVEL
8) Modified knee-chest M. NUTRITION

K. ALCOHOL & SMOKING  Women Who Need Special
 relieve hemorrhoids, vulvar  Alcohol increases the risk of: Attention:
varicosities and low backache o Midtrimester abortion o Pregnant adolescent
 relieves pelvic pressure and o Mental retardation o Successive pregnancies
cramps in the thighs or o Behavior and learning o Maternal weight
buttocks disorder o Low income
9) Leg elevation o Fetal alcohol syndrome (FAS) o Women on vegetarian diets
 relieve swelling, fatigue,  Malnutrition In Pregnancy Results
varicosities of lower In:
extremities o Prematurity
10)Leg Raising o Low birth weight babies
 Strengthen abdominal muscles o Abortion
o Stillbirth
o Congenital defects
o Preeclampsia
MENSTRUATION FIRST PHASE ASSOCIATED TERMS
 BODY STRUCTURES  Postmenstrual  Amenorrhea – temporary
o Hypothalamus  Preovulatory cessation of menstruation
o Anterior Pituitary Gland  Follicular  Dysmenorrhea – painful
o Ovary  Proliferative menstruation
o Uterus  Estrogenic  Oligomenorrhea – diminished
 HORMONES SECOND PHASE menstrual flow
o FSH  Premenstrual  Polymennorhea / metrorrhagia –
o LH  Postovulatory bleeding at completely irregular

  Luteal intervals.
 Secretory  Menorrhagia / hypermenorrhea
 Progestational – an excessive menstrual flow.
THIRD PHASE  Menorrhalgia – pelvic pain at
 Ischemic Phase menstrual periods other than the
FOURTH PHASE characteristic midline cramp.
 Menses
o Blood from the ruptured
capillaries
o Mucin from glands
o Fragments of endometrial tissue
o Microscopic, atrophied and
unfertilized ovum