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Preconception & Prenatal Care

Prenatal Care- Initial Office Visit 1. Medical History 2. OB Hx 3. Surgical Hx 4. Family Hx 5. Physical Exam 6. Lab Tests
Maternal Assessment 1. Meds 2. Alc/Tobacco 3. Physical Abuse 4. Nutrition 5. Env. exposures
Subsequent Visits 1. Maternal Ht & Wt 2. Blood pressure 3. Fundal Height 4. Fetal Heart Tones 5. Edema 6. Fetal size and position
Lab tests 1. Hemotocrit (anemia) 2. Blood type 3. Rh factor 4. Antibody screen 5. Syphillis test 6. HIV test 7. Hepatitis surface antigen 8. Pap 9. Urinalysis 10. Urine culture 11. Vaginal infections
Screen for Diabetes when... 1. Family Hx 2. Previous Stillborn or macrosomic child 3. Glycosuria 4. AMA 5. Previous GDM
Maternal Diabetes 1. Preeclampsia 2. Macrosomia, shoulder dystocia, c-section 3. Hypoglycemia and jaundice 4. NTD 5. Sacral Agenesis 6. Heart malformations
Late pregnancy complications 1. Premature Labor 2. Prolonged Pregnancy 3. Preeclampsia (Hypertension, Edema, Proteinura) 4. HELLP 5. Eclampsia
Conditions predisposing to fetal demise 1. Maternal Hx 2. Maternal disease 3. OB complications
Maternal Hx 1. Prior stillbirth 2. Prior abruption
Maternal Disease 1. IDDM 2. Hypertension 3. Renal Disease 4. Autoimmune Disease
OB Complications 1. PROM 2. Preeclampsia 3. Post dates 4. Decreased FM 5. Decreased AFV
Methods of Fetal Assessment 1. NST 2. CST (contraction stress test)
Biophysical Profile 1. NST 2. AFV 3. Fetal breathing 4. Limb movement 5. Fetal Tone (curls up/ extends back)
Symptoms of Labor 1. Uterine contractions every 2-3 mins 2. Effacement of the cervix 3. Dilation of the cervix 4. Station
Created by: KChatham