Critical data include EGA at the initiation of care and number of visits. (Copyrighted by the American College of Obstetricians and Gynecologists, Washington DC, 1997). Office on Women's Health. Talk to your health care provider if your morning sickness is severe. 121 42 As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses. Washington, DC, American Academy of Pediatrics and American College of Obstetricians and Gynecologists, 2007. White blood cell count and platelet count must also be obtained to assess for. Guidelines for prenatal laboratory evaluation, Initial Prenatal Visit  Blood type  D (Rh) type  Antibody screen  Hemoglobin or hematocrit  Papanicolaou smear  Rubella titer  Serologic test for syphilis  Gonorrhea screening (risk-based)  HIV counseling/testing  Urine culture or screen  Hepatitis B surface antigen  Estimated Gestational Age 14–20 Weeks (When Indicated)  Maternal serum α-fetoprotein or multiple marker screen  Special genetic testing (amniocentesis or chorionic villous sampling)  Estimated Gestational Age 24–28 Weeks  Hemoglobin or hematocrit  Glucose screen for gestational diabetes  Rh antibody screen and Rh immune globulin administration if Rh (D)—negative  Estimated Gestational Age 32–36 weeks  Serologic test for syphilis (risk-based)  Gonorrhea screening (risk-based)  Hemoglobin or hematocrit  Group B streptococcus culture (if using culture strategy)  Optional Laboratory Studies (When Indicated)  Hemoglobin electrophoresis  Chlamydia screening  Purified protein derivative  Tay-Sachs screening of parents  Cystic fibrosis screening of parents. Teixeira JMA, Fisk NM, Glover V: Association between maternal anxiety in pregnancy and increased uterine artery resistance index: Cohort based study. (Copyrighted by the American College of Obstetricians and Gynecologists, Washington DC, 1997). The prenatal care record serves to document data that are commonly used as indicators of quality and adequacy of care. 0000102675 00000 n All good prenatal record systems contain several well-defined components. Prenatal care, also known as antenatal care, is a type of preventive healthcare. During the initial prenatal visit, the practitioner collects most of the information that will be used to evaluate obstetrical risks and determine what special interventions, if any, are needed. This process actually may require two visits: a first visit for the history and physical examination, at which time laboratory studies or other tests may be ordered, and a second visit to review results, complete the initial database, determine risk status, plan a course for prenatal care, and begin the patient education … She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June. This topic will discuss the initial prenatal assessment (which may require more than one visit) in the United States. Your health care provider can use a fetal ultrasound to help confirm the date. Compliance of all the instructions of the healthcare provider is essential so the woman could achieve a smooth and healthy pregnancy and delivery. 0000010469 00000 n Additional space should be available to record the results of any necessary follow-up or serial studies. What would the nurse do during the first prenatal visit and the succeeding ones? Let us know if you have found this post helpful. 3. 0000007004 00000 n Institute of Medicine Committee on Nutritional Status during Pregnancy and Lactation: Nutrition Services in Perinatal Care, 2nd edn. 1). The record should reflect the accuracy of the date, cycle length, and normality of the LMP. /Filter /FlateDecode All rights reserved. Most of these issues are common to pregnancies worldwide. 162 0 obj <>stream Many different prenatal record forms are used throughout the United States. Referral to appropriate personnel for nutrition assessment and recommendations should be considered if there is concern about the nutritional status of the patient at the initial visit.5 Otherwise, it is typical that serial changes in weight (or lack thereof) throughout the pregnancy prompt further nutritional evaluation.6, 7, Increasing evidence suggests that psychosocial problems and social support may affect the occurrence of complications of pregnancy.8 Providing optimal medical care for pregnant women includes identifying significant psychosocial problems and stressors in the home or workplace.9, 10, 11 Interventions can include smoking cessation programs, drug abuse programs, counseling regarding safe homes for domestic violence victims, and counseling regarding a crisis pregnancy.12, 13, 14, 15, 16 A description of the workplace and the woman's job responsibilities should be elicited to rule out any significant exposure to toxins or ergonomic stressors that could have a negative impact on the pregnancy.17 Paying appropriate attention to these problems and recommending ancillary services to patients who need them can improve the outcome of the pregnancy (Fig. Marianne is a staff nurse during the day and a Nurseslabs writer at night. A surgical history with emphasis on abdominal procedures or orthopedic procedures involving the pelvis should be taken. Patients should be asked specifically about common medical conditions as well as uncommon conditions that are known to have a serious effect on pregnancy. Washington, DC, Department of Health and Human Services, US Public Health Service, 1989. Sokol RJ Woolf RB, Rosen MG, Weingarden K: Risk, antepartum care, and outcome: Impact of a maternity and infant care project. Information on prior contraception and fertility treatment is important to determine the utility of the LMP to predict the estimated date of delivery (EDD). Few women give birth on their due dates. Prenatal care is often the primary way young women access basic health care. xref Marianne is also a mom of a toddler going through the terrible twos and her free time is spent on reading books! Assess her genitourinary system and ask about any urinary tract infections, STIs, PIDs, any difficulties in conceiving, and. /Length 2118 Your due date is not a prediction of when you will deliver. The pregnant woman’s first prenatal visit should be the building block of a healthy, happy pregnancy. 2). This practice reduces the likelihood of missing significant findings and facilitates retrieval of data by any other practitioner who cares for the patient. You might notice changes in your body early in your pregnancy. 1����\.�{�M��r��u�/��M��E��J9���Z���u��PmN�n�6�v��V��,��{aԶ�>@��A�29��˲5s{L�,�uG.�������Ǘ��q�K��e+O�Ui��*�������|@7�]]vg����T��]����rYH��9s��ƃ�*�`��^��B��o�1B��u ��.��e�� \��P�� �f�d��B����n����h�YC���wJ_$!�%h6��;SA_��#�@��bO��x� ���>*&�j�C.