The document discusses prenatal care and assessment of fetal and maternal health. It provides learning objectives related to recognizing the importance of prenatal care, utilizing assessment skills during prenatal visits through health history and physical examination, formulating nursing care plans based on health status, and integrating knowledge of pregnancy health assessment with the nursing process. Key components of prenatal visits that are assessed at each visit are also outlined, including medical history, obstetrical history, and current pregnancy information.
The document discusses prenatal care and assessment of fetal and maternal health. It provides learning objectives related to recognizing the importance of prenatal care, utilizing assessment skills during prenatal visits through health history and physical examination, formulating nursing care plans based on health status, and integrating knowledge of pregnancy health assessment with the nursing process. Key components of prenatal visits that are assessed at each visit are also outlined, including medical history, obstetrical history, and current pregnancy information.
The document discusses prenatal care and assessment of fetal and maternal health. It provides learning objectives related to recognizing the importance of prenatal care, utilizing assessment skills during prenatal visits through health history and physical examination, formulating nursing care plans based on health status, and integrating knowledge of pregnancy health assessment with the nursing process. Key components of prenatal visits that are assessed at each visit are also outlined, including medical history, obstetrical history, and current pregnancy information.
The document discusses prenatal care and assessment of fetal and maternal health. It provides learning objectives related to recognizing the importance of prenatal care, utilizing assessment skills during prenatal visits through health history and physical examination, formulating nursing care plans based on health status, and integrating knowledge of pregnancy health assessment with the nursing process. Key components of prenatal visits that are assessed at each visit are also outlined, including medical history, obstetrical history, and current pregnancy information.
College of Nursing Level 2 - NCM 107j - CARE OF MOTHER, CHILD AND ADOLESCENT (WELL CLIENTS) Synchronous Learning Topics (SLT Module#2) Focus: Assessing Fetal and Maternal Health: Prenatal Care Learning Objectives: After synchronous online session, students will be able to: 1. Recognize the importance of prenatal consultation. 2. Utilize assessment skills during prenatal through health history and physical examination, and assess woman’s health status and readiness for pregnancy; 3. Formulate nursing care plan related to health status during pregnancy; 4. Identify areas related to prenatal care that could benefit from additional nursing research or application of evidence-based practice; 5. Use critical thinking to analyse ways to ensure that prenatal care is family-centered; 6. Integrate knowledge of pregnancy health assessment with the nursing process to achieve quality maternal and child health care. 7. Describe the areas of health assessment commonly included in prenatal visits like: History, current pregnancy (EDD, AOG, gravid, para), previous pregnancies & outcomes (TPAL score), gynecologic history, medical history, nutritional status, etc.
Commonly Asked? What’s Your Answer/s?
What is prenatal care?
Are prenatal visits
necessary?
What is the purpose of
prenatal care? When should prenatal care begin?
What is the importance of
taking health history for pregnant patients?
What information is important at every prenatal visit?
How often do pregnant
woman see their OB or care provider during pregnancy?
Tasks/Activities:
1. Develop a format of an interview sheet following the components of the health history.
2. In a given scenario, complete the maternal health history utilizing the the data on the case scenario. (Use your interview form) 3. Determine the obstetrical history by answering the following questions: a. What is the gravidity and parity (GP) of Ms. Newman? b. What is her obstetrical history of TPAL? Describe what the 4 letter represents on Ms. Newman OB history. c. When is the expected date of delivery (Neagels rule)? d. What is the estimated gestational age in months?
(note: use separate sheet for your answer…)
PATIENT CASE SCENARIO
Andrea Newman, 30 years old, comes to an obstetrician's office, and verbalized “I think I'm pregnant" because she has completed a home pregnancy test so is certain she is pregnant. Mrs. Newman has been married for 6½ years; she has 3½- and 4½-year-old children at home. She works as a drugstore clerk. Her husband works as a stock broker. Present pregnancy was planned. Couple had been attending a fertility clinic because they had not been using a contraceptive for 2½ but could not seem to conceive. Husband's sperm count was found to be subnormal. Couple was advised to space coitus further apart (no closer than 1 x per week). Pregnancy occurred after fourth month of new regimen. Her first Menarche at 13 years; cycle 30 to 32 days, duration of flow 7 days. Has "terrible" dysmenorrhea she treats with Motrin. Last menstrual period: 6 weeks ago. Used vaginal sponge as method of contraception up until 2 years ago. Papanicolaou smear negative as of 6 months ago.
Client admits to long hours of standing to meet needs of drugstore customers; drinks six cups of coffee daily; no alcohol since she thought she might be pregnant; does not smoke. Takes no medication except for occasional acetaminophen for headache; Motrin for dysmenorrhea. Walks a city block daily from bus to store. Twenty-four hour recall nutrition history reveals a diet low in protein and possibly iron. According to Ms. Newman, she had therapeutic abortion at age 18. Male born 4 years ago, vertex presentation, alive and well. Male, born 3 years ago, vertex presentation; alive and well. Membranes were ruptured longer than 24 hours and labor was induced. Andrea had a mild endometritis treated with intravenous antibiotics for 4 days following birth. Feels this was the reason for her infertility. At age 16 she undergo Appendectomy. "Bad" adolescent acne treated with tetracycline during adolescence; tuberculosis treated for one year at age 22. No hospitalizations except for previous childbirths. Claimed that husband's father has hypertension; a mother's cousin has renal failure.
Review of systems and physical examination done:
General appearance: mildly overweight, pleasant appearing Caucasian woman; Height: 5'7", Weight: 238 pounds. HEENT: Normocephalic; slight bleeding at gum lines. Conjunctiva of eyelids appear pale. Marked cholasma on face. Chest: Normal breast development; areola darkened; occasional veins present. Lungs clear to auscultation; heart sounds normal and at 76 beats per minute; blood pressure 130/80. Abdomen: Soft, no masses; uterus not palpable; suggestion of linea nigra present. Extremities: Mild varicose vein on medial aspect of left leg; full range of motion in all joints; deep tendon reflexes 2+ Pelvic exam: Vagina and cervix deep purple in color; uterus slightly enlarged; Hegar's sign present. Negative except for urinary tract infection 6 years ago following marriage. Pre-pregnancy weight: 230 (BMI 36.0 or obese). Laboratory results revealed: Hemoglobin : 10 mg/dL; Hematocrit: 39% ; Urinalysis: negative for protein, glucose, and ketones Evaluation: 3-2-1 Ticket- Out Activity
3 – Things / concepts you’ve
learned from the asynchronous learning topics
2 – Interesting things / concepts about the asynchronous learning topics
1 – Question that you like to
ask about from the asynchronous learning topics
Note:
Do not limit your answers/discussions on the questions asked.
Answers must be properly cited. Please provide sources/ references that support your answer. All Deliverables for Synchronous learning topic/s will be submitted on or before September 01, 2020 (12:00 midnight) @ email: [email protected] or google drive. You may ask questions or clarification through messenger or GC. Website :
