Antenatal Booking Flashcards
Antenatal booking
GRIP
BIODATA
PRESENTING COMPLAIN
What brought you to the clinic
How did you confirm your pregnancy
Was it through urine test blood test or ultrasound
When did you confirm this pregnancy
Was it after you missed your period
Where was it confirmed? At home, lab or hospital
Is this your first pregnancy?
MODE OF CONCEPTION
Was this planned or spontaneously conceived?
Is this pregnancy desired?
Was it naturally conceived or through any assisted method of conception?
INDICATIONS/ PREGNANCY SYMPTOMS
Have you noticed any pregnancy symptoms like early morning sickness, nausea, vomiting, breast tenderness
Have you had any problems since you confirmed pregnancy example, diarrhea, headache, rash
Have you had any vaginal discharge, itching or bleeding?
Do you take any medication now ?
INVESTIGATION
Do you know your HIV status?
Do you know your genotype, and blood group?
Do you know your weight and height?
Have you done any of these investigations eg Fbc, packed cell vol, blood group, genotype, malaria test, retroviral disease screening, Hep B and C , syphilis test, urinalysis.
We will have to do all these investigations and book for a continuous follow up. Ok ?
Have you noticed any fetal movement? Okay I will also do an ultrasound at 16 weeks singleton, at 14wks for multiple gestation.
IMMUNIZATION/MEDICATION
Have you received any tetanus toxoid injection?
Have you been taking folic acid and iron supplements?
Have you been on any anti malaria drugs before?
We will give you tetanus toxoid injection, anti malaria prophylaxis, folic acid, and iron supplement.
If she is HTN sive, are you on any hypertension medication, I will change it to methydopa
If she is diabetic: are you on any anti diabetic drugs? We will change it to insulin.
OBSTETRICS HISTORY
Have you been pregnant before
How many children do you have
Was the pregnancy spontaneously conceived or through assisted means
Did you have any event during your pregnancy
How long did your carry the pregnancy ?was it up to term
What was the mode of delivery? Was it vaginal or caesarean secion
vaginal was it spontaneous or induced
How long did the labor last
Did you have any complication eg bleeding
How many days did you stay in the hospital
Is the child alive and well
GYNECOLOGICAL HISTORY
what age did you first see your menstrual period
How many days do you bleed
Do you see your period every month
Do you know the length of your cycle
Do you usually have menstrual cramps how many pad do you use
Do you have painful sexual intercourse
Have you had any miscarriage or abortion in the past
Are you aware of contraceptives, do you use any?
Have you heard of pap smear ?
have you done one?
PAST MEDICAL HISTORY
Have you had similar symptoms in the past
Do you have any chronic illness like hypertension, epilepsy, asthma. diabetes or sickle cell disease
Have you had any blood transfusion, surgery, or hospitalization in the past?
FAMILY HISTORY
Does anyone in your family have hypertension, diabetes, sickle cell disease, Asthma, Epilepsy
SOCIAL AND DRUG HISTORY
Where does your husband work?
Are you in a monogamous or polygamous marriage?
Do you take any tobacco? If yes what type?
How long have you been smoking? How many packs per day?
Do you drink alcohol?!
If yes how long have you been drinking?
How many bottles do you take per day
DRUG HISTORY
Are you on any long term medication
Are you currently on any medication
Do you have any drug or food allergies
REVIEW OF SYSTEM
Ma. just to be sure I didn’t miss out any symptoms . I would like you to say yes or no to the following questions
UNS: any headache, any blurry vision , any loss of consciousness
ENDO: any neck swelling? Do you feel hot when other are cold.
any unexplained weight loss or weight gain
RESP: any cough, chest pain, difficulty breathing
CVS: are you aware of your heart beat, have you noticed that you are easily out of breathe any swelling on your bodv
especially the lower limbs
DIGESTIVE: and nausea, vomiting, and constipation, blood in stool
GUS: bloody urination, abnormal discharge . increased frequency in urination
MSS: any bone pain, joint pain, and difficulty walking, skin rash
