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Antenatal Care > Booking Visit > Flashcards

Booking Visit Flashcards

0
Q

Where should care be provided?

A

MOU

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1
Q

What is antenatal care?

X5

A

Early accurate estimation of GESTATIONAL AGE
Identification of the AT RISK PATIENT
Ongoing evaluation of HEALTH STATUS or both mother and fetus
OPPORTUNISTIC SCREENING and interventions to prevent or minimize morbidity
PATIENT EDUCATION and communication

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2
Q

Why midwife care?

X3

A

Lots of benefits
Low adverse outcomes
Cost effective

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3
Q

How many ANC visits?

Uncomplicated nulliparous

A

10 appointments

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4
Q

How many visits?

Multiparous uncomplicated pregnancy

A

7 appointments

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5
Q

Frequency of appointments until 28 weeks

A

Every 4-5 weeks

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6
Q

Frequency of appointments between 28 and 36 weeks

A

Every 2-3 weeks

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7
Q

Frequency of appointments from 36 weeks until delivery

A

Every week

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8
Q

Frequency of appointments throughout pregnancy

Till 28 weeks
28-36
36-delivery

A

Every 4-5 weeks
Every 2-3 weeks
Every week

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9
Q

What do you do at the booking visit?

X5

A 
EDD/GA
Physical exam + history
Bloods (Rh, RPR, RVD, Hb)
Education
Plan for next visit
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10
Q

Current Obs history

X4

A

Menstrual history
LMP - sure/unsure
Contraception - currently, last used
Complaints

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11
Q

Gestational age

Rules with dates and ultrasound?

A

When you have an ultrasound EDD

Trimester 1: within 7 days accept dates as correct
Trimester 2: within 14 days accept dates

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12
Q

EDD when you have no ultrasound or unsure dates?

A

Booking palpation - plot on 50th centile then calculate EDD

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13
Q

Physical exam at booking

X5

A 
CVS
BP and Dipstix
Thyroid
Breast
Weight and height
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14
Q

Booking bloods

X4

A

Rh
Syphilis
HIV
Hb

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15
Q

Six routine questions for follow up visits

A 
ROM
PV Bleeding
UTI sx
Abnormal PV discharge
Fetal movements
Lower Abdomial Pain
16
Q

Exam at follow up visits

X7

A 
BP
Dipstix
Plot SFH
Weight
Oedema
At 28/40 and 36/40 do Hb
From 34/40 palpation to determine lie and PP
17
Q

Mental state and support

Look for:

A

Baby blues
Post partum depression
Post partum psychosis

18
Q

Postpartum planning

A

Contraception

Feeding plans

Antenatal Care (1 decks)

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