Pregnant Health History

Question 1

What are some things to consider when taking a health history from a pregnant patient?

Answer 1

• Ask about a confirmation of pregnancy
  
  • Has the pt. had a urine pregnancy test, and when?
  • When as the LMP?
  • Has she had an ultrasound?
• Ask about any symptoms of pregnancy:
  
  • Any missed periods, Breast tenderness, N/V, fatigue, or urinary frequency
• Concerns/Attitudes toward pregnancy
  
  • Planned/desired?
  • Who is father of baby?
  • Family support?
• Past OB history
• Alcohol/smoking/illicit drug use
• Family history
• Postpartum contraception
• Plans for breast feeding

Question 2

What past medical conditions should you explore in a pregnant patient?

Answer 2

Abdominal surgeries, hypertension, diabetes, cardiac disorders, asthma. hypercoagulability states, mental health disorders, HIV, STI’s, abnormal Pap smears can all affect pregnancy

Question 5

What should you ask a pregnant patient in regards to their past OB history?

Answer 5

• # of previous pregnancies
• How many were term, preterm, spontaneous, terminated, and # of live births
• Any complications?
  
  • Diabetes, hypertension, preeclampsia, preterm labor
  • During birth?

Question 6

How do you document pregnancy history?

Answer 6

• G = Gravidity (# of pregnancies)
• T = Term deliveries (# of babies birthed past 38 wks)
• P = Preterm deliveries (# of babies birthed before 37 wks)
• A = Abortions/miscarriages
• L = # of live births

Question 7

What is gravidity?

Answer 7

The number of times that a woman has been pregnant

Question 8

What is parity?

Answer 8

It is the number of times that a women has given birth to a fetus with a gestation age of 24wks or more, regardless of whether the child was born alive/stillborn