Prenatal Care/1st trimester Flashcards
1
Q
what is prenatal care?
A
Comprehensive
* Preconception care
* Diagnosis of pregnancy
* Initial prenatal evaluation
* Follow-up Prenatal visits
2
Q
prenatal care: goal
A
- Estimate the gestational age (1) accurately and (2) as early as possible
- Identify risk for fetal/birth parent complications
- Provide pregnancy related education/Anticipatory Guidance
- Assess overall health
- Educate all involved with the care of the newborn
- Identify barriers to care/SDOH
- Inform patients of what is involved in prenatal care
3
Q
what do I do? 1st trimester
A
Complete History
Physical Exam
Labs & diagnostic testing
Education & Anticipatory guidance.
4
Q
prenatal visits
A
- Prenatal visits should occur every 4 weeks for the first 28 weeks.
- Assess fundal height to determine fetal growth
- Birth parent perception of fetal activity through kick counts
- Risk assessment for significant events since previous visit
- Recent travel, illness, exposure to infection, stressors, vaginal bleeding, cramping
- Screening at every visits for
- Intimate Partner Violence (at least every trimester), depression, substance use/abuse (EtOH, Tobacco, THC, illicit drugs, prescription drugs)
5
Q
history
A
- Menstrual history
- OBGYN history
- PMH/PSH
-Vaccinations
-Oral Health - Mental Health
- Medications
- Allergies
- FHx
-OBGYN, Cancers, Genetics - Social History
-Occupation/Environmental
-Diet/Exercise
Substance use/misuse
IPV
STIs
Barriers to care/SDOH
Travel/Immigration status
6
Q
MENSTRUAL & OBSTETRIC HISTORY
A
7
Q
CONFIRMATION & DATING THE PREGNANCY
A
8
Q
ROS & PHYSICAL EXAM
A
9
Q
PHYSICAL EXAM
A
10
Q
COMMON DISCOMFORTS OF PREGNANCY
A
- Nausea and vomiting
- FAINTING
- FATIGUE
11
Q
SCREENING/TESTING CONSIDERATIONS
A
Higher risk
Advanced age (AMA)
Comorbidities or increased r/f comorbidities
Endocrine
Exposures
Population-health factors
Ethnic/Genetic Considerations
12
Q
ENCOUNTER FOR SUPERVISION OF NORMAL PREGNANCY, FIRST TRIMESTER (Z34.81)
A
