1. Introduction

2. Developed by D. Ann Currie R.N. ,M.S.N. 2012
MATERNAL ASSESSMENT
Developed by
D. Ann Currie R.N. ,M.S.N.
2012

4. ANTEPARTAL NURSING ASSESSMENT
INITIAL CLIENT HISTORY
INITIAL PRENATAL ASSESSMENT
SUBSEQUENT PRENATAL VISIT ASSESSMENT

5. INITIAL CLIENT HISTORY
PERSONAL INFORMATION
OBSTETRIC HISTORY
GYNECOLOGIC HISTORY
CURRENT MEDICAL HISTORY
PAST MEDICAL HISTORY
FAMILY MEDICAL HISTORY
SOCIOCULTURAL HISTORY

6. INITIAL CLIENT HISTORY
CONT.
OCCUPATIONAL HISTORY
PARTNER’S HISTORY
STRATEGIES FOR OBTAINING DATA
PRENATAL HIGH-RISK SCREENING

7. PERSONAL INFORMATION NAME AGE OCCUPATION MARITAL STATUS
EDUCATION LEVEL
RACE,ETHNIC GROUP
ADDRESS,PHONE NUMBER

8. PERSONAL INFORMATION
SUPPORT SYSTEM
CHILBIRTH PLANS
NEONATE PLANS

9. OBSTETRIC HISTORY
TERMS
GRAVIDA-G
PARA-P
TPAL
GPTPAL
GTPAL

10. OBSTETRICAL HISTORY GPTPAL
ABORTIONS-WHEN IN GESTATION.TYPE,COMPLICATIONS.
HX OF PREVIOUS PREGNANCIES- GESTATION LENGTH,COMPLICATIONS,OUTCOME
LABOR-LENGTH,COMPLICATIONS,OUTCOME

11. OBSTETRICAL HISTORY TYPE OF DELIVERY-COMPLICATIONS.OUTCOME
TYPE OF ANESTHESIA-COMPLICATIONS
POSTPARTAL EVENTS
NEONATAL STATUS-WEIGHTS,APGAR SCORES, COMPLICATIONS

12. CONT. OB HX BLOOD TYPE&RH (Was Rhogam given if client is RH-negitive?)
CHILDBIRTH EDUCATION-type and when

13. GYNECOLOGIC HISTORY PAP SMEAR INFECTIONS SURGERIES MENARCHE
MENSTRUAL HISTORY
SEXUAL HISTORY
CONTRACEPTIVE USE

14. CURRENT MEDICAL HISTORY
WEIGHT-CURRENT & PREPREGNANT
HEIGHT
BMI
BLOOD-TYPE&RH
GENERAL HEALTH
NUTRITION
EXERCISE

15. CURRENT MEDICAL HISTORY
SUBSTANCE ABUSE/USE
MEDICATIONS-OTC,HERBS,PRESCRIPTIONS
ALLERGIES
ENVIRONMENTAL FACTORS
CURRENT DISEASES OR CONDITIONS
IMMUNIZATIONS

16. CONT.CURRENT MED,HX.
CLINCAL MANIFESTATIONS OF PREGNANCY
ABNORMAL S/S

17. PAST MEDICAL HISTORY CHILDHOOD DISEASES
PAST DISEASES OR CONDITIONS- IE STI’S,UTI’S,RHEUMATIC FEVER.
SURGERIES
BLEEDING PROBLEMS
TRANSFUSIONS

18. FAMILY MEDICAL HISTORY
HEALTH STATUS OF FAMILY
DISEASES &/OR CONDITIONS
MULTIPLE BIRTHS
CONGENITAL CONDITIONS
MENTAL ILLNESS
C/S
CAUSE OF DEATH OF FAMILY

19. SOCIOCULTURAL HISTORY
OCCUPATION
ED LEVEL
RELIGION
RACE,ETHNIC GROUP
AGE
BELIEFS & PRACTICES-HEALTH,CHILDBIRTH, CHILDREARING

20. OCCUPATIONAL HISTORY OCCUPATION WHAT IS DONE IN OCCUPATION? ACTIVITIES
PHYSICAL DEMANDS
EXPOSURE TO ENVIRONMENTAL FACTORS
BREAKS

21. PARTNER’S HISTORY NAME AGE HEALTH STATUS SUBSTANCES USE
BLOOD TYPE & RH
OCCUPATION
ED LEVEL

22. PARTNER’S HISTORY FAMILY MEDICAL HX CONGENITAL PROBLEMS
ENVIRONMENTAL FACTORS
ATTITUDE TOWARDS PREGNANCY

23. STRATEGIES FOR OBTAINING DATA
QUESTIONNAIRE
DIRECT INTERVIEW WITH CLIENT
EXPECTANT FATHER
PHYSICAL EXAMINATION
LABORATORY & DX TESTS
CLARIFY INFORMATION
ANSWER QUESTIONS

24. PRENATAL HIGH-RISK SCREENING
SOCIOECONOMIC FACTORS
ENVIRONMENTAL FACTORS
MEDICAL HISTORY
DAILY HABITS
SUBSTANCE USE
CLINICAL MANIFESTATIONS-ABNORMAL FOR GESTATION

25. HIGH RISK SCREENING
ABUSE SCREENING
SCREEN FOR RISK FOR DVTs

26. INITIAL PRENATAL ASSESSMENT
PSYCHOSOCIAL-CULTURAL ASSESSMENT
PHYSICAL ASSESSMENT
NUTRITIONAL ASSESSMENT
LEARNING NEEDS ASSESSMENT

27. PSYCHOSOCIAL-CULTURAL ASSESSMENT
PSYCHOLOGICAL ASSESSMENT
SOCIOLOGICAL ASSESSMENT
CULTURAL ASSESSMENT

28. PSYCHOLOGICAL ASSESSMENT
HX OF MENTAL CONDITIONS
CURRENT MENTAL CONDITIONS
ABUSE SCREENING
DEPRESSION SCREENING
ANXIETY SCREENING
EMOTIONAL SUPPORT
ATTITUDE TOWARDS PREGNANCY

29. PSYCHOLOGICAL ASSESSMENT
CONCERNS
FEARS

30. SOCIOLOGIAL ASSESSMENT
INCOME LEVEL
LIVING CONDITIONS
FINICIAL SUPPORT
INSURNCE
MARITAL STATUS
ED LEVEL
FAMILY SIZE &LOCATION

31. CULTURAL ASSESSMENT RELIGION
BELIEFS AND PRACTICES-HEALTH-ILLNESS,CHILBIRTH,CHILDREARING, ROLES,DIETARY,BLOOD PRODUCTS.
SPIRITUAL WELL-BEING
PARTNER’S BELIEF AND PRACTICES WITH ABOVE TOPICS.
ETHNIC GROUP

32. PHYSICAL ASSESSMENT PREPARATION FOR THE EXAMINATION
HEAD TO TOE EXAMINATION
GYNECLOGIC EXAMINATION
CLINICAL MANIFESTATIONS OF PREGNANCY
DETERMINE OF DUE DATE
LABORATORY AND DX TESTS

33. PREPARATION FOR THE EXAMINATION
KNOW THE PROCEDURE-WHAT IS GOING TO BE DONE,EQUIPMENT IS READY.
ASSESS CLIENTS KNOWLEDGE OF PROCEDURE
CONSENT IS GIVE
ASK QUESTIONS
ANSWER QUESTIONS

34. PREPARATION FOR EXAMINATION
ADDRESS CONCERNS AND FEARS.
EXPLAIN PROCEDURE.
SUPPORT PERSON
RELAXATION TECHNIQUES
CULTURAL ISSUES
BLADDER
ENVIRONMENT

35. HEAD TO TOE EXAMINATION
THIS MEANS EVERY SYSTEM.
COMPLETE EXAMINATION

36. GYNECOLOGICAL EXAMINATION
VAGINAL EXAMINATION
PELVIC MEASUREMENTS
FUNDAL HEIGHT
EXTERNAL GENITALS
PAP SMEAR
ULTRASOUND
UTERUS
BREASTS

37. CLINICAL MANIFESTATIONS OF PREGNANCY
SUBJECTIVE (PRESUMPTIVE)
OBJECTIVE (PROBABLE)
DIAGNOSTIC(POSITIVE)
NORMAL VS ABNORMAL

38. DETERMINATION OF DUE DATE
LMP
NAGEL’S RULE
FUNDAL HEIGHT
QUICKENING
FETAL HEARTBEAT
DX TESTS-SONOGRAM

39. Easy Way to Determine Due Date and Weeks Gestations

40. FUNDAL MEASUREMENT

41. FUNDAL HEIGHT AND WEEKS GESTATION

42. LABORATORY AND DX TESTS
CBC UA
PREGNANCY TESTS
STI’S-RPR-VDRL-FTA-ABS,GONORRHEA,HIV,HEPB,GBS, CHLAMYDIA,HERPES.
BLOOD-
TYPE&RH,ANTIBODIES(Indirect COOMBS)

43. LAB& DX TESTS
RUBELLA TITER
PAP SMEAR
OTHER AS INDICATED

44. SUBSEQUENT PRENATAL VISITS ASSESMENT
FREQUENCY OF VISITS
PSYCHOSOCIAL ASSESSMENT
PHYSICAL ASSESSMENT
NUTRITIONAL ASSESSMENT
LEARNING NEEDS ASSESSMENT

45. FREQUENCY OF VISITS AS INDICATED BY CLIENT’S CONDITION AND HISTORY
ROUTINE-INITIAL,ONCE A MONTH,THEN TWICE A MONTH,THEN EVERY WEEK.

46. SUBSEQUENT VISITS VS WEIGHT EDEMA UTERINE SIZE FHR
LAB-UA FOR PROTIEN ,GLUCOSE,OTHER

47. CONT. CLINICAL MANIFESTATIONS OF PREGNANCY-NORMAL WARNING SIGNS
CONCERNS
QUESTIONS
LEARNING NEEDS

48. PSYCHOLOGICAL ASSESSMENT
PSYCHOLOGIC STATUS
DEVELOPMENTAL STAGE OF PREGNANCY
SEXUALITY DURING PREGNANCY
COPING
ATTITUDE
SUPPORT

49. PHYSICAL ASSESSMENT PHYSICAL EXAMINATION DISCOMFORTS OF PREGNANCY
DANGER SIGNS

50. NUTRITIONAL ASSESSMENT
WEIGHT
HEIGHT
BMI
WEIGHT GAIN/LOSS
DIETARY HISTORY& INTAKE
CULTURAL FACTORS
PHYSICAL EXAMINATION

51. NUTRITIONAL ASSESSMENT
LIKES/DISLIKES
ALLERGIES-FOOD
LEARNING NEEDS

52. LEARNING NEEDS ASSESSMENT
HEALTH PROMOTION
PREGNANCY-PHYSICAL&PSYCHOLOGICAL ASPECTS,DISCOMFORTS.SELF-HELP MEASURES
DANGER SIGNS
CHILDBIRTH
CHILDCARE

53. LEARNING NEEDS BIRTHPLAN INCLUDE SUPPORT PERSON RESOURCES
***PRECONCEPTION****
GENERAL PUBLIC

55. QUESTIONS

56. THANK YOU