Introduction http://www.youtube.com/watch?v=9kSJUznSXNU&feature=fvwrel

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

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

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

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

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

PERSONAL INFORMATION SUPPORT SYSTEM CHILBIRTH PLANS NEONATE PLANS

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

HIGH RISK SCREENING ABUSE SCREENING SCREEN FOR RISK FOR DVTs

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

PSYCHOSOCIAL-CULTURAL ASSESSMENT PSYCHOLOGICAL ASSESSMENT SOCIOLOGICAL ASSESSMENT CULTURAL ASSESSMENT

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

PSYCHOLOGICAL ASSESSMENT CONCERNS FEARS

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

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

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

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

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

HEAD TO TOE EXAMINATION THIS MEANS EVERY SYSTEM. COMPLETE EXAMINATION

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

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

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

Easy Way to Determine Due Date and Weeks Gestations

FUNDAL MEASUREMENT

FUNDAL HEIGHT AND WEEKS GESTATION

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)

LAB& DX TESTS RUBELLA TITER PAP SMEAR OTHER AS INDICATED

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

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

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

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

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

PHYSICAL ASSESSMENT PHYSICAL EXAMINATION DISCOMFORTS OF PREGNANCY DANGER SIGNS

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

NUTRITIONAL ASSESSMENT LIKES/DISLIKES ALLERGIES-FOOD LEARNING NEEDS

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

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

QUESTIONS

THANK YOU http://www.youtube.com/watch?v=9CCnsQyWBEc&feature=related