Page 109 - كتاب تمريض نسا الاكتروني

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I) Initial (First)Antepartum Visit

Purpose

1. Conduct: the initial visit, including a complete medical, OB, and family health

history.

2. Conduct a complete physical exam.

3. Order and evaluate appropriate lab work and additional diagnostic procedures.

4. Establish an estimated date of confinement.

5. Identify deviations from the normal course of pregnancy.

Historical data:

• Biographic data: name, age, marital status, special habits as smoking, social factors

and residence

• Menstrual history

1. Date of last menstrual period (LMP)

2. Menstrual rhythm (regular or irregular)

3. Contraception: as oral contraception pills especially in last 3 months, Intra

Uterine Contraception Devices (IUDS)

• Obstetric history

1. Gravidity= Total numbers of prior pregnancies

2. Parity= Usually expressed in 4 digits numbers

3. Numbers of term deliveries

4. Preterm deliveries

5. Abortion

6. Number of living children

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