Antepartal Nursing Assessment

1
Antepartal Nursing Assessment

• Chapter 10

2
Nursing Assessment

• First visit
• Health history
• Past pregnancies
• Physical
• Pelvis
• EDD-Nagles Rule
• Labs

• Subsequent visits
• FHT-V/S
• Urine dip
• Fundal hgt
• MS-AFP- 16 weeks
• CBC_at_14-36 wks
• Antibody titer 24-36
• 50 gms glucose 28 wks

3
Schedule of Visits

• Every 4 weeks until 28 weeks
• Every 2 weeks until 36 weeks
• Every week until birth
• If at risk increase maternal and fetal
  surveillance

4
Vocabulary

• Ab- before 20 weeks
• Nullipara- no births before 20 weeks
• Primpara -one birth after 20 weeks
• Gravida- pregnancy regardless of duration
• Nagles rule minus three months 7days

5
Nursing Interventions

• Nutrition and weight gain
• 3-5 lbs first trimester
• 1 lb. per week for 2nd and 3rd trimester
• Anticipatory guidance- trimester appropriate
• Childbirth classes-trimester appropriate

6
Danger Signs of Pregnancy

• PROM
• Premature contractions
• Bleeding
• Fever, chills
• Blurry vision, H/A, epigastric pain
• Decrease fetal movement

7
True Labor

• Increase in UC frequency, duration, intensity
• Bloody show
• Loss of mucous plug
• Rupture of membranes
• Assess previous hx