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  • Opd Guide

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    Tom O.
    5 views2 pages
    This medical record document contains information about a patient's obstetric history including last deliveries, fetal movement, symptoms noted, family history, menstrual history, sexual history, prenatal checkups, current medications, and psychosocial history. The document includes fields for date, time, vital signs, fetal heart tones, estimated due date, cervical exam findings, assessment, plan, and past medical, family, and psychosocial histories but most of the fields are incomplete or redacted.

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    Original Title

    OPD GUIDE

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    This medical record document contains information about a patient's obstetric history including last deliveries, fetal movement, symptoms noted, family history, menstrual history, sexual history, prenatal checkups, current medications, and psychosocial history. The document includes fields for date, time, vital signs, fetal heart tones, estimated due date, cervical exam findings, assessment, plan, and past medical, family, and psychosocial histories but most of the fields are incomplete or redacted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views2 pages

    Opd Guide

    Uploaded by

    Tom O.
    This medical record document contains information about a patient's obstetric history including last deliveries, fetal movement, symptoms noted, family history, menstrual history, sexual history, prenatal checkups, current medications, and psychosocial history. The document includes fields for date, time, vital signs, fetal heart tones, estimated due date, cervical exam findings, assessment, plan, and past medical, family, and psychosocial histories but most of the fields are incomplete or redacted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    DATE AND TIME: S>

    G__ T__ ( _ _ _ _ ) Vaginal Spotting / Discharge:


    Last Deliveries Fetal Mov’t:
    S/S noted:
    1.
    2.
    3.
    4.
    5.
    6.
    7.
    8.
    9.
    10.
    O>
    FH:
    LMP: FHT:
    EDC: CERVIX:
    AOG: E/G:
    I/E:
    INT

    PAST MED Hx:

    FAMILY Hx:
    MENSTRUAL Hx: A> GTPAL, AOG, PRESENTATION, IN LABOR OR NOT.
    M- S/P: IF CS or RCS Incision Type:
    I-
    D-
    A-
    S-

    SEXUAL Hx:
    Coitarche: P>
    Sexual Partners: LABS:
    Contraceptive used:

    Prenatal Check up:


    Health Center:
    No. of Visits:
    Last Visit: MEDS:
    Medications:
    Illness:

    Psychosocial Hx:

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