NAME : SUCI RHAMADHANIA

PROGRAM STUDY : SARJANA KEPERAWATAN (2A)

NIM : C1AA19105

COURSES : LANGUAGE INGGRIS II

THIS IS A PREGNANCY EXAMINATION PROCEDURE

As Pregnancy Doctors Or Midwifes Should Check Physical Examination First

As Follows :

PHYSICAL EXAMINATION IN PREGNANT WOMEN

- General Appearance :
General Condition :
level Of Consciousness :
TTV (T, N, R, S) :
BB/ TB :
- Respiratory system (IPPA) :
- Cardiovascular system (IPPA: BP, pulse, cyanosis, conjunctiva, heart sounds, extremities
{edema, homan sin, varicose veins, CRT}).
- Digestive system (IPPA: mucous membrane moisture, edema, BU, hemorrhoids)
- Nervous system (IPPA: mental status, seizures, patellar reflex).
- The five-sensory system (IPPA: functions of sight [blurred vision, faded vision], hearing,
smell, taste, touch).
- Urinary system (IPPA: palpation of the bladder, excessive urination, hematuria).
- Integumentary system (IPPA: hyperpigmentation, chloasma gravidarum, turgor, striae, SC
wound [characteristic]).
- Endocrine system (IPPA: enlargement of the thyroid gland, tremors).
- Musculoskeletal system (IPPA: mass of muscle tone, muscle strength, ROM, deformity,
diastasis of rectal abdominis [width, length]).
- Reproductive system (IPPA: breast [enlargement, hyperpigmentation of the areola,
condition of the nipple, breast milk / colostrum, swelling, weir / mass, cleanliness], uterus
[TFU, uterine position, uterine consistency], genitalia externa [edema, varicose veins,
lochea, cleanliness , lacerations / assess for signs of REEDA].
DIALOGUE DOCTOR AND PATIENT PREGNANT WOMAN

A : Hello good morning what are you feeling?

B : I always have nausea in my stomach, I just noticed that I haven't been in my period for 2
months and my husband suggested that I took a pregnancy test. The result was obviously
positive.
A : How Long You Been Pregnant ?
B : It's been 2 weeks. Now I am in my first trimester, But, I'm not sure if it's morning sickness
but I kept throwing up this whole week
A : Well then i will check your pregnancy using ultrasonography, are you ready ?
B : Okey Doc
A : After i checked the pregnancy, you have entered 20 weeks of pregnancy, and second
trimester now
B : OK doc but I always feel nauseous so my diet is irregular
A : It’s actually normal to have morning sickness throughout your first and second trimester.
Any other symptoms you complain of?
B : It hurts so much, especially when I have to throw up. It also made me lose a lot of weight
A : I need to know what you Always eat this might have something to do with it. Let me guess,
you did have a problem with your stomach before you got pregnant, right?
B : Yes doc, I have gastritis symptoms
A : We will make sure you have a healthy diet after this such as eating vegetables, drinking
milk, eating fruit, eating meat. then I will give you vitamins and medicine for your gastritis
disease and should not be tired, your pregnancy should always be take care
B : Okay doc, thank you very much