07/11/2021
Prenatal Care
Prepared by:
Mary Eleanor N. Usis, MSN, RN
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Goals of Prenatal Care
To ensure a healthy and
uncomplicated pregnancy
and the delivery of a healthy
infant
To identify and treat high risk
conditions
To individualize patient care
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Also called antenatal care
Refers to the health care given to a
woman and her family during
pregnancy
Comes from the Latin “pre” – before
and “natus” – birth = before birth
Goals of Prenatal Care
To assist the patient for her
preparation for labor,
delivery and peurperium
To screen and identify risk
factors or diseases that may
affect the mother or the
infant’s health and life
To reinforce healthy habits to
the woman and her family
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Health Promotion During Health assessment

Pregnancy
Interview (health history)
Preconceptual visit
Physical assessment
Choosing health care
provider Laboratory assessment

Risk assessment

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Components of Health History

Demographic data Obstetric history
Chief concern – Gravida
Family profile – Para
– GTPAL
History of past illnesses
– GTPALM
History of family illnesses
Day history/social profile
Review of systems
Gynecologic history

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Physical Examination Measurement of fundal height and

 Baseline height/weight fetal heart sounds
& vital sign
measurement
 Assessment of Pelvic examination
systems
– Gen.appearance & – External genitalia
– neck
mental status
– Lymph nodes – Internal genitalia
– Head and scalp
– Eyes – Breasts
– Nose – Heart
– Ears – Lungs
– Sinuses – Back
– Mouth teeth and throat – Rectum
– Extremities and skin

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– Pap Smear: – Vaginal inspection

– Examination of pelvic organs

Endocervical collection
Cervical collection
– Rectovaginal examination
Vaginal collection

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Estimating Pelvic Size Internal pelvic measurements

1. Diagonal conjugate : 12.5cm

2. True conjugate or conjugate vera: 10.5 to 11cm
3. Ischial tuberosity: 11cm

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Laboratory Assessment
 Blood Studies
– CBC
– Genetic screening
– VDRL
– Blood typing
– MSAFP
– Indirect Coomb’s test
– Antibody titers
– HIV screeng
– Glucose tolerance test
 Urinalysis
 Tuberculosis screening
 Ultrasonography

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Health Promotion During

Pregnancy
 Self-Care Needs
– Bathing
– Breast care
– Dental care
– Perineal hygiene
– Dressing
– Sexual activity
– Exercise
– Sleep
– Employment
– Travel

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