FATHER SATURNINO URIOS UNIVERSITY

San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program

URIAN HEALTH CENTER

INDIVIDUAL TREATMENT RECORD

Name of Mother: Bonita San Jose Case No.: 1

Birthdate: January 20, 2001 Age: 21
Address: Purok 2 Brgy. Babag Contact:
Spouse: Civil Status: Single
Educational Attainment: 2nd year college Occupation:
Birthplace: Religion: Roman Catholic
Blood Type: O Pregnancy Status: G 1 P0 (T0 P0 A0 L0 M0 )

Date Complaint Treatment Remarks

10/05/21 For Pre-natal Check-up Vital Signs:
LMP: May 12, 2021 BP: 120/90 mmHg
EDC: February 19, 2022 Temp: 36.9 C
AOG in Weeks: 20 weeks PR: 90 bpm
AOG in Months: 5 months RR: 17 bpm
Trimester: 2nd trimester Weight: _
Height: _
Health Teachings:
1. Do proper hygiene such as
hand washing.

2. Maintain a Perineal Care.

Wipe the perineal area from
front to back.

3. Adequate fluid intake 2-4

liters per day if tolerated.
But

4. Avoid caffeine and limit

intake during late evenings
and bedtime.

5. Make her realize its

normal to hormonal
imbalance.
Name of Mother: Jessa Cupin Case No.: 2
Birthdate: December 25, 1990 Age: 31
Address: Langihan Road, Butuan City Contact:
Spouse: Jess Cupin Civil Status: Married Educational
Attainment: High School Graduate Occupation: Saleslady
Birthplace: Religion:
Blood Type: AB Pregnancy Status: G4 P3 (T2 P1 A0 L3 M0 )

Date Complaint Treatment Remarks

10/05/21 For Pre-natal Check-up Vital Signs:
LMP: June 1, 2021 BP: 100/60 mmHg
EDC: March 8, 2022 Temp: 36.6 C
AOG in Weeks: 18 weeks PR: 71 bpm
AOG in Months: 4 months RR: 19 bpm
Trimester: 2 trimester
st
Weight: 49 kgs
Height: 152 cms
Health Teachings:
1. Raise the head of the bed on 6-
to 8-inch blocks. It is important
the foam is firm enough to truly
elevate the upper body. The
wedge should also extend all
the way to the waist so the
entire chest is elevated..
2. Avoid certain types of acidic
or spicy food along with
tobacco and alcohol.
3. Frequent, small meals should
be eaten rather than three
large meals, and the last meal
of the day should be early in
the evening.
4. Avoid any specific foods that
aggravate heartburn (for
example, coffee, cola, tea,
alcohol, chocolate, fat, citrus
juices, etc.)
5. Chewing gums may also be
helpful, because the
bicarbonate neutralizes the
acid that has refluxed into
the esophagus.
Name of Mother: Andrea Dela Torre Case No.: 3
Birthdate: November 5, 1982 Age: 39
Address:Brngy. Bancasi, Butuan City Contact:
Spouse: Andong Dela Torre Civil Status: Married
Educational Attainment: Occupation: College Instructor Birthplace:
Brngy. Bancasi, Butuan City Religion: Roman Catholic
Blood Type: Pregnancy Status: G6 P5 (T4 P1 A0 L5 M0 )

Date Complaint Treatment Remarks

10/05/21 For Pre-natal Check-up Vital Signs:
LMP: July 22, 2021 BP: 130/100 mmHg
EDC: April 29, 2022 Temp: 36.9 C
AOG in Weeks: 10 weeks PR: 81 bpm
AOG in Months: 2 months RR: 18 bpm
Trimester: 1 trimester
st
Weight: 55 kgs
Height: 155 cms
Health Teachings:
1. Eat small frequent meals to
avoid gastric distention.

2. Increasing carbohydrates is
recommended to relieve
nausea better.

3. Put some sourball candies or

dry crackers such as saltines
in the bedside and eat a few
before rising.

4. Try ginger, raspberry, and

peppermint teas.

5. Avoid lying supine for 2

hours after eating.
Name of Mother: Joy Uy Case No.: 4
Birthdate: Age:
Address: T. Calo Ext. Butuan City Contact:
Spouse: John Uy Civil Status: Married
Educational Attainment: Occupation: Chef
Birthplace: Religion: Roman Catholic
Blood Type: B Pregnancy Status: G3 P0 (T0 P0 A2 L0 M0 )

Date Complaint Treatment Remarks

10/05/21 For Pre-natal Check-up Vital Signs:
LMP: February 28, 2021 BP: 120/80 mmHg
EDC: November 5, 2021 Temp: 37 C
AOG in Weeks: 31 weeks PR: 85 bpm
AOG in Months: 7 months RR: 18 bpm
Trimester: 3 trimester
rd
Weight: 60 kgs
Height: 150 cms
Health Teachings:
1. Take a prenatal Vitamin at
least once a day to help
supplement a healthy diet with
essential vitamins and
minerals sufficient red blood
cell production.
2. Separate iron supplements in
addition to your daily prenatal
vitamin. Top your favorite
iron-fortified breakfast
cereals with fruits rich in
vitamin C, such as
strawberries, bananas, or
blueberries.

3. Eat the right foods, a food

that good in sources in
minerals including fish,
poultry, eggs, leafy greens,
and also fruits like bananas
and melons.

4. Sprinkle nuts and seeds

over yogurt, oatmeal, or
granola.

5. Try making a green smoothie

with your choice of leafy
greens, fruits, and a plant-based
or dairy milk that is fortified
with iron.
Name of Mother: Rochel Mednoza Case No.: 5
Birthdate: April 12, 1987 Age: 34
Address: Guingona Subdivision Contact:
Spouse: Rod Mendoza Civil Status: Married
Educational Attainment: Occupation: Housewife
Birthplace: _ Religion: Roman Catholic

Blood Type: O Pregnancy Status: G6 P5 (T3 P2 A1 L5 M1 )

Date Complaint Treatment Remarks

10/05/21 For Pre-natal Check-up Vital Signs:
LMP: March 26, 2021 BP: 110/70 mmHg
EDC: January 2, 2022 AOG Temp: 37.2 C
in Weeks: 27 weeks AOG in PR: 80 bpm
Months: 6 months RR: 16 bpm
Trimester: 2 trimester
nd
Weight: 56 kgs
Height: 156 cms
Health Teachings:
1. Eat a variety of vegetables,
fruits, whole grains, fat-free
or low-fat dairy products, and
protein foods. (dapat may
such as)

2. Choose foods and drinks

with less added sugars,
saturated fats, and sodium
(salt).

3. Limit refined grains and

starches, which are in foods
like cookies, white bread, and
some snack foods

4. Since it is your second

trimester, you need to take
340 extra calories a day.

5. If you are feeling sick, try

eating a piece of whole-grain
toast or whole-grain crackers.