NAME: KRISTINE JOYCE H.

MAHINAY FA2-BSN 2-1 A

SESSION 3
A healthy primigravida patient of 18 years booked for antenatal care at 22 weeks pregnant. Her
rapid syphilis and HIV tests were negative. Her Rh blood group is positive according the Rh
card test. She is classified as at low risk for problems during her pregnancy.

1. What is the best time for a pregnant woman to attend an antenatal-care clinic for the
first time?
- The best time for a pregnant woman to attend an antenatal care clinic for the first time
is during the first trimester of pregnancy, ideally before 12 weeks. Early initiation of
antenatal care allows for comprehensive assessment, early detection of any potential
risks or complications, and timely interventions to ensure the well-being of both the
mother and the baby.

2. When should this patient return for her next antenatal visit?

- After the initial visit at 22 weeks, the patient should return for her next antenatal visit according
to the recommended schedule of prenatal care visits. Typically, in low-risk pregnancies,
subsequent antenatal visits are scheduled every four weeks until 28 weeks, then every two
weeks until 36 weeks, and finally every week until delivery. However, it's important to note that
specific scheduling may vary based on the healthcare provider's protocols and any individual
factors identified during the pregnancy.

3. What important complications should be looked for in this patient at her 26 week visit?

- In this patient, as she is classified as low risk, the important complications to be looked for
during her pregnancy would include:

• Gestational diabetes: This is a condition characterized by high blood sugar levels that
develop during pregnancy. Regular screening tests may be done to detect gestational
diabetes.
• Pre-eclampsia: This is a pregnancy complication characterized by high blood pressure
and signs of damage to organs, most commonly the liver and kidneys. Symptoms may
include swelling, sudden weight gain, severe headaches, vision changes, and upper
abdominal pain.
 • Preterm labor: This refers to the onset of regular contractions and cervical changes
before 37 weeks of gestation. Signs of preterm labor may include regular or frequent
NAME: RHOE ANGELOU V. SALVARIA
SESSION: FA2-BSN2-2A contractions, pelvic pressure, backache, abdominal cramping, and
changes in vaginal discharge.
• Fetal growth restriction: This occurs when the baby does not grow at a normal rate in the
womb. Regular monitoring of fetal growth through ultrasound scans and fundal height
measurements can help identify this complication.
• Infections: While the patient's rapid syphilis and HIV tests were negative, it's still
important to monitor for any signs or symptoms of infections throughout the pregnancy.
Common infections to watch for include urinary tract infections, vaginal infections, and
respiratory infections.

4. When should she attend antenatal clinic in the last trimester if she and her fetus
remain normal?
- In the last trimester, if both the mother and the fetus remain normal, the pregnant
woman should continue attending antenatal clinic visits as scheduled by her healthcare
provider. Typically, in low-risk pregnancies, antenatal visits are recommended every two
weeks from 28 weeks until 36 weeks of gestation. After 36 weeks, the visits become
weekly until delivery. These frequent visits in the last trimester allow for close monitoring
of the mother's and baby's well-being, assessment of fetal growth and position, and
preparation for labor and delivery.