Prenatal Care

1. Health Promotion
PRECONCEPTUAL VISIT:
-This is for the early detection
-obtaining the accurate reproductive life planning
information,
-receiving assurance regarding fertility.

2.Health Assessment:
PRENATAL VISIT:
-know the possible complications and screen for the
danger signs.
-To know some complication regarding the health threats
during pregnancy.
 The first prenatal visit should be as early as
possible during first trimester.
 Second Visit during the second trimester
 More frequent should be done for those at
risk/with complications.

 All pregnants shall be given TTI as

recommended.
 Fe- on the 5th month. 100-200mg PO daily for
210 days.
 In goiter endemic areas, pregnant Women
should be given iodized oil capsule every
year.

 Malaria infested areas, all pregnant women

shall be given prophylaxis in the form of
CHLOROQUINE(150 mg base/tab) 2 every
week.
Gather a Initial Interview
-Provide information regarding the status of
the client.

Components Health Assessment

- Establish rapport.
- Gaining physical and psychosocial info
regarding the Mother.
- Obtaining basis for the anticipatory guidance
on pregnancy.
BASELINE INFORMATIONS are important for
the symptoms that can be detected during
pregnancy.
 Look for Chief Complains

-“Think that she is pregnant”.

-Inquire the date of the last
menstrual period.
-Ask for some early signs of
pregnancy.
-Think PLANNED
Check for Past illness

 These past condition may be active during

pregnancy such as chicken pox and measles.

Check for Day history:

-Current Nutrition
-Elimination,sleep and recreation
-Medicine intake.
-Contraceptions.
Obstetric and Gynecologic
History
Ask for:
 Previous child, sex place and date of birth.

 Abortion.

 Ask for past surgery on the R.T.

 Ask for monthly perineum self exam

Review of the Body System:

For subjective Information

Conclusion:
Discuss the things which are normal or not.
BASELINE INFORMATIONS:

 VS – baseline info and to know the danger

signs.
 Check for the mental status.
 Head and scalp – check for chloasma
 Eyes – edema-may lead to hypertension.
 Nose-Nasal congestion due to ↑ of estrogen
level.
 Ears – Hearing should be normal, nasal
stuffiness adjust because of ↑ of estrogen
level.
 Neck – check for thyroid contents.
 Lymph nodes – check for palpable lymph.

 Breast – Changes notice during pregnancy.

 Heart-normal no murmur sounds.

 Mouth, Teeth, Throat – gingival hypertrophy

because of estrogen.
 Assess: Pinpoint lesion for herpes.

DO NOT NEGLECT GOOD DENTAL HYGIENE.

 Back- assess for scoliosis.

 Rectum – Asses for hemorrhoidal tissue.

 Fundal Height:
Normal at range of 31 cm by 9 mos.

16 weeks – 1-2 fingers above the symphysis.

20 – 2-3 fingers below the umbilicus
24- level of umbilicus
28 – 2-3 fingers above umbilicus
32 – midway bet umb. And xiphoid porcess.
40- below the coastal margin.

FHT:
120-160 bpm
28th week – fetal outline
Pelvic exam:
External Genitalia – Pap smear
Internal Genitalia – Normal colors:
4. Pink – Non pregnant

5. Pregnant – Purple

6. Lesions + abnormal discharges

 History of Diabetes:
-this includes when the baby is very large for the
gustational age.

Check for some Blood Lab Assessment:

1.CBC
2. Serologic test for syphilis
3. Blood typing(Rh factor)
4. Maternal serum for AFP
5. Indirect Coomb’s test
6. Antibody titers for rbubella, hepa(HBsAG)
7. HIV screening
VITAMIN INPUT:
 Calories – 2500 ug
 CHON – 60 ug
 Vit A – 800ug
 Vit D – 5 ug
 Vit E – 15 mg
 Vit - 85 ug
 Folic Acid – 600 ug
 Niacin – 17 mg
 Thiamine – 1.6 mg
 Riboflavin – 16mg
 B12 – 2.6 ug
 B6 – 2 mg
 D – 5ug
 Calcium – 1200 mg
 Potassium 700 mg
 Iodine – 175 ug
 Iron – 30 mg
 Mg – 350 mg
 Zinc – 15mg
 Flouride – 3 mg
Avoid during pregnancy:

 Saccharides are not allowed because it may

slows down the fetal bloodstream.
 Limit caffeine intake bec. it may increase the
heart rate.
 Eat fiber rich foods to avoid constipation.
 Increase of milk input.
 Artificial Sweeteners may take in low
consumption.
 Reducing diets and calorie restrictions are
contraindicated during pregnancy.
 For Nausea and Vomiting - ↑ CHO intake.
 -Eating dry crackers before getting out of
her bed.
 Craving is result of physiologic need for
CHO, vitamins and Minerals.
 For Pyrosis- ↓ gastric motility, which slows
gastric emptying and pressure of the
expanding uterus in the stomach. Advice
to take MAALOX or AMPHOJEL.
 With Hypercholesterolemia-exercise daily,
eating oats, broiling rather than frying, eating
foods enriched with Omega-3
 For vegetarian Mother- lack of B12 and
Calcium. They have to take daily prenatal
supplement, inadequate Iron and folic acid.
 Lactose intolerance – take calcium and Vit D
supplement, fortified soy. They may take
cheese or yogurt because they are tolerated.
Women may take Lactase tablet before
taking Milk products.
Thank You!!!