Prenatal

Third
Check-up
Trimester
GROUP 3
MEMBERS
1. BALISI, VENER VINCE D.
2. KULANI, FATIMA
3. ENRIQUEZ, KEIRA LOISE
4. SINGCO, GELINE
5. HADJINULLA, MOHAMMAD RIESHA
 01.
THIRD
TRIMESTER OF
Symptoms:
• Vaginal bleeding.
• Vaginal leaking of amniotic fluid.
• Significant increase in vaginal discharge.
• A severe headache or one that doesn't go away.
• Pain or cramping in your lower abdomen or severe
back pain.
ASSESSMENT- GELINE
-Week 27 to end or 7-9 months
-Quickening is felt by the mother.
-A pregnant woman reports at least 10 movements in 12
hours
-Absence of fetal movements precedes intrauterine fetal
death by 48 hours.
-Normal fetal heart rate is 120-160 bpm.
-Assess fundic height from symphysis pubis to fundus,
expected measurement is 25-36 cm.
ASSESSMENT-HADJINULLA
-Leopold’s maneuver to determine the fetal presentation if
it’s cephalic, breech or transverse.
-From the fetal position, it can determine which quadrant
is the best for fetal heart tone monitoring.

Placing stethoscope:
At the back of the fetus

Leopold’s maneuver:
Left lower quadrant for cephalic presentation, upper
quadrants are for breech and transverse.
ADMINISTER MEDICATION-KULANI
Ferrous sulfate and iron supplement:
-For brain development of the fetus.
-Intake by the mother during her pregnancy.
-After eating, more water intake and exercise.
-Can cause constipation.

Decrease Vit. B complex:

May cause leg cramps, mood swings, dark pigmentation.

Antacid medication:
For heart burn and sensitivity caused my increase stomach
acid.
COMMON PROBLEMS-BALISI
Hydramnios
-excessive fluid greater than 20-24 cm.
Oligohydramnios
-amount of amniotic fluid less than 5-6 cm.
Risk of Birth defects related to teratogens
-Teratogenic effects may impede fetal well-being.
Miscarriage
-Exposed to teratogens.
Viruses, Bacteria and Protozoa
-Poor sanitation and hygiene may affect both the mother
and the fetus.
NUTRITION
-Foods that are rich of protein, iron and vitamins for the
growth of the fetus.

Foods that are not allowed to eat:

Unpasteurized milk
Fish
Other foods that has a mercury content.

Must observe PICA, cravings to a thing that are not edible.

THANK YOU!!!