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Published byAlexandrina Pearson Modified over 9 years ago
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Introduction
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Developed by D. Ann Currie R.N. ,M.S.N. 2012
MATERNAL ASSESSMENT Developed by D. Ann Currie R.N. ,M.S.N. 2012
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ANTEPARTAL NURSING ASSESSMENT
INITIAL CLIENT HISTORY INITIAL PRENATAL ASSESSMENT SUBSEQUENT PRENATAL VISIT ASSESSMENT
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INITIAL CLIENT HISTORY
PERSONAL INFORMATION OBSTETRIC HISTORY GYNECOLOGIC HISTORY CURRENT MEDICAL HISTORY PAST MEDICAL HISTORY FAMILY MEDICAL HISTORY SOCIOCULTURAL HISTORY
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INITIAL CLIENT HISTORY
CONT. OCCUPATIONAL HISTORY PARTNER’S HISTORY STRATEGIES FOR OBTAINING DATA PRENATAL HIGH-RISK SCREENING
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PERSONAL INFORMATION NAME AGE OCCUPATION MARITAL STATUS
EDUCATION LEVEL RACE,ETHNIC GROUP ADDRESS,PHONE NUMBER
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PERSONAL INFORMATION SUPPORT SYSTEM CHILBIRTH PLANS NEONATE PLANS
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OBSTETRIC HISTORY TERMS GRAVIDA-G PARA-P TPAL GPTPAL GTPAL
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OBSTETRICAL HISTORY GPTPAL
ABORTIONS-WHEN IN GESTATION.TYPE,COMPLICATIONS. HX OF PREVIOUS PREGNANCIES- GESTATION LENGTH,COMPLICATIONS,OUTCOME LABOR-LENGTH,COMPLICATIONS,OUTCOME
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OBSTETRICAL HISTORY TYPE OF DELIVERY-COMPLICATIONS.OUTCOME
TYPE OF ANESTHESIA-COMPLICATIONS POSTPARTAL EVENTS NEONATAL STATUS-WEIGHTS,APGAR SCORES, COMPLICATIONS
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CONT. OB HX BLOOD TYPE&RH (Was Rhogam given if client is RH-negitive?)
CHILDBIRTH EDUCATION-type and when
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GYNECOLOGIC HISTORY PAP SMEAR INFECTIONS SURGERIES MENARCHE
MENSTRUAL HISTORY SEXUAL HISTORY CONTRACEPTIVE USE
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CURRENT MEDICAL HISTORY
WEIGHT-CURRENT & PREPREGNANT HEIGHT BMI BLOOD-TYPE&RH GENERAL HEALTH NUTRITION EXERCISE
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CURRENT MEDICAL HISTORY
SUBSTANCE ABUSE/USE MEDICATIONS-OTC,HERBS,PRESCRIPTIONS ALLERGIES ENVIRONMENTAL FACTORS CURRENT DISEASES OR CONDITIONS IMMUNIZATIONS
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CONT.CURRENT MED,HX. CLINCAL MANIFESTATIONS OF PREGNANCY ABNORMAL S/S
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PAST MEDICAL HISTORY CHILDHOOD DISEASES
PAST DISEASES OR CONDITIONS- IE STI’S,UTI’S,RHEUMATIC FEVER. SURGERIES BLEEDING PROBLEMS TRANSFUSIONS
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FAMILY MEDICAL HISTORY
HEALTH STATUS OF FAMILY DISEASES &/OR CONDITIONS MULTIPLE BIRTHS CONGENITAL CONDITIONS MENTAL ILLNESS C/S CAUSE OF DEATH OF FAMILY
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SOCIOCULTURAL HISTORY
OCCUPATION ED LEVEL RELIGION RACE,ETHNIC GROUP AGE BELIEFS & PRACTICES-HEALTH,CHILDBIRTH, CHILDREARING
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OCCUPATIONAL HISTORY OCCUPATION WHAT IS DONE IN OCCUPATION? ACTIVITIES
PHYSICAL DEMANDS EXPOSURE TO ENVIRONMENTAL FACTORS BREAKS
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PARTNER’S HISTORY NAME AGE HEALTH STATUS SUBSTANCES USE
BLOOD TYPE & RH OCCUPATION ED LEVEL
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PARTNER’S HISTORY FAMILY MEDICAL HX CONGENITAL PROBLEMS
ENVIRONMENTAL FACTORS ATTITUDE TOWARDS PREGNANCY
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STRATEGIES FOR OBTAINING DATA
QUESTIONNAIRE DIRECT INTERVIEW WITH CLIENT EXPECTANT FATHER PHYSICAL EXAMINATION LABORATORY & DX TESTS CLARIFY INFORMATION ANSWER QUESTIONS
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PRENATAL HIGH-RISK SCREENING
SOCIOECONOMIC FACTORS ENVIRONMENTAL FACTORS MEDICAL HISTORY DAILY HABITS SUBSTANCE USE CLINICAL MANIFESTATIONS-ABNORMAL FOR GESTATION
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HIGH RISK SCREENING ABUSE SCREENING SCREEN FOR RISK FOR DVTs
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INITIAL PRENATAL ASSESSMENT
PSYCHOSOCIAL-CULTURAL ASSESSMENT PHYSICAL ASSESSMENT NUTRITIONAL ASSESSMENT LEARNING NEEDS ASSESSMENT
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PSYCHOSOCIAL-CULTURAL ASSESSMENT
PSYCHOLOGICAL ASSESSMENT SOCIOLOGICAL ASSESSMENT CULTURAL ASSESSMENT
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PSYCHOLOGICAL ASSESSMENT
HX OF MENTAL CONDITIONS CURRENT MENTAL CONDITIONS ABUSE SCREENING DEPRESSION SCREENING ANXIETY SCREENING EMOTIONAL SUPPORT ATTITUDE TOWARDS PREGNANCY
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PSYCHOLOGICAL ASSESSMENT
CONCERNS FEARS
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SOCIOLOGIAL ASSESSMENT
INCOME LEVEL LIVING CONDITIONS FINICIAL SUPPORT INSURNCE MARITAL STATUS ED LEVEL FAMILY SIZE &LOCATION
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CULTURAL ASSESSMENT RELIGION
BELIEFS AND PRACTICES-HEALTH-ILLNESS,CHILBIRTH,CHILDREARING, ROLES,DIETARY,BLOOD PRODUCTS. SPIRITUAL WELL-BEING PARTNER’S BELIEF AND PRACTICES WITH ABOVE TOPICS. ETHNIC GROUP
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PHYSICAL ASSESSMENT PREPARATION FOR THE EXAMINATION
HEAD TO TOE EXAMINATION GYNECLOGIC EXAMINATION CLINICAL MANIFESTATIONS OF PREGNANCY DETERMINE OF DUE DATE LABORATORY AND DX TESTS
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PREPARATION FOR THE EXAMINATION
KNOW THE PROCEDURE-WHAT IS GOING TO BE DONE,EQUIPMENT IS READY. ASSESS CLIENTS KNOWLEDGE OF PROCEDURE CONSENT IS GIVE ASK QUESTIONS ANSWER QUESTIONS
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PREPARATION FOR EXAMINATION
ADDRESS CONCERNS AND FEARS. EXPLAIN PROCEDURE. SUPPORT PERSON RELAXATION TECHNIQUES CULTURAL ISSUES BLADDER ENVIRONMENT
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HEAD TO TOE EXAMINATION
THIS MEANS EVERY SYSTEM. COMPLETE EXAMINATION
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GYNECOLOGICAL EXAMINATION
VAGINAL EXAMINATION PELVIC MEASUREMENTS FUNDAL HEIGHT EXTERNAL GENITALS PAP SMEAR ULTRASOUND UTERUS BREASTS
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CLINICAL MANIFESTATIONS OF PREGNANCY
SUBJECTIVE (PRESUMPTIVE) OBJECTIVE (PROBABLE) DIAGNOSTIC(POSITIVE) NORMAL VS ABNORMAL
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DETERMINATION OF DUE DATE
LMP NAGEL’S RULE FUNDAL HEIGHT QUICKENING FETAL HEARTBEAT DX TESTS-SONOGRAM
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Easy Way to Determine Due Date and Weeks Gestations
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FUNDAL MEASUREMENT
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FUNDAL HEIGHT AND WEEKS GESTATION
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LABORATORY AND DX TESTS
CBC UA PREGNANCY TESTS STI’S-RPR-VDRL-FTA-ABS,GONORRHEA,HIV,HEPB,GBS, CHLAMYDIA,HERPES. BLOOD- TYPE&RH,ANTIBODIES(Indirect COOMBS)
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LAB& DX TESTS RUBELLA TITER PAP SMEAR OTHER AS INDICATED
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SUBSEQUENT PRENATAL VISITS ASSESMENT
FREQUENCY OF VISITS PSYCHOSOCIAL ASSESSMENT PHYSICAL ASSESSMENT NUTRITIONAL ASSESSMENT LEARNING NEEDS ASSESSMENT
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FREQUENCY OF VISITS AS INDICATED BY CLIENT’S CONDITION AND HISTORY
ROUTINE-INITIAL,ONCE A MONTH,THEN TWICE A MONTH,THEN EVERY WEEK.
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SUBSEQUENT VISITS VS WEIGHT EDEMA UTERINE SIZE FHR
LAB-UA FOR PROTIEN ,GLUCOSE,OTHER
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CONT. CLINICAL MANIFESTATIONS OF PREGNANCY-NORMAL WARNING SIGNS
CONCERNS QUESTIONS LEARNING NEEDS
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PSYCHOLOGICAL ASSESSMENT
PSYCHOLOGIC STATUS DEVELOPMENTAL STAGE OF PREGNANCY SEXUALITY DURING PREGNANCY COPING ATTITUDE SUPPORT
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PHYSICAL ASSESSMENT PHYSICAL EXAMINATION DISCOMFORTS OF PREGNANCY
DANGER SIGNS
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NUTRITIONAL ASSESSMENT
WEIGHT HEIGHT BMI WEIGHT GAIN/LOSS DIETARY HISTORY& INTAKE CULTURAL FACTORS PHYSICAL EXAMINATION
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NUTRITIONAL ASSESSMENT
LIKES/DISLIKES ALLERGIES-FOOD LEARNING NEEDS
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LEARNING NEEDS ASSESSMENT
HEALTH PROMOTION PREGNANCY-PHYSICAL&PSYCHOLOGICAL ASPECTS,DISCOMFORTS.SELF-HELP MEASURES DANGER SIGNS CHILDBIRTH CHILDCARE
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LEARNING NEEDS BIRTHPLAN INCLUDE SUPPORT PERSON RESOURCES
***PRECONCEPTION**** GENERAL PUBLIC
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QUESTIONS
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THANK YOU
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