ANTEPARTUM ASSESSMENT:
The First Prenatal Visit
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History
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Age
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Gravidity
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Parity
( TPAL)
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LMP – Nagele’s Rule
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HPI - ? FM, FH, Bleeding
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PMH/PSH/GYN/OB etc.
AGE----- 35>
<16
CALCULATE PARITY
CALCULATE NAGELE’S RULE
NAGELE’S RULE:
1
ST
DAY LMP
- 3 MONTHS
+
7 DAYS
=
DUE DATE
GRAVIDA :
# PREGS
PARA:
# BIRTH AFTER 20 WKS – LIVE OR DEAD
MENARCHE – Ab’S , PREGNANCIES
- PERTINENT HX OF MEDICAL ILLNESSES ------ HTN,
IDDM
- FAM H/O DOWN’S IDDM ETC.