Tuesday, April 16, 2024

TAKING THE PRESENT OBSTETRIC HISTORY OF A PREGNANT WOMAN/CLIENT

Table of Contents

REQUIREMENTS #

  1. Maternal and Child Health Record Book (Manual or Electronic)
  2. Ball pen
  3. Comfortable chairs
  4. Conducive room or an enclosed area
  5. Gestational wheel (Manual or Digital)

STEPS #

  1. Establish rapport (refer steps)
  2. Explain procedure to client (refer steps)
  3. Provide privacy and ensure client assume desired position
  4. Obtain the Last Menstrual Period (LMP) and confirm pregnancy
  5. Involve client in calculating the Expected Date of Delivery (EDD)
  6. Explain to client the need to attend antenatal clinic and procedures involved
  7. Ask about the number of previous pregnancies and what happened
  8. Ask about present complaints
  9. Ask whether client has felt any foetal movement
  10. Ask about any known allergies
  11. Ask about any pre-existing conditions and medication
  12. Assist client and family to plan towards confinement
  13. Educate client on danger signs associated with pregnancy
  14. Ask about family support
  15. Express appreciation to client for her cooperation
  16. Record and report findings to officer in charge