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2: Routine Antepartum Assessment

DOI:

10.1891/9780826168870.0002

Abstract

This chapter assesses patient and partner history that can impact pregnancy care and outcomes. It describes the components of the prenatal history including calculating the due date. The chapter discusses basic components of the physical examination and psychosocial assessment. It defines procedures for obtaining the fetal heart rate. The chapter shows equipment needs for the initial obstetrical examination. It also shows common medications prescribed during routine prenatal care. The medical history should include a detailed assessment of any health or medical issues the woman or partner has had in the past, along with a detailed review of medication use. The physical examination for an antepartum examination begins with obtaining a complete set of vital signs, a head-to-toe assessment, and a pelvic exam. In general, if the nurse notices alterations in vision or hearing, neurological alterations, in a woman’s mental status, additional targeted assessments in these areas would be warranted.