Lesson 1Urine an' point-a-care tests: urine dipstick readin' (protein, glucose, ketones), when fi send cultures or urine microscopyExplore urine dipstick technique an' readin' fi protein, glucose, an' ketones, an' clear up when fi get urine culture or microscopy fi check infection, kidney disease, dehydration, an' metabolic worries in early pregnancy.
Preparing patient and clean-catch urine collectionDipstick timing, reading, and documentationInterpreting proteinuria and preeclampsia riskGlucosuria, diabetes screening, and follow-upKetones, dehydration, and hyperemesis concernsIndications for culture and urine microscopyLesson 2Medical an' surgical history: chronic conditions, medications, allergies, vaccinations, infectionsReview how fi get targeted medical an' surgical history, includin' chronic diseases, medications, allergies, vaccinations, an' past infections, an' how fi spot conditions needin' adjustment or referral fi optimize mama an' baby outcomes.
Chronic conditions impacting pregnancy riskMedication reconciliation and teratogenicityAllergy history and anaphylaxis precautionsVaccination status and needed updatesPast surgeries and obstetric implicationsSignificant infections and exposure risksLesson 3Current pregnancy review: symptoms (nausea, vomitin', pain), vaginal discharge or bleedin', fetal movement expectationsAddress systematic review a current pregnancy symptoms, includin' nausea, vomitin', pain, vaginal bleedin' or discharge, an' early fetal movement expectations, distinguishin' normal discomforts from warnin' signs needin' urgent check.
Characterizing nausea, vomiting, and triggersAbdominal and pelvic pain red-flag featuresVaginal bleeding patterns and triageNormal versus concerning vaginal dischargeUrinary symptoms and infection suspicionFetal movement education by gestational ageLesson 4Gynecologic an' sexual history: STIs, contraception history, menstrual pattern, abnormal bleedin'Detail how fi get respectful gynecologic an' sexual history, includin' menstrual patterns, contraception, past STIs, abnormal bleedin', an' cervical procedures, while keepin' privacy, trauma-informed care, an' culturally sensitive chat.
Establishing privacy and trauma-informed rapportDocumenting menarche, cycle length, and flowContraception history and fertility intentionsScreening for current and past STIsAbnormal bleeding, pain, and red-flag symptomsPrior gynecologic procedures and implicationsLesson 5Focused physical exam: vitals readin', weight an' BMI calculation, abdominal an' pelvic exam indicationsOutline parts a di focused physical exam at di first prenatal visit, includin' vital signs, weight, BMI, an' reasons fi abdominal an' pelvic exams, emphasizin' infection control, chaperone use, an' respectful patient chat.
Accurate blood pressure and pulse techniqueWeight, BMI, and counseling on gain goalsGeneral inspection and thyroid assessmentCardiac, respiratory, and edema evaluationAbdominal exam and uterine size by weeksPelvic exam indications and chaperone useLesson 6Psychosocial assessment: mental health screenin' (anxiety, depression), social support, domestic safety, substance use screenin'Focus pon psychosocial assessment durin' di first prenatal visit, includin' screenin' fi depression, anxiety, substance use, intimate partner violence, an' checkin' social support, housin', an' money stress dat may affect pregnancy outcomes.
Using validated perinatal mood screenersAssessing anxiety, stress, and coping skillsScreening for alcohol, tobacco, and drug useIdentifying intimate partner violence and safetyEvaluating social support and caregiving rolesConnecting patients to mental health resourcesLesson 7Reproductive plannin' an' counselin' needs: pregnancy intentions, partner involvement, cultural an' language considerationsExplore reproductive life plannin' an' counselin' at di first visit, includin' pregnancy intentions, partner involvement, cultural an' language needs, an' shared decision-makin' bout prenatal care, spacin', an' future contraception options.
Assessing pregnancy intention and ambivalenceDiscussing partner involvement and supportAddressing cultural beliefs about pregnancyUsing interpreters and language access toolsPlanning birth spacing and contraceptionShared decision-making in prenatal careLesson 8Obstetric history: GTPAL, last menstrual period, previous pregnancy outcomes, datin' an' uncertaintyCover structured obstetric history usin' GTPAL, clearin' last menstrual period, prior pregnancy outcomes, complications, an' datin' uncertainty, an' explain how dis info guide risk assessment, counselin', an' early pregnancy management.
Using GTPAL to summarize pregnancy historyClarifying LMP, cycle regularity, and recallReviewing prior pregnancy complicationsEctopic, miscarriage, and termination historyEstimating due date and dating discrepanciesWhen to order early ultrasound for dating
