Lesson 1Urine and point-of-care tests: urine dipstick interpretation (protein, glucose, ketones), when to send cultures or urine microscopyCovers urine dipstick method and reading for protein, glucose, and ketones, and explains when to send urine culture or microscopy to check for infection, kidney issues, dehydration, and metabolic problems 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 and surgical history: chronic conditions, medications, allergies, vaccinations, infectionsLooks at how to get a focused medical and surgical history, covering long-term illnesses, medicines, allergies, jabs, and past infections, and spotting conditions that need changes or referrals to improve mum and 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, vomiting, pain), vaginal discharge or bleeding, fetal movement expectationsDeals with thorough check of current pregnancy signs like nausea, vomiting, pain, vaginal bleeding or discharge, and early baby movement expectations, separating normal niggles from danger signs needing quick checks.
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 and sexual history: STIs, contraception history, menstrual pattern, abnormal bleedingExplains how to take a respectful gynaecologic and sexual history, including periods, family planning, past STIs, unusual bleeding, and cervix procedures, while keeping privacy, trauma-aware care, and culture-sensitive talk.
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 interpretation, weight and BMI calculation, abdominal and pelvic exam indicationsOutlines parts of the focused physical exam at first antenatal visit, including vital signs, weight, BMI, and when to do belly and pelvic exams, stressing infection control, chaperone use, and 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 screening (anxiety, depression), social support, domestic safety, substance use screeningFocuses on psychosocial check at first antenatal visit, screening for depression, anxiety, substance use, partner violence, and checking social support, housing, and money stresses that affect pregnancy results.
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 planning and counseling needs: pregnancy intentions, partner involvement, cultural and language considerationsLooks at family planning and counselling at first visit, covering pregnancy plans, partner role, culture and language needs, and joint decisions on antenatal care, spacing, and future family planning 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, dating and uncertaintyCovers structured maternity history using GTPAL, confirming last period, past pregnancy results, complications, and dating doubts, and how this info guides risk checks, counselling, and early pregnancy handling.
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
