Lesson 1Urine and point-of-care tests: urine dipstick interpretation (protein, glucose, ketones), when to send cultures or urine microscopyLooks at how to do and read urine dipstick tests for protein, glucose, and ketones, and explains when to send samples for culture or microscopy to check for infections, kidney problems, dehydration, and metabolic issues 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, infectionsGoes over taking a focused medical and surgical history, covering ongoing illnesses, medicines, allergies, jabs, and past infections, and spotting issues that need changes or referrals to improve outcomes for mother and baby.
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 checking current pregnancy signs like nausea, vomiting, pain, vaginal bleeding or discharge, and what to expect for early baby movements, telling normal unease from 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 taking a respectful gynaecologic and sexual history, including periods, birth control, past STIs, unusual bleeding, and neck procedures, while keeping privacy, trauma-aware care, and sensitive talk to culture.
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 indicationsSets out parts of the targeted physical exam at the first prenatal visit, including vital signs, weight, BMI, and when to do belly and pelvic exams, stressing infection control, using a chaperone, and respectful talk with patients.
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 screeningLooks at psychosocial checks during the first prenatal visit, screening for depression, anxiety, substance use, partner violence, and checking social support, home, and money stresses that can 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 considerationsExplores family planning and advice at the first visit, covering pregnancy plans, partner roles, cultural and language needs, and joint decisions on prenatal care, spacing, and future birth control choices.
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 organised obstetric history with GTPAL, clarifying last period, past pregnancy results, problems, and dating doubts, and how this info guides risk checks, advice, 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
