Lesson 1Urine and quick tests: urine strip reading (protein, glucose, ketones), when to send for cultures or urine checkLooks into urine strip method and reading for protein, glucose, and ketones, and explains when to get urine culture or microscopy to check for infection, kidney issues, dehydration, and body changes 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: long-term conditions, drugs, allergies, jabs, infectionsGoes over how to get a focused medical and surgical history, covering ongoing illnesses, drugs, allergies, jabs, and past infections, and spotting conditions that need change or referral to better mum and baby results.
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 check: signs (sickness, throwing up, pain), vaginal flow or bleeding, baby movement hopesDeals with full check of current pregnancy signs, like sickness, throwing up, pain, vaginal bleeding or flow, and early baby movement hopes, telling normal unease from danger signs needing quick 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 4Women’s health and sex history: STIs, birth control past, monthly cycle, unusual bleedingExplains how to get a respectful women’s health and sex history, covering monthly cycles, birth control, past STIs, unusual bleeding, and neck procedures, 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 5Targeted physical check: vital signs reading, weight and BMI figuring, belly and pelvic check reasonsOutlines parts of the targeted physical check at first antenatal visit, covering vital signs, weight, BMI, and reasons for belly and pelvic checks, stressing infection control, helper use, and respectful patient talk.
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 6Social and mind health check: mind health screening (worry, low mood), social help, home safety, substance checkCenters on social and mind health check at first antenatal visit, covering screening for low mood, worry, substance use, partner violence, and checking social help, home, and money stress that may 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 7Family planning and advice needs: pregnancy plans, partner role, culture and language thoughtsLooks into family life planning and advice at first visit, covering pregnancy plans, partner role, culture and language needs, and joint choices on antenatal 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 8Birth history: GTPAL, last monthly period, past pregnancy results, dating and doubtCovers planned birth history using GTPAL, making clear last monthly period, past pregnancy results, issues, and dating doubt, and shows how this info guides risk check, 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
