Lesson 1Urine and point-of-care tests: urine dipstick interpretation (protein, glucose, ketones), when to send cultures or urine microscopyExamines urine dipstick method and reading for protein, glucose, and ketones, and explains when to request 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, infectionsReviews methods to gather focused medical and surgical history, covering chronic illnesses, medications, allergies, vaccinations, and past infections, and how to spot conditions requiring changes or referrals to improve mother 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 expectationsCovers thorough review of current pregnancy symptoms, such as nausea, vomiting, pain, vaginal bleeding or discharge, and early fetal movement expectations, separating normal discomforts 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 how to take a sensitive gynecologic and sexual history, including menstrual cycles, contraception, previous STIs, unusual bleeding, and cervical procedures, while ensuring privacy, trauma-aware care, and culturally appropriate 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 targeted physical exam at the first prenatal visit, including vital signs, weight, BMI, and reasons for abdominal and pelvic exams, stressing infection control, chaperone presence, and respectful patient interaction.
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 screeningConcentrates on psychosocial assessment at the first prenatal visit, including checks for depression, anxiety, substance use, intimate partner violence, and assessing social support, housing, and money worries that could 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 reproductive life planning and counseling at the first visit, covering pregnancy intentions, partner role, cultural and language needs, and joint decision-making 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, explaining last menstrual period, past pregnancy results, issues, and dating doubts, and how this info helps assess risks, advise, and manage early pregnancy.
Using GTPAL to summarise 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
