Lesson 1Urine and quick tests: reading urine strip for protein, sugar, ketones, when to send for culture or urine lookLooks into how to do and read urine strip tests for protein, sugar, and ketones, and explains when to get urine culture or close look to check for infection, kidney problems, dryness, 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 2Health and operation history: long-term illnesses, medicines, allergies, shots, infectionsGoes over how to get a focused health and operation history, covering lasting sicknesses, medicines, allergies, shots, and past infections, and how to find issues needing change or sending to specialist to better mother 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 3Now pregnancy check: signs like sickness, throwing up, pain, private part flow or blood, baby move hopesDeals with full check of current pregnancy signs, including sickness, throwing up, pain, private bleeding or flow, and early baby move 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 health and private life history: bad infections, birth control past, monthly cycle, odd bleedingTells how to get a kind women health and private life history, including monthly cycles, birth control, past bad infections, odd bleeding, and neck work, keeping privacy, care for past hurts, and respect for culture 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 body check: life signs reading, weight and body size count, belly and private check needsSets out parts of the targeted body check at first prenatal meeting, including life signs, weight, body size, and needs for belly and private checks, stressing germ control, helper use, and kind 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 6Mind and social check: mind health screen for worry, sadness, social help, home safety, drink or smoke screenCenters on mind and social check at first prenatal meeting, including screen for sadness, worry, drink or smoke use, close partner harm, and checking social help, home, and money stress that may harm 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 wants, partner role, culture and talk needsLooks into family life planning and advice at first meeting, including pregnancy wants, partner role, culture and talk needs, and shared choices about 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 8Birth history: GTPAL, last monthly start, past pregnancy ends, dating and not sureCovers set birth history using GTPAL, making clear last monthly start, past pregnancy ends, problems, and dating not sure, and tells how this info guides danger 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
