Lesson 1Urine and quick tests: urine dipstick reading (protein, glucose, ketones), when to send for cultures or urine microscopyLooks at urine dipstick method and reading for protein, glucose, and ketones, and explains when to get urine culture or microscopy to check for infection, 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: long-term conditions, medicines, allergies, vaccinations, infectionsGoes over how to get a focused medical and surgical history, including long-term illnesses, medicines, allergies, vaccinations, and past infections, and how to spot conditions that need 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 expectationsDeals with a full review of current pregnancy symptoms, like nausea, vomiting, pain, vaginal bleeding or discharge, and early fetal movement hopes, telling normal discomforts from warning signs that need 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 4Women's health and sexual history: STIs, birth control history, menstrual pattern, unusual bleedingExplains how to get a respectful women's health and sexual history, including menstrual patterns, birth control, past STIs, unusual bleeding, and neck 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 check: vital signs reading, weight and BMI calculation, belly and pelvic check reasonsOutlines parts of the focused physical check at the first prenatal visit, including vital signs, weight, BMI, and reasons for belly and pelvic checks, stressing infection control, chaperone 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 emotional check: mental health screening (anxiety, depression), social support, home safety, substance use screeningFocuses on social and emotional check during the first prenatal visit, including screening for depression, anxiety, substance use, partner violence, and checking social support, housing, and money worries 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 counselling needs: pregnancy plans, partner involvement, culture and language needsLooks at family life planning and counselling at the first visit, including pregnancy plans, partner role, culture and language needs, and shared choices about prenatal care, spacing, and future birth control 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 8Pregnancy history: GTPAL, last menstrual period, previous pregnancy results, dating and uncertaintyCovers structured pregnancy history using GTPAL, clarifying last menstrual period, past pregnancy results, problems, and dating uncertainty, and explains how this info guides risk checks, counselling, and early pregnancy care.
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
