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Class notes NUR214 ANTENANTAL CARE: ROLES OF A NURSE

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This document is a comprehensive Midwifery I learning resource focusing on Antenatal Care (ANC) and the Roles of a Nurse. It is professionally structured to meet nursing education standards and is suitable for Diploma and Degree nursing students, especially those preparing for clinical practice and OSCE examinations. Scope and Content The document covers both theoretical and practical aspects of antenatal care. It begins with foundational concepts such as the definition, aims, objectives, and principles of antenatal care, providing a clear understanding of why ANC is essential for maternal and fetal health. It also outlines the WHO-recommended antenatal visit schedule, ensuring the content aligns with current international and national (Kenya MoH) guidelines. Focus on the Nurse’s Role A major strength of the document is its detailed explanation of the roles of a nurse in antenatal care, including: Comprehensive maternal assessment and history taking Physical and abdominal examination Health education and counseling Preventive interventions (immunization, supplementation, infection prevention) Identification and management of high-risk pregnancies Psychological support and professional documentation These roles are clearly explained in a way that links nursing actions to patient outcomes. OSCE-Oriented Design The document is expanded into OSCE-style notes, making it highly practical and exam-oriented. Each OSCE station is clearly presented with: Objectives Required equipment Step-by-step nursing procedures Expected findings and examiner focus points

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Uploaded on
January 22, 2026
Number of pages
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Written in
2025/2026
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MIDWIFERY I (NORMAL PREGNANCY & ANTENATAL CARE)
ANTENATAL CARE: ROLES OF A NURSE


1. INTRODUCTION
Antenatal Care (ANC) refers to the comprehensive health supervision, education,
and medical care provided to a pregnant woman from conception until the onset of
labour. The primary goal of ANC is to ensure the best possible health outcomes for
both the mother and the unborn child. Nurses play a central role in the delivery of
antenatal care through health promotion, disease prevention, early detection of
complications, and preparation of the woman and family for childbirth and
parenthood.

,2. DEFINITION OF ANTENATAL CARE
Antenatal care is the systematic supervision of a woman during pregnancy to
monitor the progress of pregnancy, identify deviations from normal, and provide
timely interventions.


3. AIMS AND OBJECTIVES OF ANTENATAL CARE
3.1 Aims
 To ensure the birth of a healthy baby to a healthy mother
 To detect and manage pregnancy-related complications early
 To prepare the mother physically and psychologically for labour, delivery,
and parenthood
3.2 Objectives
 Promote maternal and fetal wellbeing
 Prevent maternal and neonatal morbidity and mortality
 Provide health education and counseling
 Identify high-risk pregnancies
 Encourage skilled birth attendance

, 4. PRINCIPLES OF ANTENATAL CARE
 Early booking (preferably in the first trimester)
 Regular and scheduled ANC visits
 Holistic care (physical, psychological, social, and spiritual)
 Client-centered and respectful maternity care
 Continuity of care


5. ANTENATAL VISITS SCHEDULE
According to WHO recommendations:
 First visit: Before 12 weeks
 Second visit: 20 weeks
 Third visit: 26 weeks
 Fourth visit: 30 weeks
 Fifth visit: 34 weeks
 Sixth visit: 36 weeks
 Seventh visit: 38 weeks
 Eighth visit: 40 weeks
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