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Three trimesters of pregnancy
1st: week 1-13
2nd: weeks 14-27
3rd: weeks 28 to delivery
Naegeles rule of EDB
First day of LMP- subtract 3 months, add 7 days and one year
Ultrasound to determine EDB
1st trimester: accurate within 7 days
2nd trimester: accurate within 710-14 7days
The 7sooner 7a 7woman 7gets 7an 7ultrasound 7the 7better 7estimate 7we 7can
7give 7for 7weeks 7gestation 7and 7tracking 7of 7fetal 7growth 7and 7development.
Prenatal 7visit 7schedule 7for 7low-risk 7pregnancies
-Preconception 7visit: 7up 7to 71 7yr 7before 7conception
-1st 7prenatal 7visit: 76-8wks 7after 7missed 7menses
7Up 7to 728 7weeks- 7every 74 7weeks
28 7to 736 7weeks 7- 7every 72 7weeks
36 7weeks 7and 7on 7-every 7week 7or 7more 7as 7necessary
First 7prenatal 7visit 7should 7include
· 7Confirmation 7of 7pregnancy
1. Pregnancy 7test 7and 7ultrasound
· History
· Menstrual 7history 7(LMP) 7and 7obstetric 7history
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,· Past 7medical 7history
· Nutrition 7and 7habits: 7tobacco, 7alcohol, 7drugs
· Genetic 7history: 7mom, 7father 7and 71st 7relative
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, · Social 7history 7including 7work, 7abuse, 7coping
· Current 7symptoms
· Physical 7exam 7and 7labs
1. Pelvic 7exam 7and 7pap 7smear
2. Blood 7type 7and 7antibody 7screen
3. Rubella 7and 7hepatitis 7B 7titer
4. GC, 7RPR, 7HIV, 7Hep 7C
5. CBC
6. Urinalysis 7with 7culture
7. UDS 7(?)
Prenatal 7visits 712-21 7weeks
Quad 7Marker 7screening, 7discuss 7newborn 7feeding 7options
Prenatal 7visit 718-22 7weeks 7Anatomy 7OB
7ultrasound
Prenatal 7visit 724-28 7weeks
1 7hour 7glucose 7test, 7RH 7neg 7type 7and 7screen
Prenatal 7visit 728-34 7weeks
RhoGam 7administration, 7STI 7testing 7if 7indicated, 7review 7newborn 7feeding
7discussion, 7administer 7Tdap, 7preterm 7labor 7assessment 7and 7education 7at
7each 7visit
Prenatal 7visit 734-36 7weeks
Group 7B 7strep 7swab, 7review 7s/s 7of 7labor 7and 7review 7labor 7plan
Prenatal 7visit 736-40+ 7weeks
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