final-antenatal care(latest) 4
TRANSCRIPT
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8/9/2019 Final-Antenatal Care(Latest) 4
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G= number of pregnanciesregardless of duration or outcome
T = number of full term infantsborn(infants born at 37 weeks orafter)
P = number of preterm infantsborn(infants born before 37 weeks)
A = number of
abortions(spontaneous miscarriagesor therapeutic abortions)
L = number of liing children
! = multiple pregnancies
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8/9/2019 Final-Antenatal Care(Latest) 4
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A woman who has had two preiouspregnancies" has gien birth to two
term children" and is again pregnantis #
graida 3"para $%3$&&$(GTPAL)
3$&&$&(GTPAL!)
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8/9/2019 Final-Antenatal Care(Latest) 4
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A woman who has had twomiscarriages at '$ weeks(under the
age of iabilit) and is againpregnant is
graida 3" para &
3&&$&(GTPAL)
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A multigestation pregnanc isconsidered as one para% or e*ample"
a woman who had term twins" thenone preterm infant" and is nowpregnant again would be a #
graida 3" para $
3$'&3'(GTPAL!)
Graida 3"para $
3$'&3(GTPAL)
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8/9/2019 Final-Antenatal Care(Latest) 4
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A pregnant woman who had thefollowing past histor+ a bo born at3, weeks gestation" now alie andwell- a girl born at .& weeksgestation"now alie and well- a girlborn at 33 weeks gestation" now
alie and well+ would hae herpregnanc information summari/edas follows#
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EX: Utilize the GTPAL system to classifya woman who is currently 8 months
pregnant. This is her fourth pregnancy.he !eli"ere! # $a$y "aginally at %&wee's who !ie!( e)perience! a
miscarriage( an! has one li"ing chil!who was !eli"ere! at *8 wee'sgestation.
a.G* P# +% # % #,$.G- P%+% % # #,c.G* P* +% # # #,!.G- P% +# # # #,
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EX: A mi!wife is collecting the !ata!uring an a!mission assessment of
anilyn( a client who is pregnant withtwins. he has healthy - years ol! chil!that was !eli"ere! *8 wee's an! tell
the mi!wife that she !oes not ha"e ahistory of a$ortion or fetal !emise. Thenurse woul! !ocument the GP+TPAL, forthis client as
a. G*P# + %/0/0/#,$. G%P% +0/#/0/#,c. G%P# +#/0/0/#,!. G%P% + %/0/0/%)
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8/9/2019 Final-Antenatal Care(Latest) 4
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A woman who has had term twins"then ' preterm infant 0 is nowpregnant again is classi1ed as#
G3 P $'&3' ( GTPAL!)
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8/9/2019 Final-Antenatal Care(Latest) 4
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Consultation
2omplete Assessment and Phsicale*amination
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1.Assessm ent of Fetal Grow th
and Developm ent
42544546
*pected date of con1nement5estimateddate of delier5estimated date of birth
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DETERMINATION OF ESTIMATED BIRTH DATE
a. NAEGELES RULE calculation of expected date of
confinement(EDC)
FORMULA: count backwad ! mont"# fomt"e fi#t da$ of a woman%# la#t men#tual
peiod (LM&) t"en add ' da$# plu# $ea
E*AM&LE: LM& A&R+L ,,- ../
0 ! 1' 1
EDD 2A3 ,.- ..4
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8/9/2019 Final-Antenatal Care(Latest) 4
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Gien L!P# !a $&"$&&
8 $& $&&+ 3 9 7 9'
:::::::::::::::::::::::::::::::
$ $7 $&&,
44 # ebruar $7" $&&,
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8/9/2019 Final-Antenatal Care(Latest) 4
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EDCLAST MENSTRUAL PERIOD ( LMP ) counted !o" #!$t
da% o t&e 'a$t "en$e$
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8/9/2019 Final-Antenatal Care(Latest) 4
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D ETERM IN ATIO N O F FETAL GRO W TH
a. AO G(AGE OF G ESTATIO N ) computation of age of gestation
E)ample: LP: 1anuary #( %0#-
2ate of consult: August *#( %0#-
A3G: Total 4 of !ays from LP up to !ate ofconsult
5
1anuary *# !ays
6e$ruary %8arch *#
April *0
ay *#
1une *0
1uly *#
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Total 7 %-* !ays
A3G 7 %-* 5
*- to * wee's
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. M DONALDS RULE
5 e#timation of AO6 in mont"# 7 week# b$fundic "ei8"t mea#uement in centimete#(cm#)
5 U#ed in #econd and t"id time#te#
5 Fi#t take t"e fundic "ei8"t(F9) in centimete#u#in8 a tape mea#ue
5 Mea#ue t"e di#tance fom t"e top of t"e
#$mp"$#i# pubi# oe t"e cue of t"e abdomen
to t"e top of t"e uteine fundu# u#in8 a tape
mea#ue
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8/9/2019 Final-Antenatal Care(Latest) 4
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LA # estimating A
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8/9/2019 Final-Antenatal Care(Latest) 4
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@A!PL#
>4B2 ?BG?T BC $' 2!C
$' 2!C @ $ =.$.$
7
= D months ( A
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LA# estimating A