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    ANTENATAL ASSESSMENT Form 11

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    Kaku Manisha
    This document contains an antenatal assessment of a 23-year-old pregnant woman. She is in her 36th week of pregnancy, with no significant medical or obstetric history. On examination, she has pallor and edema. Lab results show her hemoglobin is low. She is given calcium, iron supplements and health education on antenatal care.

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    ANTENATAL ASSESSMENT Form 11

    Uploaded by

    Kaku Manisha
    164 views4 pages
    This document contains an antenatal assessment of a 23-year-old pregnant woman. She is in her 36th week of pregnancy, with no significant medical or obstetric history. On examination, she has pallor and edema. Lab results show her hemoglobin is low. She is given calcium, iron supplements and health education on antenatal care.

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    ANTENATAL ASSESSMENT form 11

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    This document contains an antenatal assessment of a 23-year-old pregnant woman. She is in her 36th week of pregnancy, with no significant medical or obstetric history. On examination, she has pallor and edema. Lab results show her hemoglobin is low. She is given calcium, iron supplements and health education on antenatal care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    164 views4 pages

    ANTENATAL ASSESSMENT Form 11

    Uploaded by

    Kaku Manisha
    This document contains an antenatal assessment of a 23-year-old pregnant woman. She is in her 36th week of pregnancy, with no significant medical or obstetric history. On examination, she has pallor and edema. Lab results show her hemoglobin is low. She is given calcium, iron supplements and health education on antenatal care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    ANTENATAL ASSESSMENT -11

    Name:- Manjuben Bhaveshbhai Maniar Age:- 23 year


    Registration No:- 67583 Date:- 4/8/21
    L.M.P.:- 22/12/20 E.D.D:- 29/9/21
    Obstetrical Score: G1P0L0A0

     MEDICAL HISTORY:
    Anaemia: Present Heart Disease:- No any
    Pulmonary Disease:- Absent Allergy:- No any
    Other:- No any *H/o: RTI/STI/HIV:- No

     FAMILY HISTORY:
    Type of Family: Single: Yes No. of Persons: Two
    Joint.......................... No. of Persons: ................

     PERSONAL HISTORY:
    Diet: Vegetarian Addiction: No any
    Likes: Dal, Rice, Mix sbji Dislikes: Sienach
    Bowel: Irregular Bladder: Frequency of
    Urination is increased
    Tetanus Immunization: Two doses of Inj. T.T Taken

     SOCIOECONOMIC BACKGROUND:
    Religion: Hindu Family Income: 20000
    Education: Husband: B.Com Wife: 10th pass
    Occupation: Husband: Job Wife: Housewife
     MENSTRUAL HISTORY:
    Menarchy: At 12 years of age Duration: 5 days
    Interval: 30 days Flow: Regular

     MARITAL HISTORY:
    Age of marriage: 20 year Years Married: Three
    Consanguineous: no

     PAST OBSTETRICAL HISTORY:

    Sr. Year Full Pre Abortion Type Baby Re


    No. term term of Sex Alive Stillborn Weight mark
    Delive
    ry

    Nil

     GENERAL EXAMINATION:
    General Condition: Normal Temperature: 98.4 F
    Pulse: 78/min Respiration: 18/min
    Blood Pressure: 110/70mmhg Other Features: No any
    Pallor: Present Oedema: Present
    Icterus: Absent Lymphadenopathy: Absent
    Breasts: Right: Secondary areola & Left: Secondary areola &
    Montagomery tubercles seen Montagomery tubercles seen
    Nipples: Right: Everted Left: Everted
     SYSTEMIC EXAMINATION:
    1. Nervous System: The mother is conscious and no any symptoms related
    to nervous system
    2. Cardiovascular System: S1 S2 heard with the blood pressure of
    110/70mmhg
    3. Respiratory System: The respiratory rate are 18/min with normal lung
    sounds. The mother has complain of mild difficulty in breathing
    4. Gastrointestinal System: The bowel sounds are decreased and mother has
    complain of mild constipation
    5. Reproductive System: The size of uterus increased at 36cm with the
    abdominal girth of 60cm. The uterus is soft
    6. Musculo-skeletal System: The patient has complain of lower back pain
    and swelling
    7. Integumentary System: The skin is hyperpigmanted with the presence of
    chloasma and linia nigra

     OBSTETRIC EXAMINATION:
    Date Weight B.P. Urine Fundal Abdom Uterine Present FHR Posit Re
    mmHg Protein Gluc height inal Size ation (bpm) ion mar
    ose (cm) Size (wks) k
    (cm)
    4/8/2 74kg 110/70 Absent Abse 36cm 60cm 36 Cephali 120b RO
    1 mmhg nt weeks c pm A
     INVESTIGATIONS:
    Blood group: AB Positive Rh: Negative
    Haemoglobin: 8.5gm/dl VDRL: Negative
    HIV: Negative Others: No any

     TREATMENT GIVEN:
    The following treatment is given:
     Calcium 500mg 2BD
     Iron 40mg BD

     HEALTH EDUCATION:
    I have given health education on following points:
     Regular follow up for antenatal check-up
     Regular administration of given drugs
     Care during antenatal period
     Dietary requirements during antenatal periods and maintenance of
    GI symptoms
     Antenatal exercise

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