Online Skills Lab Pa of A Normal Pregnant Client Jamosmos 1 1
Online Skills Lab Pa of A Normal Pregnant Client Jamosmos 1 1
Online Skills Lab Pa of A Normal Pregnant Client Jamosmos 1 1
PHYSICAL ASSESSMENT
After the health assessment during the first prenatal visit, the next step is a physical
assessment. The pregnant woman must be advised to urinate first before the examination to:
(1) reduce bladder size and make the pelvic examination more comfortable, (2) allow easier
identification of pelvic organs, and (3) provide a urine specimen for laboratory testing, as
ordered.
A physical examination at a first prenatal visit typically includes inspection of major body
systems, with emphasis on the changes that occur with pregnancy or that could signal a
developing problem.
1. VITAL SIGNS
NORMAL FINDINGS
Recommended
Pregnancy Weight
Pre-Pregnancy BMI
Gain According to
CDC
Underweight : Less 28 to 40 pounds
than 18.5
Normal: 18.5 to 24.9 25 to 35 pounds
Overweight: 25 to 29.9 15 to 25 pounds
Obese: Over 30 11 to 20 pounds
3. SKIN
4. NOSE
Character of Mucosa: Redder than oral mucosa; in pregnancy, nasal mucosa is edematous
in response to increased estrogen, resulting in nasal stuffiness (rhinitis of pregnancy) and
nosebleeds.
5. MOUTH
8. BREASTS
9. HEART
Skin warm, pulses palpable, full range of motion; may be some edema of hands and ankles
in late pregnancy; varicose veins may become more pronounces; palmar erythema may be
present
11. SPINE
12. REFLEXES
Internal measurements:
Diagonal conjugate at least 11.5 m
Obstetric conjugate estimated by
subtracting 1.5-2 cm from diagonal
conjugate
Inclination of sacrum
Motility of coccyx; external
intertuberosity diameter greater than 8
cm
No lumps, rashes, excoriation, tenderness; cervix may be felt through rectal wall
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Laboratory Task:
1. The class will be divided into three groups. Group 1 will be assigned to interview a
pregnant woman on the first trimester, Group 2 to a pregnant woman on the second
trimester, and Group 3 to a pregnant woman on the third trimester.
2. Consent and privacy of the patient must be dealt with utmost confidentiality.
3. Face-to-face interview may be done if the pregnant woman is residing in the same
house with the interviewer. Protocols set by the IATF shall be strictly followed.
4. Otherwise, interview shall be conducted thru video conferencing applications.
5. Findings as verbalized by the pregnant woman must be noted and transcribed.
6. Analysis and interpretation of the results must be reported to class.
7. Written report must be submitted using the following format.
Nursing
Findings as Analysis and
Physical Responsibilities
Verbalized by the Interpretation of the
Assessment Based on the
Patient Findings
Findings
Send screenshot (email or Canvas) of the ‘submission confirmation screen’ to your instructor
along with this worksheet.
Date Completed:
Date Submitted:
Adele Pillitteri, JoAnne Silbert-Flagg. (2018). Maternal and Child Health Nursing: Care of the
Childbearing and Chilrearing Family. (8 th Ed.). Wolters Kluwer.
Michele Davidson, Marcia London, Patricia Ladewig. (2012). Old’s Maternal-Newborn Nursing
& Women’s Health across the Lifespan. (9th Ed.). Pearson.