The Pregnant Woman
The Health History
Common Concerns
Initial prenatal history
Confirmation of pregnancy
Symptoms of pregnancy
Concerns about and attitudes toward the pregnancy
Current health and past medical history
Past obstetric history
Risk factors for maternal and fetal health
Family history
Plans for breast-feeding
Determining gestational age and expected date of delivery
• Focus the initial prenatal visit on confirming the pregnancy, assessing the health status of the mother and any risks for complications, and counseling to ensure a healthy pregnancy. Ask about the following topics:
• Confirmation of pregnancy. Has the patient had a confirmatory urine pregnancy test, and when? When was her last menstrual period (LMP)? Has an ultrasound been done to establish dates? Explain that serum pregnancy tests are rarely required to confirm pregnancy.
• Symptoms of pregnancy.
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