University of Babylon / College of Nursing

University of Babylon College of Nursing

MATERNAL ASSESSMENT 1

SUPERVISOR BY : - DR.AMEAN

STUDEND NAME: - ZAINAB ALI HUSSEIN ROSSUL HAMZA ALYAA NEMIA

The aim of maternal assessment

2 1- to identify the high risk of cases

 2- to prevent and treat early complication

 3- to ensure from contained risk assessment and provide on going to primary health care

 4- educate the mother about physiology of and labor and care newborn The procedures of the first visit

3

1- Demographic data ( age – occupation- LMP-  EDD- P G A- type of labor – blood group + RH) 2- Family history  3- past history  4 -obstetric history  5 -mensterial history  Signs of pregnancy

4 - Breast changes  - Nausea & vomiting  - Amenorrhea  - Frequent urination  - Fatigue & uterine enlargement  - Line anigra  -  - Goodell signs  - Hegar signs  - Braxton contraction 

First Trimester 5

* (Subjective symptoms) - Amenorrhoea  - Morning sickness  - Frequent of micturation  - Breast discomfort  - Fatigue  - breast changes 

Objective signs

6

- breast changes  - abdominal enlargment  - pelvic changes 

* ( THE TESTING FOR DIAGNOSIS OF  PREGNANCCY IN FIRST TRIMESTER ( BHCG) AND ( U/S)

7 -gestational sac( 29-35) day of  gestation - gastational age to determine by the  detecting the following structures - cardiac activity in (6 week) and heart  rate at (10 weeks) - embryo growth by 7 weeks 

Second trimester

8

General examination  - Breast changes  - Enlargment of lower abdomen  - abdomenal examination :- included:-  a-inspaction:- included lineanigra 

9 b- palpation:- include  - fundal height  - the feel soft & elastic  - braxton s – hicks contraction  - active fetal movement  - palpation of fetal parts 

C – auscultation:- included ( fetal heart sound ) 

Third trimester

10

* symptoms :-  - amenorrhoea  - enlargment of abdominal  - frequency of urine  - fetal movement 

* signs :- - cutaneous changes  - uterine shape:- change from cylindrical to  spherical at 36 weeks 11

* fundal height ( from 32 to 38 the fetal head down  engagement should be tested)

* fetal movement s are easily felt  *- Braxton contraction  * palpation of fetal parts  * Sonography :- ( aminotic fluid assessment )   Physical Examination

12 - Baseline measurment height and weight - check vital signs - head and scaple - Eye - Ear - Nose and Mouth and oral cavity - Neck - Breast - thorax - back - skin Abdominal Examination

13

- Preliminaries  - Inspaction  - Palpation :-  - hight of uterus  - obstetric grips  - Ausculation - The relationship of the uterus and fetal:-  (lie– presentation – attitude – and  engagment )

Labortory test

@ Blood studies:-  14 - CBC  - Genetic screen  - Blood group + RH  - antibodies such as hepatities B & rubella  - HIV testing  - Glucouse test 

B- Urinalysis (GUE )  Signs of complication during pregnancy

15

@ Vaginal bleeding  @ persistent vomiting  @ chill and fever  @ abdominal or chest pain  @ increase or decrease fetal movement  16 Any question

Thank you with best wishes