This my prenatal which I call ".prenatal" (imaginitive, huh?!)
.name is a .age yo G***P*** at ***w***d here for regular prenatal care.
LMP is *** which gived EDD of ***
U/S on *** which gave GA of ***w***d which gives EDD of ***
FINAL EDD ***
Issues for this visit -
*** FM
*** CTX
*** VB
*** LOF.
*** N/V
*** HA
*** edema
*** other concerns
ISSUES FOR THIS PREGNANCY
***
Depression screening:
During the past month, have you been bothered by:
a.Little interest or pleasure in doing things? ***
b.What about feeling down, depressed, or hopeless? ***
(Yes to either question is positive screen)
OBJECTIVE
prepreg wt - ***
weight at last visit - ***
current wt - ***
weigt change since last visit - ***
GESTATIONAL PROGRESS:
Day: GA: fnht: fhr: pres: fm: ptl: cvx: edema: BP: Wt: gl/pr/le
----------------------------------------------------------------------------------------------
LABS
Urine Culture - ***
If positive for bacteria: Repeated with result of ***
Treated with ***
TOC on *** with result of ***
Intial labs date = ***
T&S ***
CBC ***
PAP ***
RPR ***
RUB ***
HBAg ***
HIV ***
Optional labs date = ***
GC ***
CT ***
Sickle ***
CF ***
8-18 wk labs
*** Quad Screen
*** Amnio/CVS
24-28 wk labs date = ***
1hr glucola ***
32-34 wk labs date = ***
hgh/hct ***
U/S ***
GC (if pt is teen) ***
CT (if pt is teen) ***
GBS ***
ULTRASOUNDS
Dating U/S - ***
Anatomy Scan - *** with *** results
Placenta is ***
A/P
1. Weight - The patient has gained *** lbs since her
last visit. We discussed the benefits of regular
exercise and healthy dietary choices for herself and
her baby.
2. Medications - the patient is taking her pre-natal
vitamins without difficulty.
3. PTL precautions discussed.
4. F/U in *** weeks
5. The plan for next visit will be: ***
6. Pts plan for post-partum contraception is ***.
.timestamp
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