pregnancy chart with 3 columns: What to

pregnancy chart with 3 columns: What to expect, patient education, and testing. Fill for the second trimester and third trimester Topic What to expect Testing Teaching/Pt. Ed needed Determining Pregnancy LMP US, HCG levels When implantation occurs, what if they used alcohol but did not know they were pregnant, etc. First Trimester First OB visit is typically around 8-10 weeks of pregnancy. History is taken. Due date will be determined by first day of last menstrual period and/or an ultrasound. Patient may be experiencing nausea, frequent urination, breast tenderness. Emotional: planned or unplanned pregnancy? History of pregnancy loss? Assisted reproductive technology such as IVF? Prenatal labs, Ultrasound Possibly Nuchal translucency, Chorionic villi sampling. What to avoid- drugs/alcohol/tobacco/marijuana, changing cat litter, exposure to chemicals. Teratogens for fetus. May feel more tired than normal (hormones). How to manage “morning” (any time) sickness/nausea. What is hyperemesis gravidarum? (Ask Emebet!) Nutritional and weight gain guidelines Warning signs: Call Provider if any bleeding or cramping occur. Second Trimester Third Trimester SCIENCE HEALTH SCIENCE NURSING NURS 232

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