Antenatal Care and Assessment
Antenatal care monitors the health of mother and fetus throughout pregnancy, screening for complications and providing education and preventive care.
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What you must know about Antenatal Care
WHO recommends a minimum of 8 antenatal contacts during pregnancy.
Routine checks include blood pressure, weight, urinalysis, fundal height, and fetal heart rate.
Danger signs in pregnancy include severe headache, blurred vision, swelling, bleeding, and reduced fetal movement.
Provide tetanus toxoid immunisation and iron/folate supplementation.
Intermittent preventive treatment (IPTp) with SP is given for malaria prevention in endemic areas.
Screen for anaemia, HIV, syphilis, and hepatitis B during antenatal care.
NMCN Exam Tips
How this topic appears in the NMCN exam
Know the danger signs of pregnancy — commonly tested.
Iron/folate and tetanus toxoid are routine antenatal interventions.
Rising BP with proteinuria suggests pre-eclampsia.
WHO now recommends at least 8 antenatal contacts.
Practice Question
Test yourself
During antenatal care, which of the following is a danger sign that requires urgent medical attention?
Explanation
Severe headache with blurred vision may indicate pre-eclampsia, a serious hypertensive disorder of pregnancy. This is a danger sign requiring urgent assessment. Mild ankle swelling, heartburn, and urinary frequency are common, usually benign discomforts.
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