Normal or Concerning?
Mild nausea with occasional vomiting while still able to eat and drink.
What is Normal/Expected?
Amenorrhea, nausea, fatigue, and breast tenderness fall into this category of pregnancy signs.
What are Presumptive Signs?
This is the first thing you want to know when asking, “When did the symptom begin?”
What is onset?
Blood pressure and pulse are examples of these routine maternal assessments
What are vital signs?
This profession's name traditionally means “with woman.”
What is a midwife?
Severe one-sided abdominal pain with shoulder pain and dizziness at 6 weeks.
What is Concerning?
A positive urine or blood hCG test belongs to this category of pregnancy signs.
What is a Probable Sign?
This is a prioritized list of possible explanations for a client's symptoms.
What is a differential diagnosis?
Lie, attitude, variety, position, and presentation are remembered with this abbreviation.
What is LAVPP?
Davis describes this as intuition developed through knowledge and repeated experience attending births.
What is educated intuition?
A client is 9 weeks by LMP, but ultrasound measures about 7 weeks.
What is Needs More Information?
Goodell, Chadwick, and Hegar signs all belong to this category.
What are Probable Signs?
History, physical examination, and indicated testing are used to narrow possibilities and develop this.
What is the assessment?
Protein, glucose, and preferably ketones are assessed using this routine prenatal test.
What is urinalysis?
Rather than replacing clinical reasoning, office tests and specimen collection should do this.
What is support clinical reasoning?
A client later in pregnancy has sudden swelling along with a severe headache and visual changes.
What is Concerning?
Fetal movement felt and reported by the pregnant client belongs to this category, even though the movement is real.
What is a Presumptive Sign?
After gathering history, vitals, exam findings, and other needed information, the midwife decides whether to reassure, monitor, consult, refer, or do this.
What is seek urgent evaluation?
Fundal height, estimated fetal size/weight, and amniotic fluid assessment help the midwife evaluate this overall area of prenatal well-being.
What is fetal growth and well-being?
A physical examination should have these three qualities: purposeful, consent-based, and connected to the client's history or clinical question.
What is PCL — Purposeful, Consent-based, Linked?
At 11 weeks, a client reports heavy vaginal bleeding, significant pelvic pain, dizziness, and weakness.
What is Concerning and requires prompt evaluation?
Unlike quickening reported by the client, fetal movement detected this way is considered a positive sign of pregnancy.
What is fetal movement palpated by an experienced examiner?
Onset, location, severity, progression, associated symptoms, gestational age, vital signs, history, differentials, and missing information all help determine this.
What is the appropriate next action: reassure, monitor, consult, refer, or seek urgent evaluation?
Frye's prenatal assessment goes beyond physical findings by including these two areas along with education and family interaction.
What are emotional well-being and safety/abuse assessment?
This three-part phrase summarizes the CPM's role: support normal physiology, recognize deviations, and determine when consultation, referral, or transfer is appropriate.
What is Normal → Notice → Navigate?