Report on Progress of Professional Portfolio

Competency K-2 Prenatal Care

Subcategory K-2-1 Demonstrate knowledge and ability to perform
comprehensive history including
Signs and symptoms
Last menstrual cycle
Expected date of confinement
IDENTIFY

Number of pregnancies (gravida, para)

COMPETENCY
Fundal height
NUMBER, LETTER AND
SUBCATEGORY
Auscultation of

fetal heart monitoring

Identify potential risk factors

-

Health issues

Sexually transmitted infections

Socio-economic issues

Substance abuse

When studying; the first four units of this course I realized how much
information I really did not know about maternity. I found all the
information very interesting and informative. The one significant
learning experience I had was calculating the Expected date of
DESCRIBE ONE
Confinement also known as expected date of delivery/estimated due
SIGNIFICANT
date. I always thought that the doctors had the tool that they used and
LEARNING
EXPERIENCE IN THIS the matched up the first day of the last period and it gave the Due date.
COURSE RELATED TO It was really interesting to find out just how easy it was to determine.
THE CLPNA
First day of last menstrual cycle plus 7 days add 9 months. So if a
COMPETENCY.
persons last menstrual cycle was January 20, add 7 days January 27,
PROVIDE AN EXAMPLE
now add nine months, due date is October 27. Or we could do it the
other way First day of last menstrual cycle plus 7 days subtract 3
months. So if a persons last menstrual cycle was January 20, add 7 days
January 27, now subtract 3 months, due date is October 27.

PROFESSIONAL PORTFOLIO

After studying this course I have a better understanding about the areas
of this sub competency. I understanding why things are done in a
DESCRIBE WHAT YOU prenatal checkup, and what the doctors and nurses are looking when they
LEARNED AND HOW IT ask when you last menstrual period was (checking an estimated due
RELATES TO THE
date), when they check the fundal height (seeing how the fetus is
COMPETENCY.
growing). And when they send you to the lab for so much blood work
EXPLAIN WHY IT WAS and check your urine. Understanding the changes in a womens body,
MEANINGFUL.
and what is expected and not expected, and what are the warning signs.
Also that by asking all the personal questions that they are just trying to
assess what the risk factors are to the baby and the mother.
USES THE
PROFICIENCY
CATEGORIES TO
RATE THEIR
PROFICIENCY IN THE
CHOSEN CLPNA
COMPETENCY.
EXPLAIN WHAT WAS
DONE TO ACHIEVE
THE COMPETENCY.

DESCRIBE HOW YOU

WILL APPLY THIS
LEARNING IN YOUR
CURRENT AND
FUTURE NURSING
PRACTICE

Rating; Good
I am still learning, and I did not get to do any hands on teaching, or
practice with this skill. I feel that I am able to do figure out what the
expected date of confinement will be but I have not matched it out with
what the doctor has told anyone. Also with no hands on experience it is
hard to check the fundal height, or the auscultation of a fetal heart. I
have a book understanding on how to do things, but no hands on. It
would have been good if I could have practiced on some pregnant
women, but I do not know any one at this moment that is expecting.
One area that I have thought that I would really like to work is Maternity
and or Pediatrics. In this sub-competency it all about assessment of the
pregnant mother to ensure that the outcome of the pregnancy is positive.
As nurses we will need to be able to be able to determine what an
expected date of confinement to be about to understand how far along a
women and what the risks are to the fetus and to the mother. By
assessing the fundal height, we are about to determine whether or not the
baby is growing at the correct rate. By auscultation of the fetal heart we
know the location of baby and is the baby becomes distressed. Also by
identifying any potential risk factors, we are about to suggest preventive
measures to promote a healthy baby. I feel that the main goal of this
competency is to have a healthy mother and infant at the end of the
pregnancy.

Student Name: Kerry Murphy______________________________________________________

Course: NFDN 2004 Maternity Nursing_______________________________________________
Date: January 23, 2016____________________________________________________________
Instructor/Tutor: Fauziya Ali_______________________________________________________