1 248 ASSESSMENT PROTOCOL FOR INITIAL PRE-NATAL CHECK-UP (Logic Tree No. 28) DIRECTION : Determine/identify whlch of the fol1owing symptoms/signs (S/S) or history data O-Lx D) are present and follow the Oowchart for the appropriate plan of management. RED YELLOW GREEN S/S or Hx D 5/S or Hx D S/S or Hx D Vaginal bleeding (even Continuous pregnancy LMP or quickening is if minimal only) (I. e., patient did known especially if there not have any Slight nausea and/or Is no associated menstruation from vomiting abdominal pain the time of the last Frequent but non- Abdominal pain, delivery until onset painful urination especially If In the of this pregnancy) durins the first few lower part of the LMP or quickening is weeks of pregnancy abdomen not known or during the later Sudden release of fluid Patient has been part of it from the vagina pregnant for at Difficulty of breathing Blurring of vision least five times or is during the last three Persistent and/or severe pregnant for the first months of pregnancy headache time Leg cram P,s during the Difficulty of breathing Complications during later months of I during the first six the previous pregnancy months of pregnancy pregnancy (like Increase in non-foul or If it occurs in hypertension, smelling mucoid patient with heart bleeding, excessive· vaginal discharge problem vomiting, etc. ). : Fetal movement still Blood pressure higher Persistent and/or present (may even be than the pre-excessive nausea increasing in number pregnant BP and/or vomiting and quality) in a Nostrils spreading out Chills pregnancy with AOG with each breath Cough and/or colds of at least 20 weeks Patient in pain Diarrhea or Patient's blood pressure Swelling of the hands constipation within normal limits Swelling of the face Painful urination based on her BP especially around the Itchiness of the vaginal before she became eyes area pregnant Marked swelling of the Foul smefling vaginal Patient is not in pain legs and feet specially discharg e Weight within normal du ring the first six Patient has heart range based on her months of pregnancy problem li'ke weight before she Fetal heart rate less than rheumatic fever 120 beats per minute Patient has other or more than 160 medical problems. beats per minute (like diabetes. hypertension, tuberculosis, 