On the first visit, the last menstrual period is ascertained to date the current pregnancy. In addition, the patient is questioned about previous pregnancies, ethnic background, current problems, current medications, and medical, social, psychosocial, nutritional, and family history. Also on the first (or an early) visit, the mother is given a screening physical examination and a full pelvic examination including estimation of uterine size and clinical pelvimetry. Her weight and height are recorded, and blood pressure measured. Urine is examined for protein and glucose and may also be screened for bacteriuria. Standard blood studies include complete blood count, Venereal Disease Research Laboratory test (VDRL) for syphilis, rubella antibodies, hepatitis B surface antigen, blood type and Rh, and red cell antibodies.
