Module 3 FP Client Assessment
Module 3 FP Client Assessment
FP CLIENT
ASSESSMENT
Module 3 Overview
Past illnesses
Hospitalizations
Accidents/Injuries
Allergies
Surgeries
Habits (smoking, drinking, substance
abuse, etc.)
Family History (CVA, heart disease)
3. Reproductive History
Menstrual History
Menarche - age of onset of menstruation
Last Menstrual Period (LMP) - first day of
last menstrual period including the number
of days, character (scanty, moderate, or
heavy) of menstrual flow and
accompanying symptoms
Previous Menstrual Period (PMP) - first day
of menstrual period prior to the mentioned
LMP.
3. Reproductive History
Obstetrical History
Gravidity (G) – number of pregnancies
regardless of outcome
Parity (P)- number of pregnancies reaching
viability (>20 weeks AOG)
Other information (F-P-A-L)
Full-term pregnancies
Pre-term pregnancies
Abortions
Living children
3. Reproductive History
FP History
FP method currently being used
duration of use
satisfaction with use
FP method previously used
duration of use
reason/s for discontinuation or
shifting
Reproductive goals/ intents
desired number of children
to limit or to space
3. Reproductive History
Risk for STIs
Ask the client the following questions:
Do you suspect your partner to have
another sexual partner?
Do you think your sex partner might
have an STI?
Have you or your partner ever been
treated for STIs?
3. Reproductive History
Risk for STIs
Ask the client the following questions:
Do you or your partner experience the
following:
Unusual (pus-like, foul smelling) discharge
from the vagina/urethra?
Itching and/or sores around the genital
area?
3. Reproductive History
VAWC
Ask the client the following questions:
How is your relationship with your
husband or partner?
Does he know about your coming to the
clinic?
Is he willing to cooperate or support
you in using a FP method?
4. Present Health or Concerns
• Present complaint or concern
• Onset, nature, and duration of
present complaint or concern
• Accompanying symptoms and
precipitating/aggravating factors
• Measures or medications taken to
relieve symptoms and
precipitating/aggravating factors
• Prior consult or medications
Exercise on Filling up the FP
Form 1
Role Play
Remember…
Proceed from head to toe
Inspect first, palpate later
Four Categories:
Category 1: A condition for which there is NO
RESTRICTION on the use of contraceptive
method. PROVIDE the METHOD.
Category 2: A condition where THE
ADVANTAGES of using the method generally
OUTWEIGH the theoretical or proven RISKS.
This indicates that the method can be
GENERALLY used, but that CAREFUL FOLLOW-
UP may be required.
WHO MEC for Contraceptive Use
Category 3: A condition where the THEORETICAL OR
PROVEN RISKS usually OUTWEIGH the ADVANTAGES
of using the method. Use of this method IS NOT
RECOMMENDED UNLESS OTHER MORE APPROPRIATE
METHODS ARE NOT AVAILABLE or ACCEPTABLE.
NA Not applicable
WHO MEC Wheel for Contraceptive
Use