| Course | NR 602 Primary Care of the Childbearing and Childrearing Family Practicum |
|---|---|
| Week | 2 |
| Paper type | Prenatal visit note |
| Length | About 810 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | MSN, Family Nurse Practitioner (FNP) |
| Updated | October 2026 |
Free sample paper for NR 602 Week 2
Prenatal Visit Note: J.T., 31, at 30 Weeks 2 Days by First-Trimester Ultrasound, Every Finding Read Against That Number and a Plan for Two Patients
Student Name
College of Nursing, Chamberlain University
NR 602: Primary Care of the Childbearing and Childrearing Family Practicum
Instructor Name
Month Day, Year
Prenatal Visit Note: J.T., 31, at 30 Weeks 2 Days by First-Trimester Ultrasound, Every Finding Read Against That Number and a Plan for Two Patients
Dating
J.T., 31, second pregnancy, one previous term vaginal birth. Estimated due date set by crown-rump length on ultrasound at 8 weeks 2 days, which agreed with the last menstrual period within 3 days. Gestational age today: 30 weeks 2 days.
Interval History: The Four Things the Patient Can Report
Fetal movement: active, felt many times a day, most in the evening.
Contractions: occasional painless tightening, no more than two an hour, settling with rest.
Bleeding: none.
Leaking fluid: none.
Also: no headache, no visual changes, mild ankle swelling by evening, no swelling of face or hands.
Objective, Read Against 30 Weeks
Blood pressure 118/74 (booking 110/70). Expected range; no upward drift.
Weight 72.4 kg. Pre-pregnancy weight 64.0 kg (body mass index 24). Gain to date 8.4 kg; over the last four weeks, 1.7 kg, about 0.42 kg a week, matching the recommended rate in the second half of pregnancy for a normal starting weight, within a total recommended gain of 11.5 to 16 kg (Institute of Medicine & National Research Council, 2009).
Fundal height 30 cm. Expected at 30 weeks, roughly equal to gestational age in weeks, within 2 cm.
Fetal heart rate 142 beats per minute by Doppler, inside the usual band of 110 to 160.
Urine dip: protein negative, glucose negative.
One-hour glucose challenge at 26 weeks: 128 mg/dL, under the cutoff of 140 used here.
Blood type O negative; antibody screen at 28 weeks negative.
Assessment
Intrauterine pregnancy at 30 weeks 2 days, progressing normally.
Rh negative, antibody screen negative.
Tdap not yet given this pregnancy.
Plan: The Pregnant Patient
Tdap today. Recommended in every pregnancy, ideally between 27 and 36 weeks, so that antibodies pass to the infant before birth (American College of Obstetricians and Gynecologists, 2017). Given in the left deltoid.
Anti-D immune globulin: the 28-week dose was missed because the 28-week visit was rescheduled. Given today, after the negative antibody screen, as soon as possible after 28 weeks.
Continue prenatal vitamin with iron.
Return in 2 weeks, at 32 weeks, then every 2 weeks until 36 weeks.
Plan: The Fetus
Growth: fundal height at each visit; ultrasound for growth if fundal height lags by more than 2 cm.
Well-being: fetal movement awareness, explained below.
Protection: Tdap today for infant pertussis protection after birth; anti-D to prevent sensitization that could affect this fetus or a later one.
Warning Signs, in Plain Words
Phone us, or head to the hospital's birthing unit without waiting, if:
- your baby's kicks slow down, or you count fewer than 10 in two hours while resting and paying attention;
- you have bleeding from the vagina;
- fluid leaks or gushes from the vagina;
- you have tightenings that come every 10 minutes or more often, or that hurt;
- a headache will not ease with acetaminophen, you see spots or flashes, or your face or hands puff up suddenly.
These were explained to J.T. and given in writing; J.T. repeated the movement count back correctly.
Blood Pressure Surveillance
At 30 weeks, J.T.'s pressure is 8 points above booking, a normal pattern as pressure returns toward its prepregnancy level in the third trimester. The threshold that would change the plan is 140/90 on two readings after 20 weeks, which defines gestational hypertension, and protein or other findings would make it preeclampsia (American College of Obstetricians and Gynecologists, 2020). J.T. has no risk factors that called for aspirin at booking. Pressure will be checked at every visit, and J.T. knows that a severe headache or visual change means phoning the clinic that day.
What Was Discussed
J.T. asked whether the ankle swelling was a problem. Mild evening ankle swelling that settles overnight is common in the third trimester; swelling of the face or hands, or sudden swelling, is different and is on the warning list. J.T. also asked about traveling to a family wedding at 34 weeks. We discussed staying within reach of a hospital, carrying a copy of the prenatal record and walking for a few minutes every hour of the drive to lower the risk of a clot. J.T. decided to go, with a plan to find the nearest hospital before leaving.
Next Visit
J.T. was asked to bring the movement count record and any home questions written down. 32 weeks: blood pressure, weight, fundal height, fetal heart rate, urine dip; discuss birth preferences and signs of labor.
References
American College of Obstetricians and Gynecologists. (2017). Update on immunization and pregnancy: Tetanus, diphtheria, and pertussis vaccination. ACOG committee opinion no. 718. Obstetrics & Gynecology, 130(3), e153-e157. https://doi.org/10.1097/AOG.0000000000002301
American College of Obstetricians and Gynecologists. (2020). Gestational hypertension and preeclampsia: ACOG practice bulletin, number 222. Obstetrics & Gynecology, 135(6), e237-e260. https://doi.org/10.1097/AOG.0000000000003891
Institute of Medicine & National Research Council. (2009). Weight gain during pregnancy: Reexamining the guidelines (K. M. Rasmussen & A. L. Yaktine, Eds.). National Academies Press. https://doi.org/10.17226/12584
The Chamberlain NR 602 Week 2 instructions
The Week 2 note is short and almost entirely comparative. Put the gestational age and how it was established at the top, and read every finding against that number: fundal height expected at this point, fetal heart rate in the expected range, screening due at this point. Treat weight as a slope rather than a value. Keep the interval history small and specific: movement, contractions, bleeding and leaking fluid. Plan for both patients. Give warning signs in words the patient would use. Most rubrics mark down a note where gestational age is recorded and never used, a plan that treats only the pregnant patient, no dating method and screening named without the reason it is due now.
Inside the NR 602 Week 2 example
The sample dates the pregnancy by ultrasound at 8 weeks 2 days, matching the last period. The interval history covers the four reportable symptoms plus headache and swelling. Objective findings are each read against 30 weeks: pressure against booking, weight gain as a weekly slope against guidelines, fundal height in centimeters, fetal heart rate, urine dip, glucose challenge and Rh status. The plan gives Tdap with its timing reason and the anti-D dose missed at 28 weeks. A fetal plan covers growth, movement and protection. Warning signs are written plainly and checked. A section on pressure surveillance, the patient's questions and the next visit follow. Margin notes show where dating and the plain-language warnings earn credit.
Reading the NR 602 Week 2 grading rubric
The heaviest loss is a note where gestational age sits at the top and is never used; every finding here is read against 30 weeks. A plan that treats only the pregnant patient costs the next share, so the fetus has its own plan. Missing the dating method leaves every expected value unanchored, and this note states it first. Screening named without its timing reason loses a row, while Tdap and anti-D are each tied to the week. Warning signs in clinical language lose marks, and these are written in the patient's terms and checked by repeat-back. Recording the patient's own questions shows the visit was more than a checklist.
NR 602 Week 2 help from the desk
Weak NR 602 Week 2 notes record gestational age and then judge findings as if the patient were not pregnant. Others plan only for the pregnant patient. Many omit how the dates were set. Weight is often recorded as a single number with no trend. Warning signs are written in medical terms. Start with dating, read every value against the week, treat weight as a slope and write a separate plan for the fetus. Give warning signs the patient can act on. If your visit is at a different week, share the gestational age and findings, and we can prepare a sample note for that stage.
Get a NR 602 Week 2 example written to your instructions
Send the Week 2 template your classroom uses and the gestation you have been given, and a custom example is written to that template and returned inside 24 to 48 hours. The first one is free. If your section supplies its own note format, send that too and the example is built inside it.
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NR 602 Week 2 questions, answered
Does the note need citations?
Notes usually carry none, but the rationale many sections attach to the note does. Where a screening or an interval is defended, a current national guideline belongs against that line. What is marked there is whether the recommendation you followed is the one in force now, since the schedule of prenatal screening has moved more than once in recent years.
What if the gestation is not given?
Pick one and state it in the first line. An example built at twelve weeks and an example built at thirty two weeks are different documents, with different measurements, different screening and different warning signs, so the note cannot stay neutral. Choosing openly and writing consistently to that choice reads as control rather than as a gap.
How long should the note run?
Shorter than most people expect. A prenatal visit note is a comparison document, and most of the length that gets added is narrative the template does not want. Sections that publish a page limit mean it. Where marks are lost on length, it is almost always because the reasoning was crowded out by history that had already been recorded at a previous visit.
Where can I find a free NR 602 Week 2 sample paper?
The full prenatal visit note at 30 weeks, with every finding read against gestational age and a plan for both patients, is published on this page.
Why is anti-D given at 30 weeks in the NR 602 Week 2 note?
The patient is Rh negative and the 28-week dose was missed when the visit was rescheduled, so it is given as soon as possible after a negative antibody screen.