CONTROL PRENATAL

FECHA: / /
NOMBRE Y APELLIDO:_________________________________________

PESO ACTUAL:________________ T.A: mmhg.

E.A:______________________________________________________________________________________
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EXAMEN FISICO

PIEL Y MUCOSAS:_____________________________________________________________________

CARDIOVASCULAR:_________________________________________________________________

RESPIRATORIO:_____________________________________________________________________

ABDOMEN: AU:____cm F.C.F:_________ M.F:______ DORZO:_______ PRES:______________

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EXTREMIDADES:____________________________________________________________________

NEUROLOGICO:_____________________________________________________________________

COMPLEMENTARIOS:_____________________________________________________________________
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CONDUCTA:______________________________________________________________________________
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PROXIMA CITA: / /

EN CASO DE EMERGENCIA ACUDIR AL CENTRO DE EMERGENCIA OBSTETRICA MAS CERCANO

(HOSPITAL BAUDILIO LARA)