| Mis citas de
atención prenatal
|
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Peso antes del embarazo
______________
| Semana de embarazo |
Fecha de la visita |
Peso | Diferencia de peso |
Escuché
latidos del corazón de mi bebé |
Pensión arterial |
| 1 | _____________ | _____________ | _____________ | ______________ | __________ |
| 2 | _____________ | _____________ | _____________ | ______________ | __________ |
| 3 | _____________ | _____________ | _____________ | ______________ | __________ |
| 4 | _____________ | _____________ | _____________ | ______________ | __________ |
| 5 | _____________ | _____________ | _____________ | ______________ | __________ |
| 6 | _____________ | _____________ | _____________ | ______________ | __________ |
| 7 | _____________ | _____________ | _____________ | ______________ | __________ |
| 8 | _____________ | _____________ | _____________ | ______________ | __________ |
| 9 | _____________ | _____________ | _____________ | ______________ | __________ |
| 10 | _____________ | _____________ | _____________ | ______________ | __________ |
| 11 | _____________ | _____________ | _____________ | ______________ | __________ |
| 12 | _____________ | _____________ | _____________ | ______________ | __________ |
| 13 | _____________ | _____________ | _____________ | ______________ | __________ |
| 14 | _____________ | _____________ | _____________ | ______________ | __________ |
| 15 | _____________ | _____________ | _____________ | ______________ | __________ |
| 16 | _____________ | _____________ | _____________ | ______________ | __________ |
| 17 | _____________ | _____________ | _____________ | ______________ | __________ |
| 18 | _____________ | _____________ | _____________ | ______________ | __________ |
| 19 | _____________ | _____________ | _____________ | ______________ | __________ |
| 20 | _____________ | _____________ | _____________ | ______________ | __________ |
| 21 | _____________ | _____________ | _____________ | ______________ | __________ |
| 22 | _____________ | _____________ | _____________ | ______________ | __________ |
Exámenes Fecha apropiada______________
| Orina | Sangre | Factor Rh | Citología | MSAFP (Alfa Fetoproteína) | Glucosa | Otros exámenes | Fecha de la Próxima cita |
| _________________ _________________ _________________ |
_____________ _____________ _____________ |