Prenatal Care and Obstetric Screening For

CNPLE domain: Reproductive and Sexual Health. Prenatal care is frequently tested on the CNPLE because it spans assessment, diagnostics, health promotion, risk stratification, and collaborative care — all key NP competencies. Canadian NPs in primary care, community health, and some obstetric settings provide routine prenatal care and must know when to refer to obstetrics. Learning objectives: - Perform and interpret first- and second-trimester prenatal screening - Identify high-risk obstetric conditions requiring specialist referral - Apply Canadian guidelines (SOGC, PHAC) to obstetric screening - Screen for gestational diabetes using the Canadian Diabetes Association protocol - Assess blood pressure and proteinuria for gestational hypertension and preeclampsia - Provide preconception counselling NP scope in prenatal care (Canadian context): NPs in most Canadian provinces can provide routine prenatal care for uncomplicated pregnancies; complex obstetric cases should be co-managed with or referred to obstetricians. NPs independently manage: initial prenatal visit, routine monitoring, counselling, ordering standard prenatal screening, prescribing prenatal vitamins and iron, and managing common pregnancy discomforts. Referral triggers are explicitly tested on the CNPLE. On the exam, writers often pair stable-sounding options with **unstable...