Guidelines

Question 1

vaccinations for pregnancy

Answer 1

> 28 days pre pregnancy
MMR
Varicella and Rubella if no clear history or non-immune on testing

2nd - 3rd trimester
Influenza if in season

3rd trimester
Pertussis

Question 2

Exposure Hazards in pregnancy

Answer 2

TORCH
Toxoplasmosis: avoid cat litter, garden soil, uncooked meat, unpasteurised dairy, wash all fruit and veg.

Cytomegalovirus: frequent hand washing

Listeriosis: avoid pate, soft cheeses, chilled, raw, smoked seafood, deli meats, prepackaged salads. Wash all fruit and veg.

TORCH
Toxoplasmosis
Other (HIV, Syphilis, Varicella, mumps, parvovirus)
Rubella
CMV
HSV

Question 3

Screening young people

Answer 3

HEADSS
Home
Education
Activities
Drugs
Sexuality
Suicide 
and safety

Question 4

45-49 Yo health check

Answer 4

SNAP
Smoking, Nutrition, Alcohol, Physical activity
Diabetes Risk: AusDRisk tool.
Cardiovascular risk score
Depression Screen: past history, chronic illness, mental health problems
Osteoporosis
Skin cancer

Exam & Ix
BMI
Waist circumference 
BP
Fasting lipids
Fasting BSL
Pap test 2 yearly
Mamography if high risk

Question 5

Preconception care

Answer 5

Every woman 15-49 years
Reproductive life plan inc. number & spacing of children
Reproductive history
medical Hx ( diabetes, epilepsy , thyroid, htn, thrombophilia)
Genetic/family Hx (fragile x, thalassaemia, sickle cell, CF, Down’s syndrome, etc)

Smoking cessation
Abstinence from alcohol and other substances
Folic acid and iodine supplementation
Immunisation review
Medication review
Dietary review
Blood glucose control
Weight optimisation 

Exam: BMI, BP, Pap and breast if due, oral health check