Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

One > Health screening > Flashcards

Health screening Flashcards

1
Q

Purpose of screening

A

Detect those at risk for early treatment/diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When is CST offered

A

10 to 14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Factors for screening
THE CONDITION (3)

A

Well known
Severe consequences
Frequent presentations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Factors for screening
THE TREATMENT (2)

A

Effective treatment available
Evidence early diagnosis improves outcomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Factors for Screening
THE SCREENING TEST (3)

A

Simple and acceptable
Benefits should outweigh risks
Accurate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is specificity

A

Correctly detecting health as non-affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sensitivity/detection rate

A

Correctly identifying as affected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

False positive

A

Not affected, but identified as so when they are healthy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

False negative

A

mislabelling as healthy when they are affected by the condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

To be a good screening test (3)

A

High sensitivity
High specificity
(Avoid missing and over diagnosing)
Therefore cost effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Risks of screening (3)

A

Overdiagnosis
Overmedicalisation
Increased anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Benefits of screening (3)

A

Early diagnosis
Treatment can be applied to prevent complications
If not treatment available allows for decision making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Uk antenatal and newborn screening (6)

A

Fetal anomaly (scan and chromosomal testing)
Genetic RBC disorders (sickle cell and thalassaemia)
Screening for HIV, Hep B, syphilis as infectious diseases in pregnancy
Anomaly screening after birth (NIPE)
Newborn blood spot test for inherited metabolic diseases
Newborn hearing test for detection of congenital deafness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Other screening in pregnancy

A

Preeclampsia
Rh neg
Growth restriction (GAP chart)
Glucose tolerance
Anaemia
Mental health
Gender based violence
GBS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

First trimester antenatal care at ? Weeks

A

8-10 weeks - booking appt
11-14 - dating scan/cubs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Second trimester care schedule

A

16 weeks
20 weeks (anomaly scan)
25 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Booking bloods test

A

Infectious disease screening
Blood group
FBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What in booking appt? (9)

A

Full obstetric/medical/family history
Gender based violence
Mental health screening
Baseline height/weight/BMI
Baseline observation- BP/pulse/urinalysis
Booking bloods
Urine culture
Co monitoring (smoking)
VTE risk assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is VTE risk assessment

A

For Venothromboembolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

11-14 weeks dating scan looks at (4)

A

Single vs multiple pregnancy
Dating/EDD
Early anomaly screening
Chromosomal anomalies (CST)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

At what weeks CST?

A

11-14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What happens at 16 week appt (3)

A

BP
Urinalysis
Mental health and wellbeing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is 20 week scan?

A

Detailed- looks at 11 anomalies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What at 25 week appt? (5)

A

BP
Urinalysis
SFH (Symphysis-Fundal Height)
Fetal movements and auscultation
Mental wellbeing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is SFH

A

Symphysis fundal height

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

3rd trimester antenatal care schedule

A

28 weeks
32 (prims only)
34 weeks
36
38
40
41

27
Q

What at 28 week appt? (6)

A

BP
Urinalysis
SFH
Fetal movements and fetal auscultation
Mental Wellbeing
Bloods

28
Q

Which bloods at 28 weeks

A

Rh antibodies (if rhesus negative)
FBC
Glucose test (if risk factors)

29
Q

Who is 32 week appt for?

A

Prims only

30
Q

What in 32 week appt

A

BP
Urinalysis
SFH
Fetal movements and fetal auscultation mental health and wellbeing

31
Q

What in 34 week appt? (7)

A

BP
Urinalysis
SFH
Fetal presentation
Fetal movement and fetal auscultation
Weight
Mental wellbeing

32
Q

36/38/40/41 weeks what happens (7)

A

BP
Urinalysis
SFH
Fetal presentation
Fetal movement and auscultation
PPH risk
Mental wellbeing

33
Q

Postnatal care mother at birth (3)

A

Observation
VTE risk
Blood loss

34
Q

Postnatal care of infant at birth

A

Initial Newborn Examination (6hrs)

35
Q

Postnatal mother day 1-3 (3)

A

VTE
Blood loss
Mental wellbeing

36
Q

Postnatal day 1-3 infant

A

Full feeding assessment
NIPE <72hr

37
Q

Postnatal day 4-10 mother

A

VTE risk asses
Mental wellbeing
Postnatal check

38
Q

Postnatal day 4-10 Infant

A

Weight loss
Newborn blood spot
Hearing test (by day 28)

39
Q

Topics covered in health education 1st trimester

A

Nutrition and exercise in pregnancy
Vaccination in pregnancy
Folic acid/healthy start
Place of birth
Infant feeding

40
Q

Health education second tri

A

Building loving relationships
Safer sleep
Fetal movement
Skin to skin importance

41
Q

Health education 3rd tri

A

Antenatal workshops
Birth preference
Postnatal self-care - baby blues
Care of newborn
Vit K prophylaxis
Antenatal colostrum harvesting

Induction of labour
Membrane sweeps

42
Q

What does NIPE stand for?

A

Newborn and Infant Physical Examination

43
Q

NIPE - congenital anomalies in which 4 areas

A

Eyes
Heart
Hips
Testes

44
Q

When NIPE?

A

6 to 72 hr

45
Q

Why no NIPE before 6 hrs

A

Baby still adapting to extra uterine life so may not be reliable

46
Q

Why NIPE 2 at 6 to 8 weeks?

A

Some conditions may not be apparent until then

47
Q

Who can carry out NIPE

A

Qualified midwives and physicians

48
Q

Who is developmental dysplasia of hip most common in

A

Premature and breech babies

49
Q

Newborn blood spot tests for what?

A

Sickle Cell Disease
Cystic fibrosis
Congenital Hypothyroidism (CHT)
6 inherited metabolic disorders (PKU, MSUD, HCU, IVA, GA1, MCADD)

50
Q

When is newborn blood spot offered

A

DAY 5

51
Q

If one parent is CF carrier what is chance of child having?

A

No chance as is a recessive characteristic so both would need to be carriers

52
Q

What CST test for (3)

A

Chromosomal - Downs, Patau, Edwards

53
Q

What does CST look at?

A

Nuchal Translucency and serology

54
Q

What does QT test for?

A

Downs

55
Q

When can QT be carried out

A

15-20 weeks

56
Q

Can 20 week scan screen for Downs

A

No

57
Q

Can 20 week scan screen for Edwards and Patau’s

A

Yes

58
Q

Benefits of Chromosomal
Screening

A
  • if diagnostic tests advised
  • prepare/make decisions
  • early diagnosis
59
Q

When is Beta thalassaemia tested for?

A

In pregnancy for mother
Both parents need to be carriers for baby possibly be affected

60
Q

Purpose of Fetal Anomaly Scan

A

To screen for 12 main congenital anomalies
ie cleft lip, pataus, Edwards, downs, serious cardiac, open spina bifida
Not for gender - and some trusts won’t discuss

61
Q

How to obtain good heel prick sample (6)

A

1) clean with water
2)warm & dry
3) lancet
4) form droplet & tap on card
5)air dry sample
6) plaster on foot

62
Q

Risks of heel prick test

A

Low, not risk free
Bruising
Excessive bleeding if blood clotting disorder
Unlikely to put too deep

63
Q

How can CF be diagnosed antenatally

A

CVS and amniocentesis

One (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions