module 11 preconception counseling Flashcards
Male only zika exposure
wait 3 months regardless of s/s
use condoms
female only zika exposure
wait 2 months regardless of s/s
use condoms
Goal 1 of preconception health
Improve knowledge, attitudes, and behaviors of men and women related to preconception health
Goal 2 of preconception health
assure that all women of childbearing age receive preconception care
Goal 3 of preconception health
reduce risks indicated by a previous adverse pregnancy outcome through interventions during the interconception period
Goal 4 of preconception health
reduce disparities in adverse pregnancy outcomes
Healthcare between pregnancy triangle
healthy happy family
essential healthcare
social wellbeing
conditions that require more folic acid
hx of spina bifida
use of anti-sz meds
insulin dependent diabetics
blood pressure meds
no ACE inhibitors
- pril
anticoagulants
d/c warfarin
use heparin or lovenox
risk factors for pre-term birth
non-white <17 or >35 low socioeconomic status low pre-preg wt maternal hx of preterm birth late or no health care during preg alcohol or illegal drugs vaginal bleeding in more than one trimester smoking twins, triplets... preg from IVF short time between pregnancies DM or GDM
Healthy people 2020 objective
improve health and well-being of women, infants, children, and family
- inc. proportion of preg women who receive early and adequate prenatal care
- > reduce risk of maternal and infant mortality and preg-related complications.
Zika affects on fetus
birth defects
microcephaly
zika s/s
fever headache muscle/joint pain conjunctivitis rash
presumptive signs of pregnancy
Means speculation or unconfirmed: subjective, signs woman feels: PRESUME
- P: period absent
- R: really tired
- E: enlarged breasts
- S: sore breasts
- U: urination increased
- M: movement of fetus (16 weeks)
- E: emesis or nausea
Probable signs of pregnancy
Probably very likely: signs the doctor or nurse can observe: PROBABLE
- P: Positive pregnancy test
- R: Returning of the fetus (bouncing back) against fingers when pushed during palpation (ballottement)
- O: outline of fetus can be palpated
- B: Braxton Hicks
- A: A softening of the cervix “Goodell’s sign”
- B: bluish vulva, cervix, vagina “Chadwick’s sign”
- L: lower uterine segment becomes soft “Hegar’s sign”
- E: enlarged uterus
Positive signs of pregnancy
Conclusive, absolute: can only be attributed to a FETUS
- F: fetal movements felt
- E: electronic device detects fetal heart sounds (doppler)
- T: the delivery of the baby
- U: ultrasound detects fetus
- S: see visible movement of the baby by the doctor or nurse
