module 11 preconception counseling Flashcards

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1
Q

Male only zika exposure

A

wait 3 months regardless of s/s

use condoms

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2
Q

female only zika exposure

A

wait 2 months regardless of s/s

use condoms

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3
Q

Goal 1 of preconception health

A

Improve knowledge, attitudes, and behaviors of men and women related to preconception health

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4
Q

Goal 2 of preconception health

A

assure that all women of childbearing age receive preconception care

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5
Q

Goal 3 of preconception health

A

reduce risks indicated by a previous adverse pregnancy outcome through interventions during the interconception period

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6
Q

Goal 4 of preconception health

A

reduce disparities in adverse pregnancy outcomes

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7
Q

Healthcare between pregnancy triangle

A

healthy happy family
essential healthcare
social wellbeing

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8
Q

conditions that require more folic acid

A

hx of spina bifida
use of anti-sz meds
insulin dependent diabetics

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9
Q

blood pressure meds

A

no ACE inhibitors

- pril

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10
Q

anticoagulants

A

d/c warfarin

use heparin or lovenox

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11
Q

risk factors for pre-term birth

A
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
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12
Q

Healthy people 2020 objective

A

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.
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13
Q

Zika affects on fetus

A

birth defects

microcephaly

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14
Q

zika s/s

A
fever 
headache
muscle/joint pain
conjunctivitis
rash
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15
Q

presumptive signs of pregnancy

A

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
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16
Q

Probable signs of pregnancy

A

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
17
Q

Positive signs of pregnancy

A

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