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Theory of Radiographic Practice > Pregnancy Checks > Flashcards

Pregnancy Checks Flashcards

1
Q

What can ionising radiation cause biological harm to?
(2)

A

DNA

Growing embryos/foetuses

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2
Q

Which type of x-ray is the risk of ionising radiation very low?

A

Hand x-rays

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3
Q

Which type of x-rays is the risk of ionising radiation higher?
(2)

A

CT
Fluoroscopy

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4
Q

Which types of people do we have to confirm pregnancy status with?
(3)

A

Patients of child-bearing age
Patients with a uterus
Patients between 10-55 years of age

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5
Q

Which regulations do we use?

A

IRMER 17 or IRR17

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6
Q

Why are the regulations important?

A

They prevent the unintentional exposure of ionising radiation to a foetus

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7
Q

Why does the radiographer ask for the patient’s confirmation and signature?

A

It’s a legal requirement, so you need to prove that you did this

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8
Q

What does LMP stand for?

A

Last
Menstrual
Period

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9
Q

When should the radiographer ask about the LMP?
(3)

A

During any ionising radiation examination

When the x-ray is below the diaphragm

When the x-ray is above the knee

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10
Q

What does the diaphragm separate?

A

The thoracic cavity and the abdominal cavity

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11
Q

Which parts of the body count as being above the knee?
(5)

A

Abdomen
Pelvis
Hip
Femur
Lumbar spine

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12
Q

Which type of x-rays use the 28 day rule?

A

Plain film x-rays

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13
Q

Which type of x-rays use the 10 day rule?

A

X-rays that use a higher dose of radiation, e.g. CT/fluroscopy

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14
Q

What does the 28 day rule and the 10 day rule mean?

A

They mean the last time a period was had, so whether it was in the last 28 days or the last 10 days

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15
Q

What does the 28 day rule do?

A

It keeps the effects of radiation at a minimum

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16
Q

Who is the 28 day rule used on?

A

Patients who haven’t yet missed their period

17
Q

Who is the 10 day rule used on?
(2)

A

Patients with no ovulation
Patients who have no foetus in them

18
Q

How many protected characteristics are there under the Equality Act 2010?

A

9

19
Q

How many protected characteristics are associated with pregnancy and breastfeeding?

A

4

20
Q

What are the 4 protected characteristics associated with pregnancy and breastfeeding?

A

Gender reassignment
Being pregnant/maternity leave
Sex
Sexual orientation

(People shouldn’t be treated differently because of these)

21
Q

What does the HCPC standards number 5 say?

A

We should recognise the impact of culture, equality and diversity on practice and practise in a non-discriminatory and inclusive way

22
Q

How do we ask about pregnancy status or a potential to become pregnant?

A

Obtain a signature

23
Q

How do we ask about last menstrual period (LMP)?

A

Ask for the first day of the patient’s last period
Use the 28 day rule

24
Q

When do we use the 28 day rule?

A

When doing lower dose imaging, e.g. plain film

25
Q

When do we use the 10 day rule?

A

When doing high dose imaging, e.g. CT, fluoroscopy

26
Q

Why do we use the 10 day rule when doing high dose imaging?

A

It makes sure that ovulation can’t have happened

27
Q

What do we do if the patient can’t remember the first day of their last period?

A

The radiographer needs to get the patient’s consent to give them a pregnancy test. If the patient refuses, the radiographer denies performing the x-ray

28
Q

What are the Fraser Guidelines?

A

Guidelines that relate to advice and treatment of sexual health and contraception

29
Q

What is the Gillick competency?

A

They assess whether a child has the maturity to make their own decisions and if they understand the implications (consequences) of those decisions

30
Q

How must radiographers assess the Gillick Competency?
(5)

A

They must:
Assess the child’s age, maturity and mental capacity

Do they understand the impact of the decision?

How well have they understood the information and question?

Can they make a reasoned decision?

If the patient isn’t deemed as Gillick competent, consent is taken from the parent/carer

31
Q

Who do we have to ask about their pregnancy status?
(5)

A

EVERYONE-
Transgender
Trans men
Trans women
Non-binary
Inter-sex

32
Q

What are potential operations for transgender patients?
(2)

A

Phalloplasty
Vulvuplasty

33
Q

What is used to shield patients having x-rays on their genitals from radiation?

A

Lead rubber is used to cover to ovaries/testes

34
Q

Why is lead rubber used to shield patient’s having x-rays on their genitals from radiation?

A

It reduces the scattered radiation

35
Q

What are the 10 points on the 10 point image checklist?

A

Patient identi

Theory of Radiographic Practice (10 decks)

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