Brainscape's Knowledge GenomeTM

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


See full index

REPRO > Unplanned Pregnancy > Flashcards

Unplanned Pregnancy Flashcards

1
Q

What are the options available for pregnancy?

A
  1. continue with the PREGNANCY and keep baby
  2. ABORTION
  3. continue and have the baby ADOPTION
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Termination of pregnancy commonly seen in which age group?

A

20-24 yr group

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

What is the mortatility rate from abortion?

A

0.6/100000

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

When can an abortion take place according to the Abortion Act 1967?

A
  • only if 2 registered medical practitioners are present
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

According to the Abortion Act 1967, who can terminate pregnancy?

A
  • registered medical practitioner
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the abortion form of HSA 1 (Certificate A) require?

A
  • 2 doctors are REQUIRED to sign the HSA1 form
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When should the HCA2 (Cert. B) form be completed by?

A
  • completed by the doctor within 24hrs of an emergency abortion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When should the HSA4 form be completed by and who should it be send to ?

A
  • completed by the doctor and send to the CMO within 7 days of the abortion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which situation does certificate A apply?

A
  • continuance of pregnancy would involve RISK to life of pregnant woman GREATER than if the pregnancy were terminated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When does the certificate B apply ?

A
  • when termination is necessary to PREVENT permanent injury to Physical and mental health of women
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Certificate C applies to ______?

A
  • when pregnancy has NOT exceeded ts 24th week and continuance of pregnancy is risky! (greater than if preg. was terminated/ or when there injury to physical/mental health)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Certificate E?

A
  • when there is a SUBSTANTIAL risk that if a child were born, it would suffer from physical and mental abnormalities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are ethical aspects should be considered with abortion?

A
  1. UNder 16?
  2. Learning disability of the kid
  3. HIV positive
  4. Patient confidentiality
  5. Domestic abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Are doctors allowed to “opt out” of certain procedures because of personal values/beliefs?

A
  • YES

- according to the Abortion Act they can opt out if they have a “conscientious objection”

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

How may a doctor handle a situation where he doesn’t want to engage in because it conflicts with his/her religious and molar beliefs?

A
  • as it may affect the RX and ADVICE he/she may give to the pt; the doctor would have to EXPLAIN (with suff. information) to the patient that they have the right to see another doctor
  • —-make arrangements for another suitably qualified colleague
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What points should be considered when a doctor makes a conscientious objection to treating a pt?

A
  1. respect the pt’s DIGNITY and views
  2. do NOT IMPOSE views on others (explain your view; if INVITED)
  3. ensure the pt’s rx is NOT DELAYED /denied
  4. timely onward referral to a colleague
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When may a conscientous objection be rejected?

A
  • when treatment is in the event of an EMERGENCY
18
Q

What does the initial consultation entail at TOP clinic?

A

~1hr

  • certainty to discuss alternatives
  • USG (confirm IUP, determine gestation)
  • complete MEDICAL hx
  • discussion of methods for TOP
19
Q

What is required prior to TOP?

A
  1. written CONSENT for procedures and fetal remains
  2. Bloods (FBC/-BBV/G&S+)
  3. screening for STI
  4. prophylactic antibiotics
  5. counselling for ongoing contraception
20
Q

What is the LEGAL limit for SOCIAL termination of pregnancY?

A

23 weeks and 6 days

21
Q

Legal limit for fetal anomaly termination?

A
  • any gestation
22
Q

Up till when may a pregnancy be terminated surgically? (NHS Tayside)

A
  • up to 12 weeks
23
Q

When may medical termination be allowed to occur up to?

A
  • up to 18 weeks and 3 days
24
Q

When is it considered to be LATE termination?

A
  • 9-12 weeks
25
Q

What the maximum gestational period at which TOP may occur?

A
  • Mid-trimester

12-24 weeks

26
Q

What is involved in medical TOP?

A

2 stage process:
1. Oral MIFEPRISTONE 200mg (anti-progesterone)

  1. 24-48 hrs later- VAGINAL (or oral) prostaglandin —-misoprostol
27
Q

Is the medical TOP done at home?

A
  • if EARLY TOP (<9weeks); option to COMPLETE 2nd part at home
  • Late/Mid-Trimester: repeated doses of prostaglandin 3hrly (max5 in 24hrs)
28
Q

Failure of medical TOP, will require surgical intervention. NAme the 2 methods and at which gestational period its ideal?

A
  • 6-12 weeks: Vacuum Aspiration (day case, GA, electric vacuum aspiration techn.)
  • 13-24 wks: Dilatation and Evacuation
29
Q

What is prinicipally noted in Surgical TOP ?

A
  • day case with GA
  • routine USS not required
  • LARC (long acting reversible contraceptive) fitting at procedure
30
Q

What are the complications of TOP>

A

risk: 1-2/1000
- pain/hemorrhage/infection /cervical trauma (1 in 100) / uterine perforation (1 to 4/1000)/ anaesthetic complications/ uterine rupture

31
Q

What is an alternative to the electric vacuum aspiration ?

A
  • for EARLY gestation
    > Manual Vacuum Aspiration
    > up to 9 weeks
    —–for resource poor setting
32
Q

What entails the aftercare for TOP?

A
  1. follow-up (urine preg. test at 2-3wks)
  2. risk of retained tissues
  3. Anti-D within 72 hrs
  4. 24hr contact info/leaflets to SEEK help
  5. refer to sexual and reproductive health
  6. counsellin
  7. Contraception
33
Q

What is psychosexual dysfunction?

A
  • disturbance in SEXUAL functioning

- —d/t psychological and emotional difficulties concerning SEXUALITY

34
Q

Name female examples of psychosexual dysfunction?

A
  • vaginismus

- dyspareunia

35
Q

Male psychosexual dysfunction?

A

ED
PE (premature ejacut.)
delayed ejaculation

36
Q

How may psychosexual dysfxn present as directly?

A
  • loss of desire
  • non-consummation
  • erectile diff.
  • avoidance of relationships
37
Q

Indirect presentation of psychosexual dysfxn?

A
  • freq. STI checks
  • chronic pelvic PAIN/discharge
  • avoidance of cx smear
  • chronic symptoms (no cause)
  • —-fear of pregn.
38
Q

Most common and the most PERSISTENT psychosexual problems WOMEN face ?

A
  1. Anorgasmia, dyspareunia

2. persistent: Loss of Libido

39
Q

What does psychodynamic psychotherapy look into?

A
  • underlying CAUSES of sexual dysfunction
  • looks at SD as a symptom
  • vaginal/genital exam used to exam psychological and physical state of mind
40
Q

What acc occurs at psychodynamic therapy?

A
  • therapist explore FEELINGS, thoughts and experiences of SD
  • –how SD manifests in other ways (in pts life, relationships)
41
Q

What is meant by free-floating attention?

A

When with the pt, notice:

  1. what are they like? (demeanor) Opening words?
  2. how are you feeling? Are you acting any diff.?
  3. Their choice of words
  4. how does the consultation end?

REPRO (55 decks)

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