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21 Cards in this Set
- Front
- Back
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What are some things covered in Preconception Care? |
-medical/repro/genetic history -"getting of pill" etc -nutrition eval/counseling -dental care etc. done before pregnancy (procedures involving x-ray, big drugs,) -weaning off meds/drugs/alochol/illicit drugs -environmental exposures -early pregnancy counseling |
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hCG levels ___________ every 48 in ________ pregnancy |
double early |
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hCG levels plateau at how many weeks? |
10 weeks |
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After 10 weeks - do the hCG levels rise, decline or stay constant? |
decline |
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hCG |
human chorionic gonadotropin hormone |
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quantitative hCG |
HOW MUCH hCG is in the blood |
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qualitative hCG |
IF there is ANY hCG in the blood |
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urine test for hCG |
Qualitative 5 days before missed period 98% (more accurate over time) |
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blood test for hCG |
Qualitative or Quantitative 5-11 days post ovulation/conception 99% |
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Duration of Pregnancy: Calendar Mnths - Lunar Mnths - Wks - Days - |
9 mnths 10 mnths 40wks (LMP) 280 days (LMP) |
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1st trimester in wks |
1-12wks |
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pg |
pregnancy |
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You can feel the top of her fundus just above the pubic bone - how far along in her pregnancy is she? |
at least 12 wks |
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When can you feel a pregnant woman's fundus just at the umbilicus? |
20 wks And you can heart heart tones with a fetoscope! |
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What would you discuss during a Consultation Visit? |
-"Can we work together?" -Why homebirth? -Verbal discussion of every element of IC for Homebirth Midwifery doc -Legal status in state -Relationships in Medical Community -Logistics of the practice -Roles/Responsibilities of the Client -Risk Assessment -Your training and experience -Your fees for services -Components of your care -Risks vs. Benefits -Schedule of Care -Equipment/Medications that you carry -What necessitates transfer of care -Leave the consult open ended for the client -Checklist of what to discuss |
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What topics do you cover at an Initial Prenatal Visit? |
-Complete history review -Request medical/prenatal/birth records -Encourage partner/support person to attend this visit -Children/family welcome at appts? At birth? -Dedicate 1 prenatal appt. to work w/ just client? -Offer IC doc for 1st tri ultrasound and Doppler -EDD, current development -Full physical exam -Blood Draw -Initial Prenatal Exam |
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Which appointment is generally the longest and how long? |
Initial Prenatal Visits; 1.5-2 hours |
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Complete History Review topics at an Initial Prenatal Visit |
-lifestyle -obstetrical/reproductive -medical -psych/social/spiritual -family |
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What kinds of questions would you ask a Partner/FOB at an Initial Prenatal Visit? |
-Family birth history -Family breastfeeding history -Their use of substances like alcohol/drugs |
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What does the Initial Prenatal Exam involve? |
v/s wt urinalysis diet discussion abdominal exam review warnings signs educational handouts pelvic exam (altered pap) prn (as needed) swelling, reflexes |
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What are some of the things a blood draw at an Initial Prenatal Visit involve? |
-Standard Initial Prenatal Panel -Screening Tests |
