Guide)
(All facts pulled directly from your uploaded documents; citations included.)
1. Preconception Planning (Module 6 → Lifespan Changes document)
Required Supplements
Folic acid 400–800 mcg daily to reduce neural tube defects. “Folic
Acid Supplementation: Recommendation of 400–800 micrograms daily
to reduce the risk of neural tube defects.”
Other Key Components
Review chronic conditions & medications
Update immunizations (MMR, varicella, Tdap, Hep B)
Lifestyle counseling (exercise, substance cessation)
Genetic counseling when indicated
2. Pregnancy Diagnosis (Module 6 → Lifespan Changes document)
Labs Used
Pregnancy tests detect hCG
Serial quantitative hCG used when pregnancy viability or ectopic
pregnancy is suspected. “Early diagnosis… involves pelvic ultrasound
and serial measurements of human chorionic gonadotropin (hCG).”
3. Ectopic Pregnancy (Module 6)
Definition
Fertilized egg implants outside the uterus, most commonly in the
fallopian tube. “Ectopic pregnancy… where a fertilized egg implants
and grows outside the uterine cavity.”
Presentation
Abdominal pain
Vaginal bleeding
Shoulder pain (diaphragmatic irritation) “Symptoms include
abdominal pain, vaginal bleeding, and shoulder pain due to referred
pain.”
, Diagnosis
Pelvic ultrasound
Serial hCG “Early diagnosis… involves pelvic ultrasound and serial
measurements of hCG.”
4. Emergency Contraception (Plan B) – Module 6
What it is
Levonorgestrel 1.5 mg single dose “Levonorgestrel (Plan B)… within
72 hours of unprotected intercourse.”
How it works
Prevents ovulation
Does not terminate an existing pregnancy
When it can be used
Up to 72 hours after intercourse
Ulipristal acetate effective up to 5 days
5. Contraception (Module 6)
Know Each Type
Your document includes a full algorithm + table. Key points:
Long-term (LARC)
IUDs (Mirena, Skyla, Kyleena, Liletta, Copper IUD)
Implant (Nexplanon) “Implants and intrauterine devices — very
effective (>99%).”
Short-term
Pills (combined, progestin-only)
Patch
Ring
Depo-Provera
Effectiveness
Combined OCP: 91% effective