Program & Appointments
The yellow dot on a prenatal provider's schedule signifies _________.
What is, the patient is an Early Start patient? The patient may need follow up such as a UDAP or scheduling an appointment.
The problem list will contain this heading if the patient needs an Early Start intake with Lydia.
What is "Referral to Early Start"?
These prenatal patients should have their urine sent to the lab for a drug screen at the beginning of pregnancy.
What is, ALL prenatal patients should receive a universal drug screen at the start of their pregnancy, unless they have declined.
List at least two common reasons why a pregnant person may continue to use marijuana in pregnancy.
What is,
You may have heard of first-hand and second-hand smoke, but what is third-hand smoke?
What is,
The two most common ways that patients qualify for Early Start.
What are positive PSQ and/or positive Urine Screen?
Please demonstrate what you might say to a patient you are booking for an Early Start assessment, who is wondering about the purpose of the visit.
What is, "Lydia is a part of your prenatal care team. She is a pregnancy specialist who checks in on your overall wellbeing in your pregnancy. She will review some of the labs and questionnaires you have already completed for us. She serves as a resource for you in pregnancy, to have the healthiest pregnancy possible, and to provide support."
True or False: Women with risks of substance abuse who receive the Early Start intervention have outcomes similar to women who did not have risks of substance abuse.
What is TRUE
Early intervention and education by early start mitigates the risk significantly, improving health outcomes for mom and baby, as well as reducing hospital costs.
Research shows that having small amounts (sips), or infrequent use of alcohol is safe in pregnancy. True or False?
What is, False?
E-cigarettes or vape are safe in pregnancy because they do not have smoke. True or false?
What is, FALSE. E-cigarettes aren’t regulated by the federal government. There are no quality or safety standards. Even those labeled nicotine-free often contain nicotine. The substances in e-cigarettes vary widely and have been linked to serious lung damage and even death. Research has shown that e-cigarette/vaping use increases the risk of heart attack, stroke, coronary artery disease, as well as depression or anxiety.
Give the appointment types for and Early Start Video Assessment appointment, and an Early Start Return Phone appointment.
What are ESAVV60 and ESRTV30
The patient will have one of these two headings on their Problem List if they need to be followed by Early Start during their pregnancy.
What are, "Early Start Education Counseling" and "Prenatal Substance Use Disorder Counseling"?
Out of pregnancy episodes in Vallejo patients opened in 2021, what percentage had a positive PSQ, without a positive UDAP?
What is C. 24%
The average percentage of THC in marijuana sold on the streets or in a dispensary (“straight marijuana”) is:
A:10-30%
B: 30-50%
C: 60-80%
What is A: 10-30%
In the 1970s, THC content was typically under 5%. The strength of today’s cannabis is 300 times stronger than it was in the 1970’s.
Name two or more risks of smoking in pregnancy.
What are,
· Preterm birth · Low birth weight · Birth defects of the mouth and lip · Double the risk of abnormal bleeding during pregnancy and delivery. · Smoking can damage an unborn baby’s developing lungs and brain. This damage can last into your child’s teen years. · Smoking during or after pregnancy increases the risk of Sudden Infant Death Syndrome (SIDS).
Spell Lydia's last name (this is useful for booking appointments).
(the G is silent like lasagna)
Please describe what can be done for a patient who requests an in person Early Start appointment.
What is, offer an appointment with Lydia on a Wednesday if possible. If the patient requests a different day, please contact Lydia to confirm availability.
In Vallejo, the most commonly found substance in patient UDAPs is _________.
What is, marijuana?
Though smoking cannabis is not recommended in pregnancy, it is fine to vape with cannabis or use THC edibles in pregnancy, as the risks are not significant. True or False?
What is, FALSE! Vaping marijuana is not safer. Studies have shown that THC blood concentrations are higher from vaping than from smoking cannabis. Whether some types of cannabis are safer is not yet known.
If using opioid medication in pregnancy, a patient should stop use immediately. True or False?
What is, False!
Stopping use of opioids cold turkey in pregnancy may increase some health risks: including Risk of return to substance use, Risk of overdose and Risk to fetal health!
Patients stopping opioid use should speak with their provider about how to stop use and may be encouraged to consider Medication Assisted Treatment such as buprenorphine/suboxone or methadone.