危险信号 Warning Signs in Pregnancy

By the end of this module you can…

• Ask the questions that size a problem: how far along, how much, since when.
• Tell her where to go, following your unit’s protocol: labor and delivery triage, the emergency room, or 911.
• Explain bleeding, preeclampsia signs and fewer kicks without alarm or false comfort.
• Teach the signs of preterm labor, and ask the right questions when her water breaks.
• Answer “I don’t want to bother you” so she comes in anyway.

Key vocabulary

Sixteen words from this module. Tap the speaker to hear each one.

What she notices

• 出血chū xuèBleeding
• 见红jiàn hóngBloody show
• 破水pò shuǐWater breaking
• 卫生巾wèi shēng jīnPad
• 血块xuè kuàiClot (in bleeding)
• 宫缩gōng suōContraction
• 痒yǎngItching
• 头晕tóu yūnDizziness

Signs that can’t wait

• 头疼tóu téngHeadache
• 眼花yǎn huāBlurred vision
• 抽搐chōu chùSeizure
• 喘不上气chuǎn bu shàng qìShort of breath
• 胸口疼xiōng kǒu téngChest pain
• 发烧fā shāoFever
• 腿肿tuǐ zhǒngA swollen leg
• 摔倒shuāi dǎoA fall

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 您现在怀孕几周了？Nín xiàn zài huái yùn jǐ zhōu le?How many weeks pregnant are you now?
2. 血多不多？一个小时会湿透一片卫生巾吗？Xiě duō bu duō? Yí ge xiǎo shí huì shī tòu yí piàn wèi shēng jīn ma?How much? Would it soak a pad in an hour?
3. 肚子疼不疼？宝宝动得怎么样？Dù zi téng bu téng? Bǎo bao dòng de zěn me yàng?Any pain? How is the baby moving?
4. 二十周以后，不管多少，有出血都要来产科急诊。Èr shí zhōu yǐ hòu, bù guǎn duō shǎo, yǒu chū xuè dōu yào lái chǎn kē jí zhěn.After 20 weeks, any bleeding: come in.
5. 头疼得厉害，眼睛看东西模糊，要马上来。Tóu téng de lì hai, yǎn jing kàn dōng xi mó hu, yào mǎ shàng lái.Bad headache, blurred vision: come in now.
6. 宝宝动得比平时少，马上给我们打电话，别等到明天。Bǎo bao dòng de bǐ píng shí shǎo, mǎ shàng gěi wǒ men dǎ diàn huà, bié děng dào míng tiān.Fewer kicks? Call now. Not tomorrow.
7. 破水了就来产科急诊，不管有没有宫缩。Pò shuǐ le jiù lái chǎn kē jí zhěn, bù guǎn yǒu méi yǒu gōng suō.Water broke? Come in, contractions or not.
8. 请您现在就来产科急诊，别自己开车。Qǐng nín xiàn zài jiù lái chǎn kē jí zhěn, bié zì jǐ kāi chē.Come in now. Don’t drive yourself.
9. 抽搐、胸口疼、喘不上气，马上打911。Chōu chù, xiōng kǒu téng, chuǎn bu shàng qì, mǎ shàng dǎ jiǔ yāo yāo.Seizure, chest pain, can’t breathe: 911.
10. 一点都不麻烦，这就是我们的工作。Yì diǎn dōu bù má fan, zhè jiù shì wǒ men de gōng zuò.It’s no bother. This is our job.

What’s in Module 7

1. Part 1 · Warm-UpWarm-Up: The Night Phone
2. Part 2 · The Words for Warning SignsReading the Pinyin · Saying 破水了 vs. Charting 胎膜破裂 · Vocabulary · Flash Cards · Where Should She Go?
3. Part 3 · The Triage CallThe Triage Call Script · Questions That Size the Problem · Key Patterns · Bleeding in Pregnancy · Headache, Vision and Blood Pressure · When the Baby Moves Less
4. Part 4 · Labor Too Soon and Other SignsContractions Before 37 Weeks · When Her Water Breaks · Fever, Falls, a Swollen Leg
5. Part 5 · Concerns & 911What Patients Say · When to Call 911 · Putting It Together
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 7 Knowledge Check
8. Part 8 · Wrap-UpModule 7 Homework · Take-Home Phrase Sheet · Module 7 Wrap-Up · 下次见