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RDS Test 1 > B8-015 Healthy Pregnancy > Flashcards

B8-015 Healthy Pregnancy Flashcards

1
Q

pregnancy is when a women is most likely to experience […]

A

violence

(screen for interpersonal violence, very high prevalence)

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2
Q

pregnancy women should have an extra […] calories/day

A

350

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3
Q

optimal weight gain during pregnancy

A

25-35 pounds

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4
Q

pregnant patients should have […] mcg of folic acid per day

A

400

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5
Q

exposure to […] before 40 days is lethal to the embryo

later exposure can cause birth defects, pregnancy loss, IUGR, etc

A

methotrexate

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6
Q

symptoms of fetal warfarin syndrome [3]

A

depressed nasal bridge
nasal hypoplasia
flat face

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7
Q

teratogen causing vascular disruption that increases risk for fetal death and low birth weight

A

tobacco

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8
Q

[…] is a teratogen with a high fetal concentration due slow metabolism in fetal liver

A

alcohol

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9
Q

teratogen known to cause neurocognitive and behavioral problems

A

alcohol

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10
Q

symptoms of fetal alcohol syndrome [5]

A

growth deficiency
short papebral fissure length
smooth philtrum
thin upper lip
CNS deficits

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11
Q

when does the fetal heart start beating?

A

week 4

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12
Q

when does organogenesis begin in the fetus?

A

week 4

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13
Q

when is organogenesis complete?

A

week 10

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14
Q

when can a fetal heartbeat be heard with electronic monitor?

A

week 10

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15
Q

hcG peaks at week […]

A

10

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16
Q

infection associated with non-immune hydrops fetalis

A

parvovirus B19

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17
Q

if a pregnant patient has an active genital HSV outbreak, that is indication for

A

C section

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18
Q

infection associated with neonatal encephalitis with or without skin involvement

A

HSV

19
Q

if a pregnant patient has HSV, start acyclovir at […] weeks gestational age

A

36

20
Q

infection associated with congenital deafness

A

rubella

21
Q

standard of care for fetal genetic screening

A

cfDNA

22
Q

cfDNA screens for [4]

A

trisomy 13, 18, 21
sex

23
Q

cfDNA can be done as early as week […]

A

10

24
Q

screening test for neural tube defects

A

msAFP

25
Q

GDM test that is preferred by ACOG

A

two step

26
Q

preterm infants are at a […] risk for withdrawal

A

lower

(less length of exposure, lower fat stores, immaturity of CNS)

27
Q

in a normal pregnancy, hCG should double every

A

48-72 hrs

28
Q

recommended weight gain if prepregnancy BMI is 18-25

A

25-35 lbs

29
Q

recommended caffeine intake during pregnancy

A

110 mg caffeine

(10 oz coffee or two 12 oz sodas)

30
Q

a women should increase her caloric intake by […] cal in pregnancy

A

350

31
Q

recommended amount of folic acid per day in pregnancy

A

400 mcg

32
Q

protein recommendation for pregnant women

A

grams of protein should equal half their weight in pounds

33
Q

when is maternal serum AFP ideally performed

A

16-18 weeks gestational age

34
Q

screening for group B strep is performed approximate […] weeks prior to delivery

A

4

35
Q

natal sex can be determined as early as […] weeks gestational age via cfDNA

A

10

36
Q

fetal genitalia can be seen on US anatomy screening around […] weeks gestational age

A

20

37
Q

can MMR vaccine be given in pregnancy?

A

no

it is live virus vaccine

38
Q

starting antivirals at […] weeks gestation can prevent an outbreak of HSV

A

36

39
Q

preterm delivery has [increased/decreased] risk of neonatal opioid withdrawal syndrome

A

decreased

(due to lower fat stores, immature nervous system, and shorter exposure time)

40
Q

used to treat neonatal opioid withdrawal syndrome

A

morphine

41
Q

treatments for opioid dependency in pregnancy

A

methadone
buprenorphine

42
Q

women taking antiepileptic drugs or with a history of neural tube defects should take […] of folic acid daily

A

4 grams

43
Q

insulin dependent diabetes mellitus in the mother increases the risk for

A

neural tube defects

44
Q

maternal AFP is a […] test for neural tube defects

A

screening

(warrants further work up US or amnio)

RDS Test 1 (23 decks)

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