B8-015 Healthy Pregnancy Flashcards
pregnancy is when a women is most likely to experience […]
violence
(screen for interpersonal violence, very high prevalence)
pregnancy women should have an extra […] calories/day
350
optimal weight gain during pregnancy
25-35 pounds
pregnant patients should have […] mcg of folic acid per day
400
exposure to […] before 40 days is lethal to the embryo
later exposure can cause birth defects, pregnancy loss, IUGR, etc
methotrexate
symptoms of fetal warfarin syndrome [3]
depressed nasal bridge
nasal hypoplasia
flat face
teratogen causing vascular disruption that increases risk for fetal death and low birth weight
tobacco
[…] is a teratogen with a high fetal concentration due slow metabolism in fetal liver
alcohol
teratogen known to cause neurocognitive and behavioral problems
alcohol
symptoms of fetal alcohol syndrome [5]
growth deficiency
short papebral fissure length
smooth philtrum
thin upper lip
CNS deficits
when does the fetal heart start beating?
week 4
when does organogenesis begin in the fetus?
week 4
when is organogenesis complete?
week 10
when can a fetal heartbeat be heard with electronic monitor?
week 10
hcG peaks at week […]
10
infection associated with non-immune hydrops fetalis
parvovirus B19
if a pregnant patient has an active genital HSV outbreak, that is indication for
C section
infection associated with neonatal encephalitis with or without skin involvement
HSV
if a pregnant patient has HSV, start acyclovir at […] weeks gestational age
36
infection associated with congenital deafness
rubella
standard of care for fetal genetic screening
cfDNA
cfDNA screens for [4]
trisomy 13, 18, 21
sex
cfDNA can be done as early as week […]
10
screening test for neural tube defects
msAFP
GDM test that is preferred by ACOG
two step
preterm infants are at a […] risk for withdrawal
lower
(less length of exposure, lower fat stores, immaturity of CNS)
in a normal pregnancy, hCG should double every
48-72 hrs
recommended weight gain if prepregnancy BMI is 18-25
25-35 lbs
recommended caffeine intake during pregnancy
110 mg caffeine
(10 oz coffee or two 12 oz sodas)
a women should increase her caloric intake by […] cal in pregnancy
350
recommended amount of folic acid per day in pregnancy
400 mcg
protein recommendation for pregnant women
grams of protein should equal half their weight in pounds
when is maternal serum AFP ideally performed
16-18 weeks gestational age
screening for group B strep is performed approximate […] weeks prior to delivery
4
natal sex can be determined as early as […] weeks gestational age via cfDNA
10
fetal genitalia can be seen on US anatomy screening around […] weeks gestational age
20
can MMR vaccine be given in pregnancy?
no
it is live virus vaccine
starting antivirals at […] weeks gestation can prevent an outbreak of HSV
36
preterm delivery has [increased/decreased] risk of neonatal opioid withdrawal syndrome
decreased
(due to lower fat stores, immature nervous system, and shorter exposure time)
used to treat neonatal opioid withdrawal syndrome
morphine
treatments for opioid dependency in pregnancy
methadone
buprenorphine
women taking antiepileptic drugs or with a history of neural tube defects should take […] of folic acid daily
4 grams
insulin dependent diabetes mellitus in the mother increases the risk for
neural tube defects
maternal AFP is a […] test for neural tube defects
screening
(warrants further work up US or amnio)
