Exam 2: Prenatal

Question 1

Preconception Counseling

Answer 1

-Before getting pregnant
-Medical check up
-Family Hx/risk
-Diet
-Folic Acid

Question 2

Body Weight

Answer 2

-Maternal and fetal risk are increased when mother is significantly overweight and underweight.

Question 3

Prenatal Care

Answer 3

-Visits should begin as soon after first missed period.
-Monitor growth and development of fetus
-ID abnormalities

Question 4

Maternal Nutrition

Answer 4

-influences the outcome of pregnancy
-prevents low birth and preterm birth

Question 5

Normal Weight at conception

Answer 5

-25-35 pounds

Question 6

Underweight at conception

Answer 6

-28-40 pounds

Question 7

Overweight at conception

Answer 7

15-25 pounds

Question 8

Nutrition

Answer 8

-Protein: Demands increase with pregnancy b/c protein is building blocks.
-Fluids: 8-10 glasses of water
-Minerals and Vitamins

Question 9

Special Considerations

Answer 9

-200 mg daily of caffeine - 1 cup of coffee
-artificial sweeteners are approved

Question 10

Vegetarian Diets

Answer 10

-Strict vegans consume only plant products
-B12 found in foods with animal origins
-May need supplements

Question 11

Salmonella

Answer 11

-raw and undercooked eggs
-limit high mercury fish, shellfish, fresh tuna and yellow tail

Question 12

Listeria

Answer 12

-Can be passed to fetus
-Unpasteurized milk, soft-ripened cheeses (feta, blue cheese)
-If food is properly handled and stored, risk is low.
-Consume in moderation and obtain from
reputable stores.

Question 13

iron rich foods and Supplementation

Answer 13

-Foods rich in iron are dark green leafy
vegetables
- Nutritional supplement most commonly
needed during pregnancy
-Diet rich in vitamin C helps with absorption
-Iron may cause stools to be black or
dark green

Question 14

Calcium Rich Foods

Answer 14

-cheese
-milk
-yogurts
-sardines

Question 15

Calories needed in pregnancy

Answer 15

-Need additional 300 calories from high protein foods, veggies, fruits.

Question 16

Pica

Answer 16

-Consuming nonfood substances
-Clay, soil, and laundry starch
-More common among African-American
and Hispanic women
-Found to have lower hemoglobin levels

Question 17

Exercise

Answer 17

-Moderate exercise during pregnancy has numerous benefits-muscle tone and
sense of well being
-Drink enough fluids
-Calorie intake to meet increased
demand

Question 18

Heartburn

Answer 18

-caused by the reflux of gastric contents into the esophagus
-Eat small frequent meals
-Avoid spicy foods
-Sit up after eating/avoid lying down
-Avoid eating gas producing foods

Question 19

Constipation

Answer 19

-Increase intake of fiber
-Adequate fluid intake
-Physical activity using large muscle
groups.
-may lead to hemorrhoids

Question 20

Naegele’s Rule

Answer 20

-Identify the first day of the last menstrual period
(LMP)
-Subtract three months from this date
-Add seven days
-Example: First day of the LMP is June 14
June 14 less three months = March 14
March 14 + seven days = March 21
*The expected due date is March 21