Module 3 Unit D Practice Quiz Flashcards
What should pregnant people who do not participate in a regular exercise program before pregnancy be advised to do?
Start walking for half hour a day most days of the week
[This answer is correct because it involves starting slow, and may be feasible for the patient.
Do keep in mind, using motivational interviewing, it is always best to first explore your patient’s preferences for activity and their ability to do, whatever it is you may recommend, safely. Avoid making assumptions.]
The usual frequency of prenatal visits in the first trimester is:
Every 4 weeks
[The usual frequency of prenatal visits in the first and second trimester is every 4 weeks.]
Which of these methods is best for health promotion counseling for nutrition in the first trimester?
a) Use a checklist to ensure consistency from one patient to the next.
b) Review each patient’s history and physical exam findings to identify initial priorities
c) Ensure that you provide printed information to all patients who follow specific diets
d) Wait for the second trimester for nutritional counseling for all patients
b) Review each patient’s history and physical exam findings to identify initial priorities
[The common denominator for each of the incorrect answers is the word “all.” While there are practices that will repeat itself at standardized timeframes, it is best to individualize your care the specific needs of each of your patients.]
A patient who has moderately severe nausea and vomiting at 8 weeks’ gestation tells the clinician that they are worried about the effects on the baby, particularly because they are not getting additional calories each day over the pre-pregnancy diet. How should the clinician respond?
We will keep working with you to help you find relief but it might be reassuring to know that most people in the first trimester do not need extra calories
[Most people in the first trimester do not need extra calories. Telling the patient she needs to get an extra 300-350 calories per day would also invoke unnecessary stress and worry, especially given how unrealistic it is with her nausea and vomiting. Although this does typically improve in the second trimester, we CAN help to manage her symptoms now.]
Listeriosis is which type of illness?
bacterial
[Listeriosis is caused by the bacterium Listeria monocytogenes, generally acquired from contaminated food.]
Why is listeriosis problematic for pregnant individuals?
It can cause harm to the fetus through miscarriage or stillbirth
[Effects on the fetus are of the most concern, including the possibility of miscarriage, stillbirth, preterm birth, and serious newborn illness. In pregnant women, the symptoms are typically flu-like in nature.]
Which of the following foods are known to be the riskiest for listeria? [select all that apply[]
a) pasteurized milk
b) deli ham (not heated)
c) soft cheese like queso fresco
d) hot dogs (heated)
b) deli ham (not heated) & c) soft cheese like queso fresco
[The most common foods that Listeria loves includes:Raw sprouts, cold NOT heated deli meats and hot dogs, Smoked seafood, Raw unpasteurized milk, Soft cheeses]
Toxoplasmosis is which type of illness?
parasitic
[Toxoplasmosis is an illness caused by the parasite Toxoplasma gondii.]
Why is toxoplasmosis a problem for pregnant people?
The infection can be passed to the fetus and cause blindness or mental disability in the newborn
[A healthy pregnant person may have mild flu-like symptoms or none at all, but the baby is at risk for severe consequences such as blindness, mental disability, and seizures.]
A pregnant person is worried about their cat giving them toxoplasmosis. Which of these is the most important question to ask to respond to the person’s concerns?
Does your cat hunt and eat rodents or other small animals?
[Cats are not inherently risky for Toxoplasma gondii. Cats become infected by eating infected small animals and then the parasite is passed in the cat’s feces. Completely indoor cats (regardless of the quantity) who are fed commercial, cooked food have virtually no risk of passing Toxoplasma gondii.]
Which of these would be considered risky for getting toxoplasmosis? [select all that apply]
a) uncooked pork
b) raw oysters
c) gardening with gloves
d) drinking unfiltered water from a stream
a) uncooked pork, b) raw oysters, d) drinking unfiltered water from a stream
[The most common modes of transmission are:
-Eating undercooked, contaminated meat (especially pork, lamb, and venison) or shellfish (like oysters, clams, and mussels)
-Ingesting Toxoplasma gondii oocysts from cat feces (from a litter box, soil or unwashed produce from a garden that a cat has used as a litter box).
-Drinking water contaminated with Toxoplasma gondii (higher probability when the water is unfiltered)
Gardening with gloves will help prevent transmission]
Which of these are fish to AVOID due to high mercury levels? [select all that apply]
a) Orange roughy
b) Shark
c) Sardines
d) Swordfish
e) Halibut
f) Canned tunafish
g) Tuna steak
a) Orange roughy
b) Shark
d) Swordfish
g) Tuna steak
A pregnant person asks about safe caffeine intake. What is an appropriate response?
The evidence is not clear about how much caffeine is a safe amount. Tell me about your intake now.
[It is best to ask your patients about their intake of caffeine and assess their level of comfort and concern. Some patients find that they feel miserable without their usual cup of coffee or tea. The safety of caffeine intake during pregnancy has conflicting evidence. Share the uncertainties regarding the evidence and utilize shared decision-making.]
At the end of a prenatal visit at 8 weeks’ gestation, the clinician wants to provide information about what the patient can expect at the next visit. Which of these statements is accurate and appropriate?
a) When you come back in 4 weeks, it will definitely still be too early to hear your baby’s heart beat.
b) When you come back in 4 weeks, we will likely be able to hear your baby’s heart beat with the Doppler.
c) You should come back in 2 weeks for your next regular prenatal visit which we keep at 2-week intervals at this point
d) When you come back in 4 weeks, we will use a tape measure to measure your uterine size.
b) When you come back in 4 weeks, we will likely be able to hear your baby’s heart beat with the Doppler.
At the end of a prenatal visit at 10 weeks, the patient is feeling uncertain about whether she is going to be able to manage her nausea until she comes back to the office again. Which of these are appropriate responses from the clinician? [select all that apply]
a) Let’s look again at the plan we’ve developed and see if there are any adjustments you’d like to make
b) You should check with your insurance company about whether they cover after-hours calls
c) You can get in touch with an on-call provider at any time, 24/7. I’ll make sure you have that contact information.
d) We can always schedule a visit for you to come back sooner than 4 weeks, to make sure you’re doing well
a) Let’s look again at the plan we’ve developed and see if there are any adjustments you’d like to make
c) You can get in touch with an on-call provider at any time, 24/7. I’ll make sure you have that contact information.
d) We can always schedule a visit for you to come back sooner than 4 weeks, to make sure you’re doing well
