Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OB > PRE CONCEPTIONAL COUNSELLING > Flashcards

PRE CONCEPTIONAL COUNSELLING Flashcards

1
Q 
A set of interventions that aim to
identify and modify biomedical,
behavioral and social risks to a
womans health or pregnancy
outcome through prevention and
management.
A

Pre conceptional care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Gynecologists, internists, family practitioners, and pediatricians have the best opportunity to provide preventive counseling during periodic health maintenance examinations.

A

Counselling session

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Preconceptional Counselling

A 
❖Family History
❖Medical History
❖Personal and Social History
❖Lifestyle and work habits
❖Immunizations
❖Screening tests: Rubella, varicella, hepatitis B
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

vaccines NOT associated with adverse fetal outcomes

A

Pneumococcus
Hepatitis B
Meningococcus
Rabies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

vaccines NOT recommended during pregnancy

A

Live virus vaccines: varicellazoster, MMR, Chicken pox, polio and yellow fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how many month/s should pass between vaccination and conception attempts

A

1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

It is currently recommended, therefore, that all women who may become pregnant take _____ of folic acid orally daily before conception and through the first trimester

A

400 μg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

significantly reduces the risk of a recurrent NTD by 72 %

A

Preconceptional folic acid therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gene mutation in 677C

A

T substitution in the gene that encodes methylene tetrahydrofolate reductase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

❖Incidence: 0.9 per 1000 live births

❖Most frequent structural fetal malformation

A

NEURAL TUBE DEFECTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

❖Phenylalanine metabolism defect
❖phenylalanine readily crosses the placenta and can damage developing fetal organs especially neural and cardiac tissues.
❖must be normalized 3 months before conception

A

PHENYLKETONURIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

❖Most common single gene disorder worldwide
❖Endemic in mediterraneanand south east asiancountires.
❖Individuals of high risk ancestry be offered carrier screening to allow informed decision making regarding reproduction and prenatal diagnosis

A

THALLASEMIAS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

has been associated with an increased risk for several pregnancy related complications, including hypertension, vaginal bleeding, hyperemesis, preterm delivery, and low-birth weight infants

A

INTIMATE PARTNER VIOLENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pregnancy can exacerbate interpersonal problems and is a time of increased risk from an abusive partner

A

INTIMATE PARTNER VIOLENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Because domestic violence can escalate during pregnancy, even to the point of homicide, the preconceptional period provides an ideal time for screening, and if indicated, intervention

A

INTIMATE PARTNER VIOLENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

craving for and consumption of ice, laundry, starch, clay or dirt and other non food items

A

PICA

17
Q

increase risk of maternal risks of nutritional a deficiencies, electrolyte disturbances, cardiac arrhythmias, and gastrointestinal pathology

A

Anorexia and bulimia

18
Q

increased risk of hypertension, preeclampsia, gestational diabetes, labor abnormalities, cesarean delivery, and operative complications

A

Obesity

19
Q

excess exposure to these 2 agents is associated with neurodevelopmental disorders

A

methyl mercury and lead

20
Q
  • 40 %of multifetal gestations are conceived with the use of this technology
A

Assisted Reproductive Technology

21
Q

Assisted Reproductive Technology increases incidence of

A

placenta previa and abruption

22
Q
  • comprise 15% of pregnancies
  • more likely to request counseling
  • Increased risk of complications and pregnancy related mortality
A

Advanced maternal age

23
Q
  • increased risk for anemia, preterm delivery, pre eclampsia

- incidence of STI is also higher in pregnancy

A

Adolescents

24
Q

❖At least 3% of neonates in US will have at least 1 birth defect
❖neural-tube defects, phenylketonuria, thalassemias, and other diseases more common in individuals of Eastern European Jewish descent

A

GENETIC DISEASES

25
Q

2-3 fold risk of having infants with structural anomalies

A

epilepsy

26
Q

Epilepsy etiology - exposure to what anticonvulsant therapy

A

valproicacid and polytherapy

27
Q

supplemental folic acid medications

A

carbmazepine, phenobarbital, phenytoin, primidone

28
Q

Incidence of fetal anomalies in women with elevated FBS is higher than normal women

A

GDM

OB (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions