Brainscape's Knowledge GenomeTM

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


See full index

TAS Perinatal Medicine ✅ > Pre-Pregnancy Care ✅ > Flashcards

Pre-Pregnancy Care ✅ Flashcards

1
Q

What areas is advice given regarding to prospective mothers?

A
  • Smoking in pregnancy
  • Folic acid supplementation
  • Vitamin D supplementation
  • Medications
  • Alcohol ingestion and drug abuse
  • Congenital rubella
  • Toxoplasmosis
  • Listeria infection
  • Eating liver
  • Fish
  • Pre-existing conditions
  • Risk of fatal abnormality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What advice is given regarding smoking in pregnancy?

A

Avoid

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

Why should smoking be avoided in pregnancy?

A
  • Reduces birth weight
  • Increases risk of pregnancy related complications
  • Increases risk of certain diseases in child
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When is a reduction in birth weight caused by smoking particularly important?

A

If there is IUGR

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

What pregnancy related complications does smoking increase the risk of?

A
  • Miscarriage
  • Stillbirth
  • Preterm delivery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What conditions in the child does smoking increase the risk of?

A
  • SIDS
  • Wheezing
  • Asthma
  • Bronchitis
  • Pneumonia
  • Otitis media
  • Psychological problems, e.g. attention and hyperactivity problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When should folic acid supplementation be taken in pregnancy?

A

Before conception and throughout first 12 weeks of pregnancy

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

What is the purpose of folic acid supplementation in pregnancy?

A

Reduces risk of neural tube defects (NTD)

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

Give 2 examples of NTDs?

A
  • Anencephaly

- Spina bifida

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

Is eating folate rich foods sufficient in pregnancy?

A

May help but is often insufficient

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

What is recommended in mothers who are at higher risk of NTDs?

A

Higher dose supplements

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

What might indicate someone is at higher risk of having a child with a NTD?

A
  • Previous NTD pregnancy
  • Family history (including partner)
  • Maternal diabetes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What programme exists to help women access folate acid supplements?

A

Healthy Start Programme

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

What does the Healthy Start Programme provide?

A

Free vitamin supplements (folic acid and vitamins C and D)

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

Who receives free supplements under the Healthy Start Programme?

A

Low-income pregnant women and those who have an infant less than 1 year

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

What is advised regarding vitamin D in pregnancy?

A

Advised for all women planning to breastfed their infants

17
Q

What is the role of vitamin D in pregnancy?

A

It is required for fetal bone mineralisation and accumulation of infant vitamin D stores

18
Q

What is a newborns vitamin D status determined by?

A

Largely the mother’s level of vitamin D during pregnancy

19
Q

Is breastmilk a significant source of vitamin D?

A

No

20
Q

What is the main source of vitamin D?

A

Sunlight

21
Q

Why are many people deplete of vitamin D in the UK?

A

For a significant number of months in the UK, there is little ambient UV sunlight of an appropriate wavelength

22
Q

What advice is given regarding medication use during pregnancy?

A
  • Avoid medications with teratogenic effects

- All medications should be avoided unless essential

23
Q

What advice should be given regarding alcohol and drug abuse during pregnancy?

A

Avoid

24
Q

What advice should be given regarding congenital rubella in hopeful mothers?

A

Can prevent by maternal immunisation before pregnancy

25
Q

What advice should be given regarding toxoplasmosis in pregnancy?

A

Minimise exposure by avoiding eating undercooked meat and wearing gloves when handling cat litter

26
Q

What advice should be given regarding listeria infection during pregnancy?

A

Avoid eating unpasteurised dairy products, soft ripened cheeses, e.g. brie, camembert, and blue-veined varieties, pates, and ready-to-eat poultry

27
Q

What advice should be given regarding eating liver in pregnancy?

A

Best avoided

28
Q

Why is it best to avoid eating liver during pregnancy?

A

As it contains high concentrations of vitamin A

29
Q

What should be advised regarding eating fish during pregnancy?

A

Avoid eating;

  • Swordfish
  • Shark
  • Marlin
  • Tuna
  • Oily fish
30
Q

Why should you avoid eating shark, swordfish, marlin, and tuna during pregnancy?

A

They may contain high levels of mercury

31
Q

Why should you limit eating oily fish during pregnancy?

A

They may contain pollutants such as dioxins

32
Q

What advice should be given regarding pre-existing conditions in pregnancy?

A

Optimise control of conditions such as diabetes and epilepsy

33
Q

What should be done if there is an increased risk of fetal abnormality

A

Genetic counselling

34
Q

What might indicate an increased risk of fetal abnormality?

A
  • Previous congenital abnormality
  • Positive family history
  • Parents being known carriers of genetic disorder
  • Ethnic group with increased risk
35
Q

Give an example of an ethnic group that are at an increased risk of a genetic disorder

A

Ashkenazi jews are at increased risk of Tay-Sachs

TAS Perinatal Medicine ✅ (16 decks)

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