preconception counseling

Question 1

Interventions aimed at identifying and modifying biomedical, behavioral, and social risks to a woman’s health or pregnancy outcome through

Answer 1

prevention and management.

Question 2

diet plan least costly and weight best maintained

Answer 2

Weight Watchers

Question 3

low pre-pregnancy weight

Answer 3

associated with preterm birth and low birth weight and there is a higher risk of gastroschisis

Question 4

when is folic acid is needed for pregnancy

Answer 4

1 month before getting pregnant which reduces the rate of NTD by 75%

** 400 mcg daily

Question 5

Preconception counseling by PCP -> ___ times more likely to take folic acid before conception

Answer 5

five

Question 6

Most common form of pregestational diabetes
Onset later in life
Peripheral insulin resistance
Relative insulin deficiency
Obesity

Answer 6

type 2 pre-gestational diabetes

Question 7

rates of congenital fetal anomalies in diabetes

Answer 7

high- glycemic control in 1st trimester during organogenesis is needed

Question 8

stimulates mammary glands and supplies energy to fetus

and most important it has anti-insulin effects

Answer 8

human placental lactogen (HPL)

Question 9

hypertension in pregnancy there is a risk of ____ 25%

Answer 9

pre-eclampsia

Question 10

progressive, fatal neurological disorder that begins in infancy - white matter - gene for making enzyme called aspartoacylase

Answer 10

Canavan disease

Question 11

fever advice

Answer 11

fever is a teratogen- causes birth defects in the central nervous system all throughout gestation period

Question 12

A level recommendations

Answer 12

1. folate

2. counseling diabetes

Question 13

which hypertension medications are associated with fetal anomalies and fetal death

Answer 13

ACE inhibitors and ARBs

Question 14

metformin use in pregnancy

Answer 14

not a teratogen can be used for pre-conception period