preconception counseling and care (1)

Question 1

folic acid or folate?

Answer 1

folate

Question 2

how much does folate 400 mcg before preg to 6-12 wks post reduce neural tube defects?

Answer 2

75%

Question 3

folate deficient women need how much

Answer 3

4-5 mg 3 months before to 12 wks postconception

Question 4

folate vitamin #

Answer 4

b9

Question 5

why folate?

Answer 5

MTHFR deficient

cannot process folic acid

Question 6

things that may make folate deficient

Answer 6

5a, bcdu

antacids, anti inflam, antibiotic, anitconvulsants, antidiabetic, bc, cholestrol lowering, diuretics, ulcer meds

Question 7

born w/ tube defects..

Answer 7

facial cleft, structural heart disease, limb dfe, urinary tract anomaly, hydrocephalus

Question 8

why obese and infertility

Answer 8

insulin resistance and oligomenorrhea (infrequent periods)

Question 9

how long after bariatric surgery should you wait for preg

Answer 9

12-18 mo

ADEKC, B1, b12, folic acid and iron

Question 10

low BMI 18.5 associated w

Answer 10

preterm and low birth weight

Question 11

how far in advance should you make healthy lifestyle changes

Answer 11

3 mo -1 yr

Question 12

caffeine interferes w/

Answer 12

calcium, d, iron, b vitamins, manganese, zic, copper, magnesium, potassium, sodium, and phosphate

Question 13

more than ___mg of caffeine may reduce fertility by…

Answer 13

300 mg

27%

Question 14

MC serious disease to affect preg

Answer 14

diabetes

1%

Question 15

pregestational diabetes increase risk of

Answer 15

miscarriage, congenital fetal anomalies, and perinatal death

Question 16

glucose at high level is

Answer 16

teratogenic

Question 17

which tri is most important in handling glucose

Answer 17

1

organogensis

Question 18

a1c levels preconception

Answer 18

normal - 7% or lower

Question 19

chronic hypertension in preg associate w/

Answer 19

preterm birth, placental abruption, intrauterine growth restriction, preeclampsia (25% w/ hyper will develop)
fetal death

Question 20

can hypertension prepreg make mom at risk for end organ damage during preg?

Answer 20

yes

Question 21

severe hypertension in preg?

Answer 21

180/110

Question 22

thyroid preg impacts

Answer 22

hypo (1st tri) cognitive impairment in kids

preterm birth, low birth weight, placental abruption, fetal death

Question 23

hypothyroid if treated early have no increased risk of perinatal morbidity

Answer 23

true

Question 24

how much are thyroid dosages increased

Answer 24

30+ by 4-6 wks gestation

Question 25

what disease almost always get worse w preg

Answer 25

asthma

Question 26

abnormal flood coagulation that increases risk of thrombosis

Answer 26

thrombophilia

Question 27

thrombophilia increased risk of

Answer 27

recurrent miscarriage, venous and art clots | preeclampsia

Question 28

thrombophilia affects baby...

Answer 28

placental infarction, intrauterine growth restriction, placental abruption, fetal stroke, fetal death

Question 29

what is usually given for thrombophilia?

Answer 29

warfarin...but its teratogenic

Question 30

mc neuro disease to affect preg

Answer 30

seizer

Question 31

more frequent seizures during preg?

Answer 31

1/3 of all women

Question 32

associated w/ seizures?

Answer 32

``` low birth miscarriage congenital anom developmental disabilites microcephaly hemorrhagic disease ```

Question 33

what do they do preconception for seizure disorders

Answer 33

folate increase!!

Question 34

diabetes med preferred

Answer 34

metformin

Question 35

what should be avoided for renal issues

Answer 35

ACE inhib, ARBs, and statins