Pregnancy & Aging

Question 1

How do pregnant patients prevent CMV infection?

Answer 1

don’t share food

Question 2

What are the consequences of CMV infection?

Answer 2

mental retardation

hearing & vision loss

Question 3

How do pregnant patients prevent Listeria?

Answer 3

re-heat deli meats, avoid unpasteurized foods

Question 4

What are the consequences of Listeria infection?

Answer 4

miscarriage

pre-term labor

Question 5

How do pregnant patients prevent Toxoplasma?

Answer 5

don’t mess w/ cat shit

Question 6

How do pregnant patients prevent LCMV?

Answer 6

avoid rodents & droppings

Question 7

What vaccines are indicated for pregnant patients?

Answer 7

Flu, Tdap

Question 8

What vaccines are C/I for pregnant patients?

Answer 8

anything live/attenuated

1) LAIV
2) MMR
3) varicella
4) zoster

Question 9

What organism is a problem during labor?

Answer 9

Group B Strep

Question 10

How many women carry Group B Strep?

Answer 10

25%

Question 11

What are the risks to the pregnancy of smoking?

Answer 11

2x risk of…

1) premature rupture
2) placental abruption
3) placenta previa

Question 12

What are the risks of smoking during pregnancy to the baby?

Answer 12

1) 30% more likely to be premature
2) 1.4-3x more likely to die of SIDS
3) underweight

Question 13

What level of marijuana use is proven to slow growth?

Answer 13

more than 6 x/wk

Question 14

What are the consequences of marijuana use during pregnancy?

Answer 14

1) slowed fetal growth

2) decreased infant length

Question 15

What are the consequences of heroine use during pregnancy?

Answer 15

1) slowed fetal growth
2) premature rupture
3) premature birth
4) stillbirth

Question 16

What are infant withdrawal symptoms and when are they experienced?

Answer 16

w/in first 3 days of life

1) fever
2) sneezing
3) trembling
4) irritability, crying
5) N/V/D
6) seizures

Question 17

What are the consequences of smelling glues/solvents during pregnancy?

Answer 17

1) slow fetal growth
2) miscarriage
3) preterm birth
4) birth defects

Question 18

What are the facial features of FAS?

Answer 18

1) smooth ridge b/w nose & upper lip
2) thin upper lip
3) short distance b/w inner & outer corners of eyes

Question 19

What are FASDs?

Answer 19

1) FAS
2) ARND (Neuro Disorder)
3) ARBD (Birth defects)

Question 20

What is the recommended Fe supplementation before pregnancy?

Answer 20

18 mg/day

Question 21

What is the recommended Fe supplementation during pregnancy?

Answer 21

27 mg/day

Question 22

What are good sources of iron?

Answer 22

dark poultry, dried fruit, fe-fortified/whole grains, nuts/seeds, liver/red meats, seafood, dark green leafy veggies, baked potato w/ skin, beans/peas, blackstrap molasses

Question 23

When do neural tube defects develop?

Answer 23

18-30 days after conception

Question 24

What is spina bifida?

Answer 24

when the lower end of the neural tube fails to close

spinal cord not protected by membranes, vertebrae

Question 25

What infant disorders are caused by folate deficiency?

Answer 25

1) Anencephaly | 2) Spina bifida

Question 26

What is anencephaly?

Answer 26

when portion of neural tube forming the brain doesn't close --> lacking skull, parts of brain leads to death

Question 27

What is the recommended folate intake for all childbearing-aged women?

Answer 27

400 mcg/day

Question 28

What is the recommended folate intake for pregnant women?

Answer 28

800 mcg/day

Question 29

What is the max recommended folate intake

Answer 29

1000 mcg/day

Question 30

What is the recommended folate intake if a prior NTD-pregnancy was had?

Answer 30

4000 mcg/day

Question 31

What foods are good sources of folic acid?

Answer 31

- - fortified cereals, enriched breads, pasta - - broccoli, romaine, aspargus, spinach - - black beans, lentils, peanuts - - orange juice from concentration

Question 32

What is the recommended amount of exercise for pregnant women?

Answer 32

150 mins/wk

Question 33

What types of exercise should pregnant women avoid?

Answer 33

1) contact, bouncing, impact 2) scuba, high altitude 3) overheating during 1st trimester 4) on back after 1st trimester

Question 34

How many extra kcal/day are required during pregnancy?

Answer 34

300 kcal/day

Question 35

What foods should be avoided during pregnancy?

Answer 35

1) raw/unpasteurized 2) Hg-fish (tuna, mackerel, sport fish, shellfish) 3) < 200 mg caffeien 4) raw sprouts (alfalfa!) 5) refrigerated pates, meat spreads, smoked fish 6) herbal supplements & teas

Question 36

What is the recommended weight gain for underweight patients?

Answer 36

28-40 #

Question 37

What is the recommended weight gain for normal pts?

Answer 37

25 - 35 #

Question 38

What is the recommended weight gain for overwieght pts?

Answer 38

15-25#

Question 39

What is the recommended weight gain for obese pts?

Answer 39

11 - 20 #

Question 40

When should a pt be tested for gestational diabetes?

Answer 40

24-48 weeks

Question 41

What are the risk factors for GD?

Answer 41

1) f/h 2) prior stillbirth, large baby 3) overweight, HTN 4) 25 yo 5) multiple pregnancy 6) UTI, skin, genital infection

Question 42

What is recommended Na limitation for seniors?

Answer 42

less than 1500 mg/day for everyone over 50

Question 43

How much is 1500 mg of Na?

Answer 43

2/3 tsp

Question 44

How much B6 is recommended for elderly?

Answer 44

1.7 mg (1.5)

Question 45

How much B12 is recommended for elderly?

Answer 45

2.4 mg

Question 46

How much C is recommended for elderly pts?

Answer 46

90 mg (75) + 30 if smoker

Question 47

How much Vit. D is recommended for elderly pts?

Answer 47

600 IU if greater than 70, 800 IU DNE 4000 IU

Question 48

How much Ca is recommended for elderly pts?

Answer 48

1200 mg if man b/w 50 & 70, 1000mg DNE 2000mg

Question 49

What is the cure for FASDs?

Answer 49

none

Question 50

What can cause anemia in the preggo pt?

Answer 50

Fe-deficiency | sickle-cell/thallasemia

Question 51

What are the risks of being anemic during pregnancy?

Answer 51

1) pre-term birth | 2) low birthweight