prenatal Flashcards
what vitamins do we give
folate
what vaccines must the mother be given prior to pregnant
flu, hep B, MMR
can we give MMR during pregnancy
NO. this is live attenuated and can cause birth defects. viremia induced defects
can you give Flu while pregnancy
yes
can you give hep b
yes
lifestyle changes in p[regnancy
smoking and alcohol cessation. get her off of evertyhing. she needs to increase sleep, can have sex, reduction of stress. can continue to work
which chronic diseases do we worry about
diabetes, hypertension, hypothyroid.
can we give varicella vaccine
NO.
what labs for pregnancy?
ABC, Rh, hgb/hct, HIV, hepB, RPR (syphilis), titers for MMR and varicella. Urine proteinuria, GC/chl, uric acid
what is the strategy for pre-conception meetings
safety, vitamins, vaccines. stop her from doing stupid shit and get her chronics under control.
what is the 10 week visit geared toward
her (pregn desired), baselines, desrcibe and Dx, screening (Rh, Hgb, urine, STI, vaccines