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Special Pops FINAL > prenatal care > Flashcards

prenatal care Flashcards

1
Q

what are considered as an ovulation kit?

A

LH monitors and basal body temperatures

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2
Q

when should patients use their ovulation kits?

A

around day 10

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3
Q

when can ovulation tests identify an LH surge in the urine?

A

14-48 hours before ovulation

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4
Q

what are 4 things that may cause a false positive in the ovulation kit?

A
  1. fertility meds
  2. PCOS
  3. pregnancy
  4. menopause
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5
Q

what do pregnancy tests detect?

A

hCG levels

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6
Q

when can hCG be detected?

A

within 10-12 days of implantation

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7
Q

when should you take a pregnancy test?

A

early in the morning and on the day of your missed menses (wait the whole week)

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8
Q

what are 5 things included in the preconception risk assessment?

A
  1. assessment of reproductive and medical history
  2. family history (including father) and genetic abnormalities
  3. nutritional status
  4. social and mental health concerns
  5. drug tobacco and alcohol history
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9
Q

what are 2 vaccines that are checked for in the preconception risk assessment?

A
  1. hepatitis B
  2. rubella
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10
Q

what function test should be evaluated before conceiving and during the first trimester?

A

thyroid

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11
Q

why might you see an increase indoses of thyroid medications?

A

higher metabolic demand during prenancy

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12
Q

what are 6 carrier screenings for?

A
  1. cystic fibrosis
  2. tay sachs disease
  3. fetal x syndrome
  4. spinal muscular atrophy
  5. thalassemias
  6. hemoglobinopathies
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13
Q

what type of food should be in 1-2 meals a week to help with fetal neurodevelopment?

A

fish

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14
Q

if a mother is planning in eating fish what should she avoid?

A

high mercury (mackerel, shark, swordfish and tile fish)

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15
Q

how much fish is recommended in a mothers diet?

A

12 oz

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16
Q

what kind of cheeses can the patients eat?

A

pasteurized

17
Q

what are 2 things that patients should avoid in their diet?

A
  1. raw eggs
  2. ready to eat meats (deli meat, hot dogs)
18
Q

what are 3 things that vegetarians should supplement in their diet?

A
  1. b12
  2. calcium
  3. DHA
19
Q

what is a polyunsaturated fatty acid that helps with fetal and infant brain development?

A

DHA

20
Q

what is the recommended daily amount of iron that should be taken for women who are of childbearing age?

A

27 mg

21
Q

for pregnant patients what is the daily amount of elemental iron that should be taken?

A

27-30mg

22
Q

what electrolyte can interfere with the absorption of iron?

A

calcium

23
Q

when should prenatal supplements be taken?

A

3 months before patient is pregnant

24
Q

how much folic acid do we want patients with a high risk of a folate deficiency to take?

A

4-5 mg

25
Q

what are 4 potential causes to a folate deficiency?

A
  1. alcoholism
  2. undernourishment
  3. fad diets
  4. malabsorption disorders
26
Q

what are the most common birth defects associated with a folate deficiency?

A
  1. spina bifida
  2. anencephaly
27
Q

what electrolyte is required for the development of bones and teeth in the fetus?

A

calcium

28
Q

when is calcium needed the most?

A

in the last trimester

29
Q

what are 2 forms of calcium that can be given?

A
  1. citrate
  2. carbonate
30
Q

which form of calcium is less constipating?

A

citrate

31
Q

what form of calcium is preferred in bariatric patients?

A

citrate

32
Q

what are recommended exercises for prenatal obesity?

A

walking, swimming, low impact aerobic, yoga

33
Q

what vaccinations should be given for each pregnancy?

A

Tdap

34
Q

when is the optimal timing for Tdap?

A

27-37 weeks

35
Q

when should patients other than the mother be given tdap?

A

within 2 weeks of contact

36
Q

when can the mother be given an MMR vaccine

A

1 month prior to conception (live vaccine)

37
Q

true or false: if a pregnant patient is due for their next covid dose they can receive it

A

true

38
Q

what system aims at decreasing the incidence of adverse pregnancy outcomes including infant and maternal morbidity and mortality?

A

pregnancy risk assessment monitoring system (PRAMS)

39
Q

what doses of DHA per day can be used before conception and throughout pregnancy?

A

300-600 mg

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