prenatal counseling (1) Flashcards
traveling
promote circulation
fluids
fasten belt under abdomen
5 a’s of smoking cessation
ask current status
- advise
- assess: willingness to attempt to quit
- assist: provide preg specific aids
- arrange: followup to track progress
when is fetus most vulnerable
1st 12 wks during organogenesis
air travel
until 4 wks before
avoid hair dye when?
early in preg
saunas
avoid 1st tri: heat = neural tube defects
its ok to have sex
:)
reasonable exercise
avoid activites w/ “falling”
30 min of moderate exercise
pregnancy and work issues
worry about chemical exposure
safe amount of alcohol?
unknown
30% increase in spontaneous abort
FASD fetal alcohol spectrum disorder
paternal smoking increases risk of
leukemia
caloric requirements increase
340-450/day 2 and 3 tri
normal weight gain
25-35
too much weight gain
macrosomia, cesarean delivery, and weight retention postpartum
calcium supplement decrease
preeclampsia
rdi 1000-1300
folic acid supplement
rdi
400-800mcg
600 mcg
max vit a intake
5000 iu cranial-neural crest defects
vit d def linked to
neonatal hypocalcemia and maternal osteomalacia
1000-5000 IU per day
what artificial sweetener can cross placenta
saccharin
non nutritive sweeteners predispose child to…
obesity and metabolic syndrome later in life
kids w/ moms who used nonnutritive swetners most likely to have
allergic rhinitis and asthma
teas in moderation but…
chamomile (uterine stim), licorice (premature labor), peppermint (may worsen heartburn) or raspberry leaf
dairy avoid?
unpasturized milk: toxoplasma and listeria
soft cheeses: listeria: blue veined cheeses
raw eggs
salmonella
too much liver consumption could cause
vit a toxicity
fish avoid:
shark, swordfish, king mackerel, tilefish, tuna steaks
limit others to 2-3 mls/wk
t or f avoid refrigerated smoked seafood, avoid raw fish and shellfish
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