prenatal counseling (1)

Question 1

traveling

Answer 1

promote circulation
fluids
fasten belt under abdomen

Question 2

5 a’s of smoking cessation

Answer 2

ask current status

2. advise
3. assess: willingness to attempt to quit
4. assist: provide preg specific aids
5. arrange: followup to track progress

Question 3

when is fetus most vulnerable

Answer 3

1st 12 wks during organogenesis

Question 4

air travel

Answer 4

until 4 wks before

Question 5

avoid hair dye when?

Answer 5

early in preg

Question 6

saunas

Answer 6

avoid 1st tri: heat = neural tube defects

Question 7

its ok to have sex

Answer 7

:)

Question 8

reasonable exercise

Answer 8

avoid activites w/ “falling”

30 min of moderate exercise

Question 9

pregnancy and work issues

Answer 9

worry about chemical exposure

Question 10

safe amount of alcohol?

Answer 10

unknown
30% increase in spontaneous abort
FASD fetal alcohol spectrum disorder

Question 11

paternal smoking increases risk of

Answer 11

leukemia

Question 12

caloric requirements increase

Answer 12

340-450/day 2 and 3 tri

Question 13

normal weight gain

Answer 13

25-35

Question 14

too much weight gain

Answer 14

macrosomia, cesarean delivery, and weight retention postpartum

Question 15

calcium supplement decrease

Answer 15

preeclampsia

rdi 1000-1300

Question 16

folic acid supplement

rdi

Answer 16

400-800mcg

600 mcg

Question 17

max vit a intake

Answer 17

5000 iu cranial-neural crest defects

Question 18

vit d def linked to

Answer 18

neonatal hypocalcemia and maternal osteomalacia

1000-5000 IU per day

Question 19

what artificial sweetener can cross placenta

Answer 19

saccharin

Question 20

non nutritive sweeteners predispose child to…

Answer 20

obesity and metabolic syndrome later in life

Question 21

kids w/ moms who used nonnutritive swetners most likely to have

Answer 21

allergic rhinitis and asthma

Question 22

teas in moderation but…

Answer 22

chamomile (uterine stim), licorice (premature labor), peppermint (may worsen heartburn) or raspberry leaf

Question 23

dairy avoid?

Answer 23

unpasturized milk: toxoplasma and listeria

soft cheeses: listeria: blue veined cheeses

Question 24

raw eggs

Answer 24

salmonella

Question 25

too much liver consumption could cause

Answer 25

vit a toxicity

Question 26

fish avoid:

Answer 26

shark, swordfish, king mackerel, tilefish, tuna steaks

limit others to 2-3 mls/wk

Question 27

t or f avoid refrigerated smoked seafood, avoid raw fish and shellfish

Answer 27

t