Prepregnancy Counseling

Question 1

Optimal interval between delivery and subsequent pregnancy is

Answer 1

18 months-5 years

Question 2

The greatest risk of low birth weight and preterm birth occurs when the interpregnancy interval is

Answer 2

< 6 months

Question 3

Women who receive a live virus vaccination should be advised to avoid pregnancy for at least

Answer 3

1 month after vaccination

Question 4

Target age for HPV vaccination is ___ and catch up vaccination is recommended up through age ___

Answer 4

11-12

26

Question 5

5 A’s of Tobacco Cessation

Answer 5

Ask about tobacco use
Advise to quit
Assess willingness to quit
Assist with quitting
Arrange follow up

Question 6

Ideal prepregnancy A1c, to reduce risk of birth defects, is at or below ___

Answer 6

6.0

Question 7

ALL pregnant women should be offered carrier screening for (3 conditions), plus a CBC

Answer 7

1. Cystic fibrosis
2. SMA
3. Hemoglobinopathies and thalassemias

Question 8

Folate doses in prepregnancy - standard and with history of NTDs

Answer 8

Standard = 400 micrograms

Hx of NTD = 4 mg

Question 9

Prophylaxis for women with hx of PPROM or preterm birth

Answer 9

IM progesterone starting in second trimester

Question 10

Prophylaxis for women with hx of PEC

Answer 10

Low-dose (81 mg) aspirin

Question 11

Ideal A1c in pregnancy

Answer 11

6.0 or lower - risk equates that of non-diabetic mother

Question 12

“Painless cervical dilation” is an indication for a ____

Answer 12

Cerclage

Question 13

The “One Key Question” to ask every woman at every visit

Answer 13

Would you like to become pregnant in the next year?

Question 14

4 questions to ask at routine prenatal visit

Answer 14

Vaginal bleeding
Leakage of fluid
Contractions
Fetal movement