CMN 568 - Exam 6 Questions And Verified Answers
2 mo. prenatal care preconception
Physical strengthening of parents
To Educate Yourself, Prepare!
13 mo. =
Childbearing year
Preconception care screening:
Health risks
Ht, Wt, BMI
BP
Complete physical
Depression / domestic violence
Smoking, ETOH, substance abuse
Nutrition status / prenatal vitamins
Medications (Rx and OTC)
Immunizations
Recent travel risk --> risk for Zika
Folic acid dosing to prevent pregnancy-related neural tube defects in pts with hx of
delivering a child with a neural tube defect or strong family history 4mg/d Starting
several months pre-pregnancy Folic acid dosing to prevent pregnancy-related neural
tube defects in pts with insulin-dependent DM, or on valproic acid or carbamazepine at
least 1mg/d Dose for folic acid supplementation 0.4mg/d at least 1 month
pre-conception labs to be drawn-1st trimester CBC w/diff Blood type and screen
Antibody screen
RPR or VDRI HIV Hep B surface antigen [HBsAG] Rubella-zoster titers UA with culture
PAP DNA prober (Gonorrhea / chlamydia) Initial visit for pregnancy occurs when
between 6-8 weeks gestation Stepwise integrated screening 1st step: between 11 0/7 -
13 6/7 weeks gestation US --> measure fetal nuchal translucency Serum test --> PAPP-A
and BHCG [screen for trisimy 13, 18, 21] 2nd step: between 15-18 weeks gestation
, Maternal AFP --> detect open neural tube defect
Quadruple Screening
15-20 weeks gestation (optimally 16-18 weeks)
Maternal serum --> AFP
Serum BHCG, Unconjugated Estriol, inhibin
What is to be offered to women above age 35 or have a family history of some risk
factors for genetic disorders?
Chorionic Villious Sampling
Between 10-13 weeks via transabdominal or transvaginal technique
Amniocentesis
At between 15-20 weeks --> 100% detection rate of aneuploidy
Schedule of prenatal visits
every 4 wks x week 28
every 2 wks wks 28-36
every wk week 36 until delivery
2x/wk for postdates > 40 wks
Schedule of prenatal visits usually starts when?
After 2 missed periods
Will be earlier if prev hx of ectopic or > 2 spontaneous miscarriages
Closer supervision of prenatal care is warranted for patients developing what
problems?
Decreased fetal movement
Gestational diabetes
Pregnancy-induced hypertension
Normal weight gain in pregnancy depends on:
Pre-pregnancy BMI
2 mo. prenatal care preconception
Physical strengthening of parents
To Educate Yourself, Prepare!
13 mo. =
Childbearing year
Preconception care screening:
Health risks
Ht, Wt, BMI
BP
Complete physical
Depression / domestic violence
Smoking, ETOH, substance abuse
Nutrition status / prenatal vitamins
Medications (Rx and OTC)
Immunizations
Recent travel risk --> risk for Zika
Folic acid dosing to prevent pregnancy-related neural tube defects in pts with hx of
delivering a child with a neural tube defect or strong family history 4mg/d Starting
several months pre-pregnancy Folic acid dosing to prevent pregnancy-related neural
tube defects in pts with insulin-dependent DM, or on valproic acid or carbamazepine at
least 1mg/d Dose for folic acid supplementation 0.4mg/d at least 1 month
pre-conception labs to be drawn-1st trimester CBC w/diff Blood type and screen
Antibody screen
RPR or VDRI HIV Hep B surface antigen [HBsAG] Rubella-zoster titers UA with culture
PAP DNA prober (Gonorrhea / chlamydia) Initial visit for pregnancy occurs when
between 6-8 weeks gestation Stepwise integrated screening 1st step: between 11 0/7 -
13 6/7 weeks gestation US --> measure fetal nuchal translucency Serum test --> PAPP-A
and BHCG [screen for trisimy 13, 18, 21] 2nd step: between 15-18 weeks gestation
, Maternal AFP --> detect open neural tube defect
Quadruple Screening
15-20 weeks gestation (optimally 16-18 weeks)
Maternal serum --> AFP
Serum BHCG, Unconjugated Estriol, inhibin
What is to be offered to women above age 35 or have a family history of some risk
factors for genetic disorders?
Chorionic Villious Sampling
Between 10-13 weeks via transabdominal or transvaginal technique
Amniocentesis
At between 15-20 weeks --> 100% detection rate of aneuploidy
Schedule of prenatal visits
every 4 wks x week 28
every 2 wks wks 28-36
every wk week 36 until delivery
2x/wk for postdates > 40 wks
Schedule of prenatal visits usually starts when?
After 2 missed periods
Will be earlier if prev hx of ectopic or > 2 spontaneous miscarriages
Closer supervision of prenatal care is warranted for patients developing what
problems?
Decreased fetal movement
Gestational diabetes
Pregnancy-induced hypertension
Normal weight gain in pregnancy depends on:
Pre-pregnancy BMI
