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CMN 568 Unit 6Complete Questions And Responses
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CMN 568 Unit 6Complete Questions And Responses
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CMN 568 Unit 6Complete Questions AndResponses
What does folate deficiency resemble? CORRECT ANSWERS megaloblastic anemia
as seen in B12 deficiency except that neurologic abnormalities are absent
When does megaloblastic anemia of folate deficiency develop? CORRECT ANSWERS
within 4-5 months
When does neural tube closure take place? CORRECT ANSWERS 21-28 days post
conception
What is the most common neural tube defect? CORRECT ANSWERS spina bifida
What is the recommended daily intake of folic acid for nonpregnant women with no
known risk factors for neural tube defect? CORRECT ANSWERS 400 mcg
What medication places women at a higher risk for a neural tube defect-affected
pregnancy? CORRECT ANSWERS anticonvulsants
What ethnicity is at a higher risk for having babies with congenital neural
malformations? CORRECT ANSWERS hispanic
What antibiotics should be avoided in pregnancy? CORRECT ANSWERS tetracyclines,
fluoroquinolones, bactrim (in the 1st trimester), macrobid in the last few weeks of
pregnancy
What is 1st line therapy for treating UTI in pregnancy? CORRECT ANSWERS •
Nitrofurantoin monohydrate/macrocrystals 100 mg orally twice daily for 5-7
days or
• Amoxicillin 500 mg orally twice daily (alternative: 250 mg orally three times
daily) for 5-7 days or
• Amoxicillin-clavulanate 500/125 mg orally twice daily for 3-7 days
(alternative: 250/125 mg orally three times daily for 5-7 days) or
• Cephalexin 500 mg orally twice daily for 3-7 days
What are risk factors for gestational diabetes? CORRECT ANSWERS obesity, older
age, having a family history of type 2 diabetes or belonging to an ethnic group at
increased risk for the condition (such as Hispanic, Native American, South or East
Asian, African American, or Pacific Islands descent)
Women with gestational diabetes are at higher risk for what? CORRECT ANSWERS
gestational htn, preeclampsia, c/s, and having diabetes later in life
, The offspring of women with gestational diabetes are at increased risk for what?
CORRECT ANSWERS macrosomia, neonatal hypoglycemia,
hyperbilirubinemia, operative delivery, shoulder dystocia, and birth trauma
Describe ACOGs recommended 2 step approach to dx GD in pregnancy? When is the
test usually performed? CORRECT ANSWERS first screening with the administration of
50 g of an oral glucose solution followed by a 1-hour venous glucose determination.
Those women meeting or exceeding the screening threshold of > or = 140 undergo a
100-g, 3-hour diagnostic oral glucose tolerance test (OGTT); at 24-28 weeks
In women in whom GD is diagnosed, what is the blood glucose cutoff? (depending on
community prevalence rates) CORRECT ANSWERS 135-140
What is the recommended initial management of women diagnosed with DM?
CORRECT ANSWERS nutritional counseling by a registered dietitian, if possible, and
advice on a moderate exercise
program.
When is postpartum screening of GD recommended? CORRECT ANSWERS 6-12
weeks postpartum
What percentage of women experience some type of mood disturbance in the
postpartum period? CORRECT ANSWERS 85%
Some women may be abnormally sensitive to changes in the hormonal milieu and may
develop depressive symptoms when treated with what? CORRECT ANSWERS
exogenous estrogen and progesterone
What screening tool is a 10-item, self-rated questionnaire used extensively for detection
of postpartum depression? CORRECT ANSWERS The Edinburgh Postnatal
Depression Scale (EPDS)
A score of ___ or more on the EPDS or an affirmative answer on question ____
(presence of suicidal thoughts) requires more thorough evaluation CORRECT
ANSWERS 10
What scale is a common, 10-item, clinician-administered evaluation used following a
positive screen, and it accurately differentiates depressed and nondepressed patients,
evaluates severity of disease, and detects changes in symptoms over time CORRECT
ANSWERS The Montgomery-Asberg Depression Rating Scale
When do symptoms of postpartum blues peak? When do they usually remit?
CORRECT ANSWERS Day 4 or 5; 2 weeks
What treatment is indicated for postpartum blues? CORRECT ANSWERS support and
reassurance
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