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CMN 568 Unit 6: Questions With Answers (100% Correct)
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CMN 568 Unit 6: Questions With Answers (100% Correct)
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CMN 568 Unit 6: Questions With Answers (100% Correct)How many months is the childbearing year Right Ans - 13
How are these months divided Right Ans - 2 months preconception, 9
months pregnancy, 2 months postpartum
What is preconception care Right Ans - Strengthening the parents
physically and preparing them through education and establishment of a
patient-provider relationship
What is prenatal care Right Ans - Monitoring and supporting the mother
both physically and emotionally while deepening the patient-provider
relationship
What is postpartum care Right Ans - Monitoring and supporting maternal
physical recovery, breastfeeding and maternal-infant bonding
Preconception care screening for Right Ans - Health risks
Height, weight, BMI
Blood pressure
Complete physical examination
Depression
Domestic violence
Smoking, alcohol, or substance use
Nutrition status and prenatal vitamin use
Medication use, both Rx and OTC
Immunizations status
Travel:Areas at risk for Zika
folic acid supplementation Right Ans - All women should be started on
Folic Acid which has been shown to decrease a number of birth defects.
All other women should take Folic Acid 0.4mg/day starting at least 1 month
prior to conception
Women with a history of giving birth to a child with a neural tube defect or a
strong family history should take Folic Acid ? Right Ans - 4mg/day
beginning several months before pregnancy.
,Women with insulin-dependent diabetes and those taking Valproic acid and
Carbamazepine for seizure disorder should take at least Right Ans -
1mg/day
Prenatal care- initial visit Right Ans - ideally between 6-8 weeks gestation
History and Physical
Laboratory testing
Patient Education
Diet and Prenatal Vitamins
Exercise
Teratogens
Common discomforts of pregnancies
Options for aneuploidy screening
Danger signs in the first trimester - bleeding, pain, etc.
Emergency contact information
initial lab testing- first visit Right Ans - CBC with differential
Blood Type and Rh
Antibody screen
RPR or VDRL
HIV screening
Hepatitis B surface Antigen (HBsAG)
Rubella and Varicella-Zoster titers
Urinalysis/Urine C&S (clean catch or cath sample)
Pap smear if >21 years old (omit if normal Pap within past 3 years) . Include
HPV co-testing if over age 30
DNA probe for Gonorrhea and Chlamydia
initial lab testing-- in select patients Right Ans - Screening for HSV in
patients with past or current herpes lesions
Screening (wet prep) for trichomonas, candidiasis or bacterial vaginosis in
those with symptoms
Glucose challenge test if previous gestational diabetes or high risk for diabetes
Offer cystic fibrosis screening
, Zika testing if meets CDC criteria (exposure to Zika)
Hb Electrophoresis to detect Sickle cell or Thalassemia based on racial/ethnic
background and family history
PPD or Interferon Gold test for those at high risk of TB
Aneuploidy screening Right Ans - Neural tube defects and trisomy 21, 18,
13
1. Stepwise integrated screening - two separate risk measures that are
compared:
First step between 11 0/7 and 13 6/7 weeks gestation:
-Ultrasound measurement of fetal nuchal translucency
-Serum test: Pregnancy associated plasma protein A (PAPP-A) and BHCG.
Used to screen for Trisomy 13, 18, and 21
Second step between 15 and 18 weeks gestation:
-Maternal AFP to detect open neural tube defect.
2. Quadruple screening (15-20 weeks gestation, ideally 16-18 weeks):
Maternal serum α-fetoprotein (AFP)
Serum β-human chorionic gonadotropin (BHCG)
Unconjugated Estriol
Inhibin
invasive genetic testing Right Ans - May offer invasive testing to all women,
especially those over age 35 or with family history or risk factors for genetic
disorders
Chorionic villous sampling can be preformed between 10-13 weeks gestation
by either transabdominal or transvaginal technique
Amniocentesis is offered between 15-20 weeks gestation.
Complication rates range from 0.1-0.3%
Detection rate of aneuploidy is virtually 100%
schedule of prenatal visits Right Ans - Depending on practice policy first
visit usually starts after two missed periods; earlier if previous history of
ectopic or greater than two spontaneous miscarriages
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