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Unit 6- CMN568 Exam|177 Questions with Verified Answers 100% Solved
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Unit 6- CMN568 Exam|177 Questions with VerifiedAnswers 100% Solved
What does folate deficiency resemble? CORRECT ANS-megaloblastic anemia as seen in B12
deficiency except that neurologic abnormalities are absent
When does megaloblastic anemia of folate deficiency develop? CORRECT ANS-within 4-5
months
When does neural tube closure take place? CORRECT ANS-21-28 days post conception
What is the most common neural tube defect? CORRECT ANS-spina bifida
What is the recommended daily intake of folic acid for nonpregnant women with no known
risk factors for neural tube defect? CORRECT ANS-400 mcg
What medication places women at a higher risk for a neural tube defect-affected pregnancy?
CORRECT ANS-anticonvulsants
, Unit 6- CMN568 Exam|177 Questions with Verified
Answers 100% Solved
What ethnicity is at a higher risk for having babies with congenital neural malformations?
CORRECT ANS-hispanic
What antibiotics should be avoided in pregnancy? CORRECT ANS-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 ANS-• 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 ANS-obesity, older age, having a
family history of type 2 diabetes or belonging to an ethnic group at increased risk for the
, Unit 6- CMN568 Exam|177 Questions with Verified
Answers 100% Solved
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 ANS-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
ANS-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 ANS-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 ANS-135-140
, Unit 6- CMN568 Exam|177 Questions with Verified
Answers 100% Solved
What is the recommended initial management of women diagnosed with DM? CORRECT
ANS-nutritional counseling by a registered dietitian, if possible, and advice on a moderate
exercise
program.
When is postpartum screening of GD recommended? CORRECT ANS-6-12 weeks
postpartum
What percentage of women experience some type of mood disturbance in the postpartum
period? CORRECT ANS-85%
Some women may be abnormally sensitive to changes in the hormonal milieu and may
develop depressive symptoms when treated with what? CORRECT ANS-exogenous
estrogen and progesterone
What screening tool is a 10-item, self-rated questionnaire used extensively for detection of
postpartum depression? CORRECT ANS-The Edinburgh Postnatal Depression Scale (EPDS)
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