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CMN 568 UNIT 6 INTRO TO FAMILY PREGNANCY AND
POSTPARTUM EXAM AND STUDY GUIDE QUESTION
BANK LATEST 2024-2025 ALL 400 QUESTIONS AND
CORRECT ANSWERS
CMN 568 UNIT 6 INTRO TO FAMILY PREGNANCY AND POSTPARTUM EXAM
QUESTION: What medication places women at a higher risk for a neural tube defect-affected
pregnancy? - ANSWER-anticonvulsants
QUESTION: What ethnicity is at a higher risk for having babies with congenital neural
malformations? - ANSWER-hispanic
QUESTION: What antibiotics should be avoided in pregnancy? - ANSWER-tetracyclines,
fluoroquinolones, bactrim (in the 1st trimester), macrobid in the last few weeks of pregnancy
QUESTION: What is 1st line therapy for treating UTI in pregnancy? - ANSWER-• 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
QUESTION: What are risk factors for gestational diabetes? - ANSWER-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)
1
,Page 2 of 150
What does folate deficiency resemble? - ANSWER-megaloblastic anemia as seen in B12
deficiency except that neurologic abnormalities are absent
QUESTION: When does megaloblastic anemia of folate deficiency develop? - ANSWER-within 4-
5 months
QUESTION: When does neural tube closure take place? - ANSWER-21-28 days post conception
QUESTION: What is the most common neural tube defect? - ANSWER-spina bifida
QUESTION: What is the recommended daily intake of folic acid for nonpregnant women with no
known risk factors for neural tube defect? - ANSWER-400 mcg
QUESTION: Women with gestational diabetes are at higher risk for what? - ANSWER-gestational
htn, preeclampsia, c/s, and having diabetes later in life
QUESTION: The offspring of women with gestational diabetes are at increased risk for what? -
ANSWER-macrosomia, neonatal hypoglycemia,
hyperbilirubinemia, operative delivery, shoulder dystocia, and birth trauma
QUESTION: Describe ACOGs recommended 2 step approach to dx GD in pregnancy? When is
the test usually performed? - ANSWER-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
QUESTION: In women in whom GD is diagnosed, what is the blood glucose cutoff? (depending
on community prevalence rates) - ANSWER-135-140
2
,Page 3 of 150
QUESTION: What is the recommended initial management of women diagnosed with DM? -
ANSWER-nutritional counseling by a registered dietitian, if possible, and advice on a moderate
exercise
program.
QUESTION: When is postpartum screening of GD recommended? - ANSWER-6-12 weeks
postpartum
QUESTION: What percentage of women experience some type of mood disturbance in the
postpartum period? - ANSWER-85%
QUESTION: Some women may be abnormally sensitive to changes in the hormonal milieu and
may develop depressive symptoms when treated with what? - ANSWER-exogenous estrogen
and progesterone
QUESTION: What screening tool is a 10-item, self-rated questionnaire used extensively for
detection of postpartum depression? - ANSWER-The Edinburgh Postnatal Depression Scale
(EPDS)
QUESTION: A score of ___ or more on the EPDS or an affirmative answer on question ____
(presence of suicidal thoughts) requires more thorough evaluation - ANSWER-10
QUESTION: 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 - ANSWER-The
Montgomery-Asberg Depression Rating Scale
QUESTION: When do symptoms of postpartum blues peak? When do they usually remit? -
ANSWER-Day 4 or 5; 2 weeks
3
, Page 4 of 150
QUESTION: What treatment is indicated for postpartum blues? - ANSWER-support and
reassurance
QUESTION: When does postpartum depression usually develop? - ANSWER-in the first 4
months, but can occur in the 1st year
QUESTION: What medical causes should be excluded in evaluating mood disturbances? -
ANSWER-hypothyroidism and anemia
QUESTION: What options are available to depressed mothers who are nursing and wish to
avoid medications? - ANSWER-cognitive-behavioral and interpersonal therapy.
Psychoeducational or support groups may also be helpful
QUESTION: What is first line pharmacologic therapy for women with postpartum depression? -
ANSWER-antidepressants (SSRI OR SNRI) alone or in combination with estrogen
QUESTION: How long is treatment recommended for women with their first episode of
postpartum depression? - ANSWER-6-12 months
QUESTION: Who is at the highest risk for postpartum psychosis? - ANSWER-personal hx of
bipolar disorder or hx of postpartum psychosis
QUESTION: When does postpartum psychosis usually emerge? - ANSWER-as early as 48-72
hours after delivery, but usually withing the first 2 weeks
QUESTION: What condition resembles a rapidly evolving manic or mixed episode, with
symptoms such as restlessness and insomnia, irritability, rapidly shifting depressed or elated
mood, and disorganized behavior - ANSWER-postpartum psychosis
4
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