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Flashcards in Exam III Deck (144)
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1

What is recommended for preconception care in a female with chronic diseases?

use the fewest medications at the lowest dosages needed to control the disease

2

What are the folate requirements?

-400 mcg daily before pregnancy until 6-12 weeks postconception
-4-55 mg folate daily 3 months before and 12 weeks after

3

How long should a woman wait to conceive after coming off birth control?

2-3 cycles

4

When should healthy changes be made prior to conception?

3 months to 1 year before conception

5

At what dose can caffeine reduce fertility?

more than 300 mg of caffeine per day reduces fertility by 27%

6

What is the MC serious disease to affect pregnancy?

diabetes

7

In the 1st trimester, hypothyroidism is associated with ___?

cognitive impairment in children

8

What is the MC neurologic disease to affect pregnant women?

seizure disorders

9

Mothers are more satisfied with care from which providers?

midwifes and PCPs

10

During what time of the pregnancy is there a heightened fetal vulnerability to teratogens?

the first 12 weeks
==>organogenesis

11

When is air travel safe for pregnant moms?

safe until 4 weeks before EDD

12

When should hot tubs and saunas be avoided?

during the first trimester

13

What is maternal heat exposure during early pregnancy associated with?

neural tube defects and miscarriage

14

What are the exercise recommendations for pregnant women?

-avoid activities that risk falls or abdominal injuries
-at least 30 min of moderate exercise

15

What is associated with exposure to radiation during pregnancy?

-increased risk of miscarriages
-elevated risk of childhood cancers

16

Lead exposure is associated with ___?

cardiovascular defects

17

Using wood, coal or tires for cooking or heating is associated with ___?

neural tube defects

18

What is one of the leading causes of neurodevelopmental deficits in children in the United States?

fetal alcohol spectrum disorder (FASD)

19

What is the relationship of periconception smoking and congenital heart defects?

3x increased risk of congenital heart defects

20

What are some risk factors associated with paternal smoking?

greater risk of developing leukemia in the childhood period

21

What are some risks associated with periconception smoking?

-intrauterine growth restriction
-prematurity
-SIDS

22

What are some contraindications of breastfeeding?

-maternal HIV infxn
-chemical dependency
-use of certain meds

23

How much do caloric requirements increase in pregnancy?

340 to 450 kcal per day in the 2nd and 3rd trimesters

24

What is the recommended weight gain in women with normal BMI?

~25-35 lbs

25

What is the RDI for calcium?

1000-1300 mg/day

26

What is associated with high vitamin A intake?

cranial-neural crest defects

27

What should vitamin A intake be limited to?

5000 IU per day

28

What is the recommended dose of vitamin D?

1000-5000 IU per day

29

Which artificial sweetener increases the risk of CA and can cross the placenta?

saccharin

30

What are some guidelines regarding caffeine consumption?

limit to 150-300 mg per day