B8-015 Healthy Pregnancy

Question 1

pregnancy is when a women is most likely to experience […]

Answer 1

violence

(screen for interpersonal violence, very high prevalence)

Question 2

pregnancy women should have an extra […] calories/day

Answer 2

350

Question 3

optimal weight gain during pregnancy

Answer 3

25-35 pounds

Question 4

pregnant patients should have […] mcg of folic acid per day

Answer 4

400

Question 5

exposure to […] before 40 days is lethal to the embryo

later exposure can cause birth defects, pregnancy loss, IUGR, etc

Answer 5

methotrexate

Question 6

symptoms of fetal warfarin syndrome [3]

Answer 6

depressed nasal bridge
nasal hypoplasia
flat face

Question 7

teratogen causing vascular disruption that increases risk for fetal death and low birth weight

Answer 7

tobacco

Question 8

[…] is a teratogen with a high fetal concentration due slow metabolism in fetal liver

Answer 8

alcohol

Question 9

teratogen known to cause neurocognitive and behavioral problems

Answer 9

alcohol

Question 10

symptoms of fetal alcohol syndrome [5]

Answer 10

growth deficiency
short papebral fissure length
smooth philtrum
thin upper lip
CNS deficits

Question 11

when does the fetal heart start beating?

Answer 11

week 4

Question 12

when does organogenesis begin in the fetus?

Answer 12

week 4

Question 13

when is organogenesis complete?

Answer 13

week 10

Question 14

when can a fetal heartbeat be heard with electronic monitor?

Answer 14

week 10

Question 15

hcG peaks at week […]

Answer 15

10

Question 16

infection associated with non-immune hydrops fetalis

Answer 16

parvovirus B19

Question 17

if a pregnant patient has an active genital HSV outbreak, that is indication for

Answer 17

C section

Question 18

infection associated with neonatal encephalitis with or without skin involvement

Answer 18

HSV

Question 19

if a pregnant patient has HSV, start acyclovir at […] weeks gestational age

Answer 19

36

Question 20

infection associated with congenital deafness

Answer 20

rubella

Question 21

standard of care for fetal genetic screening

Answer 21

cfDNA

Question 22

cfDNA screens for [4]

Answer 22

trisomy 13, 18, 21
sex

Question 23

cfDNA can be done as early as week […]

Answer 23

10

Question 24

screening test for neural tube defects

Answer 24

msAFP

Question 25

GDM test that is preferred by ACOG

Answer 25

two step

Question 26

preterm infants are at a [...] risk for withdrawal

Answer 26

lower (less length of exposure, lower fat stores, immaturity of CNS)

Question 27

in a normal pregnancy, hCG should double every

Answer 27

48-72 hrs

Question 28

recommended weight gain if prepregnancy BMI is 18-25

Answer 28

25-35 lbs

Question 29

recommended caffeine intake during pregnancy

Answer 29

110 mg caffeine (10 oz coffee or two 12 oz sodas)

Question 30

a women should increase her caloric intake by [...] cal in pregnancy

Answer 30

350

Question 31

recommended amount of folic acid per day in pregnancy

Answer 31

400 mcg

Question 32

protein recommendation for pregnant women

Answer 32

grams of protein should equal half their weight in pounds

Question 33

when is maternal serum AFP ideally performed

Answer 33

16-18 weeks gestational age

Question 34

screening for group B strep is performed approximate [...] weeks prior to delivery

Answer 34

4

Question 35

natal sex can be determined as early as [...] weeks gestational age via cfDNA

Answer 35

10

Question 36

fetal genitalia can be seen on US anatomy screening around [...] weeks gestational age

Answer 36

20

Question 37

can MMR vaccine be given in pregnancy?

Answer 37

no it is live virus vaccine

Question 38

starting antivirals at [...] weeks gestation can prevent an outbreak of HSV

Answer 38

36

Question 39

preterm delivery has [increased/decreased] risk of neonatal opioid withdrawal syndrome

Answer 39

decreased (due to lower fat stores, immature nervous system, and shorter exposure time)

Question 40

used to treat neonatal opioid withdrawal syndrome

Answer 40

morphine

Question 41

treatments for opioid dependency in pregnancy

Answer 41

methadone buprenorphine

Question 42

women taking antiepileptic drugs or with a history of neural tube defects should take [...] of folic acid daily

Answer 42

4 grams

Question 43

insulin dependent diabetes mellitus in the mother increases the risk for

Answer 43

neural tube defects

Question 44

maternal AFP is a [...] test for neural tube defects

Answer 44

screening (warrants further work up US or amnio)