Flashcards in Exam III Deck (144)
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
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
How long should a woman wait to conceive after coming off birth control?
When should healthy changes be made prior to conception?
3 months to 1 year before conception
At what dose can caffeine reduce fertility?
more than 300 mg of caffeine per day reduces fertility by 27%
What is the MC serious disease to affect pregnancy?
In the 1st trimester, hypothyroidism is associated with ___?
cognitive impairment in children
What is the MC neurologic disease to affect pregnant women?
Mothers are more satisfied with care from which providers?
midwifes and PCPs
During what time of the pregnancy is there a heightened fetal vulnerability to teratogens?
the first 12 weeks
When is air travel safe for pregnant moms?
safe until 4 weeks before EDD
When should hot tubs and saunas be avoided?
during the first trimester
What is maternal heat exposure during early pregnancy associated with?
neural tube defects and miscarriage
What are the exercise recommendations for pregnant women?
-avoid activities that risk falls or abdominal injuries
-at least 30 min of moderate exercise
What is associated with exposure to radiation during pregnancy?
-increased risk of miscarriages
-elevated risk of childhood cancers
Lead exposure is associated with ___?
Using wood, coal or tires for cooking or heating is associated with ___?
neural tube defects
What is one of the leading causes of neurodevelopmental deficits in children in the United States?
fetal alcohol spectrum disorder (FASD)
What is the relationship of periconception smoking and congenital heart defects?
3x increased risk of congenital heart defects
What are some risk factors associated with paternal smoking?
greater risk of developing leukemia in the childhood period
What are some risks associated with periconception smoking?
-intrauterine growth restriction
What are some contraindications of breastfeeding?
-maternal HIV infxn
-use of certain meds
How much do caloric requirements increase in pregnancy?
340 to 450 kcal per day in the 2nd and 3rd trimesters
What is the recommended weight gain in women with normal BMI?
What is the RDI for calcium?
What is associated with high vitamin A intake?
cranial-neural crest defects
What should vitamin A intake be limited to?
5000 IU per day
What is the recommended dose of vitamin D?
1000-5000 IU per day
Which artificial sweetener increases the risk of CA and can cross the placenta?