preconception counseling and care (1) Flashcards Preview

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Flashcards in preconception counseling and care (1) Deck (35)
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1

folic acid or folate?

folate

2

how much does folate 400 mcg before preg to 6-12 wks post reduce neural tube defects?

75%

3

folate deficient women need how much

4-5 mg 3 months before to 12 wks postconception

4

folate vitamin #

b9

5

why folate?

MTHFR deficient
cannot process folic acid

6

things that may make folate deficient

5a, bcdu

antacids, anti inflam, antibiotic, anitconvulsants, antidiabetic, bc, cholestrol lowering, diuretics, ulcer meds

7

born w/ tube defects..

facial cleft, structural heart disease, limb dfe, urinary tract anomaly, hydrocephalus

8

why obese and infertility

insulin resistance and oligomenorrhea (infrequent periods)

9

how long after bariatric surgery should you wait for preg

12-18 mo
ADEKC, B1, b12, folic acid and iron

10

low BMI 18.5 associated w

preterm and low birth weight

11

how far in advance should you make healthy lifestyle changes

3 mo -1 yr

12

caffeine interferes w/

calcium, d, iron, b vitamins, manganese, zic, copper, magnesium, potassium, sodium, and phosphate

13

more than ___mg of caffeine may reduce fertility by...

300 mg
27%

14

MC serious disease to affect preg

diabetes
1%

15

pregestational diabetes increase risk of

miscarriage, congenital fetal anomalies, and perinatal death

16

glucose at high level is

teratogenic

17

which tri is most important in handling glucose

1
(organogensis)

18

a1c levels preconception

normal - 7% or lower

19

chronic hypertension in preg associate w/

preterm birth, placental abruption, intrauterine growth restriction, preeclampsia (25% w/ hyper will develop)
fetal death

20

can hypertension prepreg make mom at risk for end organ damage during preg?

yes

21

severe hypertension in preg?

180/110

22

thyroid preg impacts

hypo (1st tri) cognitive impairment in kids
preterm birth, low birth weight, placental abruption, fetal death

23

hypothyroid if treated early have no increased risk of perinatal morbidity

true

24

how much are thyroid dosages increased

30+ by 4-6 wks gestation

25

what disease almost always get worse w preg

asthma

26

abnormal flood coagulation that increases risk of thrombosis

thrombophilia

27

thrombophilia increased risk of

recurrent miscarriage, venous and art clots
preeclampsia

28

thrombophilia affects baby...

placental infarction, intrauterine growth restriction, placental abruption, fetal stroke, fetal death

29

what is usually given for thrombophilia?

warfarin...but its teratogenic

30

mc neuro disease to affect preg

seizer