Prenatal Care and Embryology

Question 1

What labs would you order in a prenatal visit?

Answer 1

Obstetrical Panel: ABO-rh, CBC, antibody screen, Rubella IgG, Syphilis testing, Hep B sAg, HIV, Varicella IgG
Urine culture, cervical cytology, GC/CT testing if needed, thyroid, Hgb A1C

Question 2

In the first trimester, what do they screen for genetically?

Answer 2

Trisomy 18 and 21

Question 3

In the second trimester, what do they screen for?

Answer 3

Trisomy 21 and neural tube defects

Question 4

What prenatal education in regards to diet needs to occur?

Answer 4

Recommendation of a varied diet - consider a 24hr diet diary
Food sensitivities - avoid
Increase calories (340/day in 2nd trimester, 452/day in 3rd)
Increase protein by 1.1 g/kg/day
Increase CHO 175g/day
Avoid unpasteurized foods and fruit/vegetable juices
Heat deli meats

Question 5

What supplementation is recommended?

Answer 5

Prenatal vitamin (30mg Fe, 800ug Folic acid, 1000mg Ca, 400IU Vit D)

Question 6

What is the recommended caffeine limit?

Answer 6

200-300mg

Question 7

What is the recommended exercise regimen in prenatal care?

Answer 7

150min/week (30min/day for majority of the days of the week)
Moderate intensity
Strength training - low weight, high rep