Prenatal Supplements

Question 1

Rec. dose iodine
1. reproductive-age
2. pregnant
3. breastfeeding

Why do we need it? (MoA)

Answer 1

1. 150mcg
2. 220mcg
3. 290mcg

add four iodine in throglobulin>T4 conversion

Question 2

Additional Calories In pregnancy (by trimester)

Answer 2

1T: +0cal
2T: +250cal
3T: +350cal

Question 3

Amount of Vit D in PNV

Answer 3

400 IU

Question 4

Rec Amount of vit D in pregnancy

Answer 4

600 IU

Question 5

Rec Amount of vit D in pregnancy if deficient?

Answer 5

1000 IU

1000-2000 (2000 is upper limit of rec)

Question 6

Folic acid rec dose in standard pregnancy

Answer 6

0.4mg
( = 400mcg)

Question 7

Folic acid rec dose in high-risk preg

Who is high-risk

Answer 7

4mg

prev pregnancy with NTD or pt on seizure meds

Question 8

Risk Factors for Vit D deficiency

Answer 8

1. vegetarian
2. Crohns / malabsorption
3. northern latitudes / no sun
4. darker skin

Question 9

Caffeine in Pregnancy

Answer 9

<200mg/d

Question 10

Fetal Alcohol S/D findings

Answer 10

1. growth restriction
2. thin vermillion border
3. ID
4. short palpebral fissues
5. smooth filtrum
6. abnormal reflexes / tone

Question 11

maternal Vit D Deficiency impact on newborn

Answer 11

-congenital rickets
-neonatal fractures
-disordered skeletal

Question 12

fish to avoid in pregnancy 2/2 mercury

Answer 12

king mackerel
marlin
tilefish
shark
swordfish
tuna, bigeye

Question 13

folic acid supp wil lreduce recurrent NT defect by ___%

Answer 13

70%

Question 14

when to start prenatal folic acid supplementation

Answer 14

~3mo pre-conception