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5 Written questions

5 Matching questions

  1. Smoking
  2. Caffeine in Pregnancy
  3. Alcohol
  4. Other factors for weight gain besides BMI
  5. *Prenatal Considerations
  1. a twin pregnancy is 35-45 lbs
    triplets is 50 lbs
    age (teens still growing)
    activity level
    special needs r/t other health concerns
  2. b 1 hr glucose challenge at FIRST prenatal visit
    If diabetes in found, goals are 70-95 fasting, <120 postprandial
    Diabetes education in 1st trimester is essential to decrease teratogenesis
    BP: appropriate cuff size, sitting
    US: appropriate dating and to ID anomalies
    Weight gain 15-25 lbs
    DVT risk: prophlylactic heparin/enoxaparin
    Anesthesia consult during 3rd trimester
  3. c discouraged in TOTAL
    Teratogenic: FAS
    Interferes with judgement, nutrition, employment, relationships, and safety in driving and balance
  4. d interferes with ability to use and store calcium
    replaces the drinking of water or other nutrients
    increases HR and preeption of stress
    decreases appetite
    increases stomach acid
  5. e Vasocontriction of mother causes hypoxemia
    chronic hypoxemia
    carbon monoxide
    fetus 1 cig = 3 in terms of effects
    patches and gum are possibly teratogenic

5 Multiple choice questions

  1. Weight gain often correlates w/nutrients
    optimal: ongoing sustenance for fetus, not sporadic nutrition
    This can be an indicator of investment into pregnancy and future parenting!
  2. weight loss
    exercise programs
    variatric surgery
    stabilization of known medical problems
  3. 300-500/day
    400-500/day for lactation
    surprisingly less than people think
  4. increased infection rate r/t changes in glucose
    increased risk of thrombophlebitis and embolism
  5. Ingestion of non-food substances
    Non-judgmental attitude is important
    Teach, supplement, refer to WIC
    Women are often frightened by these urges, support and normalize!

5 True/False questions

  1. IronPrg induces a pseudoanemia
    Use ferrous to supplement, not ferric
    30 mg/day
    looks like M&Ms--watch w/kids

          

  2. food as an expressioncultural, social, personal and genetic expression

          

  3. Folic AcidIngestion of non-food substances
    Non-judgmental attitude is important
    Teach, supplement, refer to WIC
    Women are often frightened by these urges, support and normalize!

          

  4. PP Considerations:careful external monitoring 0 difficult; consider internal monitoring
    Upright or Fowler's
    BP: serial with correct size cuff
    pulse oximetry
    Careful glucose monitoring and selection of IV fluids
    Right size wheelchair and bed should be anticipated
    Prevention of DVTs: heparin, compression devices, early ambulation
    Team to ambulate

          

  5. Weight gain is approximately 30 lbsBMI of < 18.5
    28-40 lbs

          

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