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5 Written questions

5 Matching questions

  1. *Weight gain goals in pregnancy: Low BMI
  2. FAS: Sx
  3. Caffeine in Pregnancy
  4. Other factors for weight gain besides BMI
  5. *Labor Considerations
  1. a 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
  2. b twin pregnancy is 35-45 lbs
    triplets is 50 lbs
    age (teens still growing)
    activity level
    special needs r/t other health concerns
  3. c 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
  4. d Lifetime medical cost of $5 million
    Sx:
    growth-deficiency
    CNS impairment of IQ, memory and attention
    impulsive behavior
    poor social relationships
    "looks just like mom or dad" (family hx)
  5. e BMI of < 18.5
    28-40 lbs

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. Monitor closely for infection
    wound dehiscence: be careful w/staple removal
    hemorrhage
    DVTs
    Respectful care
  3. cultural, social, personal and genetic expression
  4. cohosh
    juniper
    pennyroyal
    rosemary
    sage
    raspberry leaves
  5. BMI of > 30
    15 lbs

5 True/False questions

  1. Preconception Careweight loss
    exercise programs
    variatric surgery
    stabilization of known medical problems

          

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

          

  3. Pathophysiological changes r/t obesityPre-eclampsia
    stillbirth
    C/S
    Dereased VBAC success
    Instrumental delivery
    Shoulder dystocia
    meconium aspiration
    fetal distress
    early neonatal death
    increased NTD and cardiac defects
    LGA
    Contraceptive failure
    lower prolactin rise in 1st week PP

          

  4. Calories increase in pregnancy300-500/day
    400-500/day for lactation
    surprisingly less than people think

          

  5. WaterImportant, flushes out pathogens
    Exact amount is unknown (watch urine color for dehydration unless on B vits)
    no more than 2 cups /day of herbal teas