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CMN 568 Unit 6 Questions with Detailed Verified Answers

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CMN 568 Unit 6 Questions with Detailed Verified Answers

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CMN 568 Unit 6 Questions with Detailed Verified
Answers




What does folate deficiency resemble? Ans: ✓ ✓ ✓ megaloblastic anemia as seen in B12
deficiency except that neurologic abnormalities are absent


When does megaloblastic anemia of folate deficiency develop? Ans: ✓ ✓ ✓ within 4-5 months


When does neural tube closure take place? Ans: ✓ ✓ ✓ 21-28 days post conception


What is the most common neural tube defect? Ans: ✓ ✓ ✓ spina bifida


What is the recommended daily intake of folic acid for nonpregnant women with no known risk
factors for neural tube defect? Ans: ✓ ✓ ✓ 400 mcg


What medication places women at a higher risk for a neural tube defect-affected pregnancy? Ans:
✓ ✓ ✓ anticonvulsants


What ethnicity is at a higher risk for having babies with congenital neural malformations? Ans: ✓ ✓
✓ hispanic


What antibiotics should be avoided in pregnancy? Ans: ✓ ✓ ✓ tetracyclines, fluoroquinolones,
bactrim (in the 1st trimester), macrobid in the last few weeks of pregnancy



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What is 1st line therapy for treating UTI in pregnancy? Ans: ✓ ✓ ✓ • Nitrofurantoin
monohydrate/macrocrystals 100 mg orally twice daily for 5-7


days or


• Amoxicillin 500 mg orally twice daily (alternative: 250 mg orally three times


daily) for 5-7 days or


• Amoxicillin-clavulanate 500/125 mg orally twice daily for 3-7 days


(alternative: 250/125 mg orally three times daily for 5-7 days) or


• Cephalexin 500 mg orally twice daily for 3-7 days


What are risk factors for gestational diabetes? Ans: ✓ ✓ ✓ obesity, older age, having a family
history of type 2 diabetes or belonging to an ethnic group at increased risk for the condition (such
as Hispanic, Native American, South or East Asian, African American, or Pacific Islands descent)


Women with gestational diabetes are at higher risk for what? Ans: ✓ ✓ ✓ gestational htn,
preeclampsia, c/s, and having diabetes later in life


The offspring of women with gestational diabetes are at increased risk for what? Ans: ✓ ✓ ✓
macrosomia, neonatal hypoglycemia,


hyperbilirubinemia, operative delivery, shoulder dystocia, and birth trauma


Describe ACOGs recommended 2 step approach to dx GD in pregnancy? When is the test usually
performed? Ans: ✓ ✓ ✓ first screening with the administration of 50 g of an oral glucose solution
followed by a 1-hour venous glucose determination. Those women meeting or exceeding the


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