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, comprehensive health history, baseline labs, education What are the things important to address at the initial prenatal visit?
environmental factors, malnutrition, DM, chromosomal What are the risks for neural tube defects?
defects, maternal hyperthermia, clomid induction, and
maternal obesity
10-12 weeks When is genetic screening through chorionic villi sampling performed?
15-18 weeks When is genetic screening through amniocentesis performed?
q 4 weeks until 28 weeks, q 2 weeks until 36 weeks, q 1 week How often should routine prenatal visits occur?
until delivery
iron deficient anemia What type of anemia accounts for 75-95% of pregnancy related anemias?
decreased serum iron and increased iron binding capacity What does iron deficiency anemia result from in pregnancy?
(increased demand due to increased maternal blood volume)
they are microcytic and hypochromic What occurs with the RBCs in iron deficiency anemia in pregnancy?
< 11, < 10.5 A Hgb of ____________ is considered anemic in the 1st and 3rd trimesters of pregnancy and a
Hgb of ______________ is considered anemic in the 2nd trimester of pregnancy.
multiple gestation, low iron diet, GI surgery, bleeding, non- What are the risks for iron deficiency anemia in pregnancy?
hispanic black females, teenage girls
fatigue, intolerance to prenatal vitamins, Pica, tachycardia, What are the s/s of iron deficiency anemia in pregnancy?
pale
education and iron supplements What is the plan of treatment for iron deficiency anemia in pregnancy?
insulin antagonism by placental hormones What is the cause of gestational diabetes?
> 25 yo, ethnicity, obesity, family hx, HTN, hx of gestational DM What are the risk factors for gestational diabetes?