CMN 568 Unit 6 Exam 2024 with complete solutions

CMN 568 Unit 6 Exam 2024 with complete solutions What does folate deficiency resemble? - Answer ️️ -megaloblastic anemia as seen in B12 deficiency except that neurologic abnormalities are absent When does megaloblastic anemia of folate deficiency develop? - Answer ️️ -within 4-5 months When does neural tube closure take place? - Answer ️️ -21-28 days post conception What is the most common neural tube defect? - Answer ️️ -spina bifida What is the recommended daily intake of folic acid for nonpregnant women with no known risk factors for neural tube defect? - Answer ️️ -400 mcg What medication places women at a higher risk for a neural tube defect-affected pregnancy? - Answer ️️ -anticonvulsants What ethnicity is at a higher risk for having babies with congenital neural malformations? - Answer ️️ -hispanic What antibiotics should be avoided in pregnancy? - Answer ️️ -tetracyclines, fluoroquinolones, bactrim (in the 1st trimester), macrobid in the last few weeks of pregnancy What is 1st line therapy for treating UTI in pregnancy? - Answer ️️ -• 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? - Answer ️️ -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? - Answer ️️ -gestational htn, preeclampsia, c/s, and having diabetes later in life The offspring of women with gestational diabetes are at increased risk for what? - Answer ️️ - 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? - Answer ️️ -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 screening threshold of > or = 140 undergo a 100-g, 3-hour diagnostic oral glucose tolerance test (OGTT); at 24-28 weeks In women in whom GD is diagnosed, what is the blood glucose cutoff? (depending on community prevalence rates) - Answer ️️ -135-140 What is the recommended initial management of women diagnosed with DM? - Answer ️️ - nutritional counseling by a registered dietitian, if possible, and advice on a moderate exercise program. When is postpartum screening of GD recommended? - Answer ️️ -6-12 weeks postpartum What percentage of women experience some type of mood disturbance in the postpartum period? - Answer ️️ -85% Some women may be abnormally sensitive to changes in the hormonal milieu and may develop depressive symptoms when treated with what? - Answer ️️ -exogenous estrogen and progesterone What screening tool is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression? - Answer ️️ -The Edinburgh Postnatal Depression Scale (EPDS) A score of ___ or more on the EPDS or an affirmative answer on question ____ (presence of suicidal thoughts) requires more thorough