CMN 568 Unit 6: Prenatal Care, Pregnancy
Complications, Postpartum Questions with
Detailed Verified Answers
preconception folic acid supplementation Ans: 400 mcg daily started before
pregnancy and continued until six to 12 weeks post conception reduces the rate of
neural tube defects
special populations for folic acid supplementation Ans: taking folic acid antagonists,
carried fetus affected by a neural tube defect or other birth defects linked with folic
acid
deficiency take 4-5mg folic acid daily 3 mo prior to conception & continuing 12 weeks
post conception
&
certain health risks (e.g., epilepsy, insulin-dependent diabetes mellitus, obesity with BMI
>35, family history of a neural tube defect also take this higher dosage
birth defects associated with folic acid deficiency Ans: oral facial cleft, structural heart
disease, limb defect, urinary tract anomaly, hydrocephalus
Women who are overweight or obese are more likely to have difficulty with
conception because Ans: insulin resistance and oligomenorrhea
medications to avoid in pregnancy Ans: Isotretinoin (rx for acne), oral corticosteroids,
ACE inhibitors, ARBs, statins, most oral anti diabetic agents should be discontinued
and insulin started; atenolol (Tenormin)
pregestational diabetes fetal risks & control Ans: increases the risk of miscarriage,
congenital fetal anomalies, and perinatal death esp in 1st trimester
,Preconception A1C levels should approach those considered normal in patients
without diabetes; 7% or lower
pre-gestational hypertension Ans: associated with higher rates of preterm birth,
placental abruption, IUGR, preeclampsia, and fetal death, preeclampsia
No evidence to treat mild/mod HTN
Treat severe HTN (>180/110)
pre-gestational hypothyroidism Ans: increases the risk of preterm birth, low birth
weight, placental abruption, and fetal death
Adequate treatment prior to pregnancy & during have no increased risk perinatal
morbidity
Essential to monitor thyroid replacement therapy during pregnancy & increase doses
30% by week 4-6 gestation
Routine screening for subclinical hypothyroidism is not recommended; however,
women with risk
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,factors and symptoms should
seizure disorder and pregnancy recommendations Ans: associated with miscarriage,
low birth weight, developmental disabilities, microcephaly, and hemorrhagic disease of
the newborn (induced by antiepileptic drugs).
Seizure disorders increase the risk of
congenital anomalies, whether or not the mother is taking medication.
Given increased rates of neural tube defects with many antiepileptic drugs,
supplementation with 4 mg of folic acid daily should be initiated at least one month
before conception and continued in the first trimester
behavioral methods to treat UTI in pregnancy Ans: ensure good hygiene and reduce
bacterial
contamination of the urethral meatus, thereby preventing inadequate treatment and
recurrent infection
• Avoid baths
• Wipe front-to-back after urinating or defecating
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, • Wash hands before using the toilet
• Use washcloths to clean the perineum
• Use liquid soap to prevent colonization from bar soap
• Clean the urethral meatus first when bathing
antibiotic therapy for UTI in pregnancy Ans: Nitrofurantoin
• Amoxicillin
• Amoxicillin-clavulanate
• Cephalexin 500 mg
10-14 days to eradicate bacteria
two-step ACOG approach to testing for gestational diabetes 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 screening threshold (>140 1 hour after)
undergo a 100-g, 3-hour diagnostic oral glucose tolerance test (OGTT) while patient
fasting:
GDM diagnosis made when two or more PG (plasma glucose) levels meet or exceed:
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Complications, Postpartum Questions with
Detailed Verified Answers
preconception folic acid supplementation Ans: 400 mcg daily started before
pregnancy and continued until six to 12 weeks post conception reduces the rate of
neural tube defects
special populations for folic acid supplementation Ans: taking folic acid antagonists,
carried fetus affected by a neural tube defect or other birth defects linked with folic
acid
deficiency take 4-5mg folic acid daily 3 mo prior to conception & continuing 12 weeks
post conception
&
certain health risks (e.g., epilepsy, insulin-dependent diabetes mellitus, obesity with BMI
>35, family history of a neural tube defect also take this higher dosage
birth defects associated with folic acid deficiency Ans: oral facial cleft, structural heart
disease, limb defect, urinary tract anomaly, hydrocephalus
Women who are overweight or obese are more likely to have difficulty with
conception because Ans: insulin resistance and oligomenorrhea
medications to avoid in pregnancy Ans: Isotretinoin (rx for acne), oral corticosteroids,
ACE inhibitors, ARBs, statins, most oral anti diabetic agents should be discontinued
and insulin started; atenolol (Tenormin)
pregestational diabetes fetal risks & control Ans: increases the risk of miscarriage,
congenital fetal anomalies, and perinatal death esp in 1st trimester
,Preconception A1C levels should approach those considered normal in patients
without diabetes; 7% or lower
pre-gestational hypertension Ans: associated with higher rates of preterm birth,
placental abruption, IUGR, preeclampsia, and fetal death, preeclampsia
No evidence to treat mild/mod HTN
Treat severe HTN (>180/110)
pre-gestational hypothyroidism Ans: increases the risk of preterm birth, low birth
weight, placental abruption, and fetal death
Adequate treatment prior to pregnancy & during have no increased risk perinatal
morbidity
Essential to monitor thyroid replacement therapy during pregnancy & increase doses
30% by week 4-6 gestation
Routine screening for subclinical hypothyroidism is not recommended; however,
women with risk
© Get it right 2025 Getaway - Stuvia US All rights reserved
,factors and symptoms should
seizure disorder and pregnancy recommendations Ans: associated with miscarriage,
low birth weight, developmental disabilities, microcephaly, and hemorrhagic disease of
the newborn (induced by antiepileptic drugs).
Seizure disorders increase the risk of
congenital anomalies, whether or not the mother is taking medication.
Given increased rates of neural tube defects with many antiepileptic drugs,
supplementation with 4 mg of folic acid daily should be initiated at least one month
before conception and continued in the first trimester
behavioral methods to treat UTI in pregnancy Ans: ensure good hygiene and reduce
bacterial
contamination of the urethral meatus, thereby preventing inadequate treatment and
recurrent infection
• Avoid baths
• Wipe front-to-back after urinating or defecating
© Get it right 2025 Getaway - Stuvia US All rights reserved
, • Wash hands before using the toilet
• Use washcloths to clean the perineum
• Use liquid soap to prevent colonization from bar soap
• Clean the urethral meatus first when bathing
antibiotic therapy for UTI in pregnancy Ans: Nitrofurantoin
• Amoxicillin
• Amoxicillin-clavulanate
• Cephalexin 500 mg
10-14 days to eradicate bacteria
two-step ACOG approach to testing for gestational diabetes 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 screening threshold (>140 1 hour after)
undergo a 100-g, 3-hour diagnostic oral glucose tolerance test (OGTT) while patient
fasting:
GDM diagnosis made when two or more PG (plasma glucose) levels meet or exceed:
© Get it right 2025 Getaway - Stuvia US All rights reserved
