Smoking increases the risk of
increase in spontaneous abortion
inflation of the ovarian pool of oocytes
multiple births
large for gestational age births - ANSWER increase in spontaneous abortion
Which of the fol
...
Smoking increases the risk of
increase in spontaneous abortion
inflation of the ovarian pool of oocytes
multiple births
large for gestational age births - ANSWER increase in spontaneous abortion
Which of the following birth outcomes may be improved by preconception and interconception care?
infant mortality
preterm birth
birth defects
all of the above - ANSWER all of the above
Some foods are considered unsafe during pregnancy, and women may choose to avoid them during the preconception period. Undercooked meat and unwashed fruits and vegetables may expose women to which organism?
campylobacter
hepatitis B
salmonella
toxoplasma gondii - ANSWER toxoplasma gondii
Women who are underweight may have difficulty conceiving due to which of the following conditions?
anemia
arrhythmias
malnutrition
oligo-ovulation - ANSWER oligo-ovulation
Which statement is most accurate about asthma during pregnancy?
it is safer for a woman to avoid pregnancy if she has asthma to avoid exacerbation of symptoms brought on by pregnancy
it is safer for a pregnant woman to be treated with asthma medications than to have associated symptoms and exacerbated asthma
it is safer for a pregnant woman to ingest asthma medications only asthma attacks
it is safer for a woman with asthma to stay at home throughout her pregnancy - ANSWER it is safer for a pregnant woman to be treated with asthma medications than to have associated symptoms and exacerbated asthma
Cultural sensitivity means that the healthcare provider is
alert and considerate of others' views
aware that there are other cultures in the world
competent in cultures other than his/her own
in a position to provide what the patient needs - ANSWER alert and considerate of others' views
Increasing maternal and paternal age have been shown to influence the risk of
preterm labor
hydatidiform mole
multiple gestation
genetic abnormalities - ANSWER genetic abnormalities
Women over the age of 35 have an increased risk of
cesarean birth
miscarriage and stillbirth
pregnancy-related complications
all of the above - ANSWER all of the above
Access to care may be limited by all factors except lack of
contraception
medical insurance
transportation
trust in medical community - ANSWER contraception
Interconception care should be provided to a woman
anytime she is sexually active
from first menstruation until around age 40
postpartum until she can no longer become pregnant
only when she indicates she is considering another pregnancy - ANSWER postpartum until she can no longer become pregnant
The first "a" in RADAR stands for
access resources to assist in a safe escape
alert authorities after hearing story about IPV
allow time for gathering composure before telling story
ask directly, in a kind, nonjudgmental way - ANSWER ask directly, in a kind, nonjudgmental way
Women with chronic diseases who want to plan a pregnancy should not
stop medications immediately
be referred to an appropriate specialist
switch to nonteratogenic medications
delay conception until disease is optimized - ANSWER stop medications immediately
All women of childbearing age should take which of the following per day to reduce the risk of neural tube defects?
antacids
ascorbic acid
folic acid
salicylic acid - ANSWER folic acid
Healthcare providers should strive to provide preconception and interconception care to all women of childbearing age, which is generally considered to be
15-44 years of age
19-35 years of age
20-50 years of age
women who request this information - ANSWER 15-44 years of age
Depression, fatigue, weight gain, and difficulty concentrating may all be signs of which condition?
cardiomyopathy
diabetes
hypothyroidism
hyperthyroidism - ANSWER hypothyroidism
Obese women (BMI ≥30) should gain how many pounds during pregnancy?
11-20
15-25
25-35
28-30 - ANSWER 11-20
In nonpregnant women, obesity is defined as a body mass index (BMI) over
18
25
30
45 - ANSWER 30
A tool used to screen for IPV is
CAGE
RADAR
PHQ-9
Edinburgh scale - ANSWER RADAR
Obesity can result in
ovulatory dysfunction
altered oocyte and endometrial functions
lower birth rates
all of the above - ANSWER ovulatory dysfunction
Preconception care includes maximizing health
between pregnancies
during pregnancies
throughout life
all of the above - ANSWER all of the above
Folic acid supplementation prior to and during pregnancy has been shown to reduce the risk of neural tube defects by at least
25%
45%
65%
85% - ANSWER 65%
No amount of alcohol is safe during pregnancy. Fetal alcohol spectrum disorders include
central nervous system abnormalities
high-pitched crying
macrocephaly
neonatal hypothyroidism - ANSWER central nervous system abnormalities
Methylmercury may be found in certain fishes and can adversely affect which fetal system?
cardiovascular
urinary
neurologic
skeletal - ANSWER neurologic
Nadia has arrived for a routine annual physical examination. She does not maintain eye contact and provides only brief responses to questions during the physical assessment systems review. Upon physical examination, you notice bruises on her breasts, upper thighs, and genitals. Nadia begins to cry and states that her husband beats her. Your first action should be to
assess Nadia's safety and ask if she has a safety plan
bring Nadia to the emergency room for further evaluation
call the police to report a case of IPV
escort Nadia to a women's shelter in the city - ANSWER assess Nadia's safety and ask if she has a safety plan
Anticipatory guidance is an important part of preconception and interconception care because the following percentage of all pregnancies in the United States are unintended.
15%
25%
45%
75% - ANSWER 45%
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