CMN 568 Unit 6 Questions with 100% Verified Correct Answers 2024/2025 What does folate deficiency resemble? - Correct Answer megaloblastic anemia as seen in B12 deficiency except that neurologic abnormalities are absent When does megaloblastic anemia of folate deficiency develop? - Correct Answer within 4-5 months When does neural tube closure take place? - Correct Answer 21-28 days post conception What is the most common neural tube defect? - Correct Answer spina bifida What is the recommended daily intake of folic acid for nonpregnant women with no known risk factors for neural tube defect? - Correct Answer 400 mcg What medication places women at a higher risk for a neural tube defect-affected pregnancy? - Correct Answer anticonvulsants What ethnicity is at a higher risk for having babies with congenital neural malformations? - Correct Answer hispanic What antibiotics should be avoided in pregnancy? - Correct 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? - Correct 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 1 / 3
What are risk factors for gestational diabetes? - Correct 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? - Correct 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? - Correct 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? - Correct 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) - Correct Answer 135-140 What is the recommended initial management of women diagnosed with DM? - Correct Answer nutritional counseling by a registered dietitian, if possible, and advice on a moderate exercise program.When is postpartum screening of GD recommended? - Correct Answer 6-12 weeks postpartum What percentage of women experience some type of mood disturbance in the postpartum period? - Correct Answer 85% Some women may be abnormally sensitive to changes in the hormonal milieu and may develop depressive symptoms when treated with what? - Correct Answer exogenous estrogen and progesterone What screening tool is a 10-item, self-rated questionnaire used extensively for detection of postpartum depression? - Correct Answer The Edinburgh Postnatal Depression Scale (EPDS) 2 / 3
A score of ___ or more on the EPDS or an affirmative answer on question ____ (presence of suicidal thoughts) requires more thorough evaluation - Correct Answer 10 What scale is a common, 10-item, clinician-administered evaluation used following a positive screen, and it accurately differentiates depressed and nondepressed patients, evaluates severity of disease, and detects changes in symptoms over time - Correct Answer The Montgomery-Asberg Depression Rating Scale When do symptoms of postpartum blues peak? When do they usually remit? - Correct Answer Day 4 or 5; 2 weeks What treatment is indicated for postpartum blues? - Correct Answer support and reassurance When does postpartum depression usually develop? - Correct Answer in the first 4 months, but can occur in the 1st year What medical causes should be excluded in evaluating mood disturbances? - Correct Answer hypothyroidism and anemia What options are available to depressed mothers who are nursing and wish to avoid medications? - Correct Answer cognitive-behavioral and interpersonal therapy. Psychoeducational or support groups may also be helpful What is first line pharmacologic therapy for women with postpartum depression? - Correct Answer antidepressants (SSRI OR SNRI) alone or in combination with estrogen How long is treatment recommended for women with their first episode of postpartum depression? - Correct Answer 6-12 months Who is at the highest risk for postpartum psychosis? - Correct Answer personal hx of bipolar disorder or hx of postpartum psychosis When does postpartum psychosis usually emerge? - Correct Answer as early as 48-72 hours after delivery, but usually withing the first 2 weeks
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