CMN 568 Unit 6 Questions with 100% Verified Correct Answers 2024/2025
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Course
CMN 568
Institution
CMN 568
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 Answ...
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
,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)
, 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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