CNM 586 CERTIFIED NURSE
MIDWIVES’ (Obstetrics) UNIT 6
EXAM QUESTIONS AND
ACCURATE SOLUTIONS RATED A.
What does folate deficiency resemble?
✔✔megaloblastic anemia as seen in B12 deficiency except that
neurologic abnormalities are absent
When does megaloblastic anemia of folate deficiency develop?
✔✔within 4-5 months
When does neural tube closure take place?
✔✔21-28 days post conception
What is the most common neural tube defect?
✔✔spina bifida
What is the recommended daily intake of folic acid for nonpregnant
women with no known risk factors for neural tube defect?
✔✔400 mcg
What medication places women at a higher risk for a neural tube defect-
affected pregnancy?
✔✔anticonvulsants
,What ethnicity is at a higher risk for having babies with congenital neural
malformations?
✔✔hispanic
What antibiotics should be avoided in pregnancy?
✔✔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?
✔✔• 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?
✔✔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?
✔✔gestational htn, preeclampsia, c/s, and having diabetes later in life
, The offspring of women with gestational diabetes are at increased risk for
what?
✔✔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?
✔✔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)
✔✔135-140
What is the recommended initial management of women diagnosed with
DM?
✔✔nutritional counseling by a registered dietitian, if possible, and advice
on a moderate exercise
program.
When is postpartum screening of GD recommended?
✔✔6-12 weeks postpartum
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