Podcast
Questions and Answers
What is the primary goal of preconception care?
What is the primary goal of preconception care?
- Optimize the health and well-being of the patient and partner before pregnancy (correct)
- Provide prenatal vitamins before conception
- Reduce healthcare costs during pregnancy
- Increase the chances of multiple births
Which of the following is NOT typically included in preconception care?
Which of the following is NOT typically included in preconception care?
- Immunization status check
- Childbirth education classes (correct)
- Support system evaluation
- Nutrition assessment
What is the significance of knowing the estimated date of confinement (EDC)?
What is the significance of knowing the estimated date of confinement (EDC)?
- It is used to schedule the delivery in the hospital
- It provides guidance for timing of maternal and fetal tests and interventions (correct)
- It dictates the type of prenatal vitamins to be taken
- It determines the number of prenatal visits needed
Which of the following factors is a risk for adverse pregnancy outcomes?
Which of the following factors is a risk for adverse pregnancy outcomes?
What method is considered the best for determining the estimated date of confinement (EDC)?
What method is considered the best for determining the estimated date of confinement (EDC)?
What should be included in the first prenatal visit?
What should be included in the first prenatal visit?
Which of the following conditions is a significant risk factor for pregnancy complications?
Which of the following conditions is a significant risk factor for pregnancy complications?
During the initial comprehensive health history assessment, which area is NOT typically evaluated?
During the initial comprehensive health history assessment, which area is NOT typically evaluated?
What is the first step in calculating the estimated delivery date using Nagele's rule?
What is the first step in calculating the estimated delivery date using Nagele's rule?
Which term describes a woman who has never been pregnant?
Which term describes a woman who has never been pregnant?
If a woman has been pregnant three times, but her pregnancies did not result in viable births, how should she be classified?
If a woman has been pregnant three times, but her pregnancies did not result in viable births, how should she be classified?
What does the term 'Para' indicate in obstetric history?
What does the term 'Para' indicate in obstetric history?
What is meant by the term 'Nullipara'?
What is meant by the term 'Nullipara'?
Which statement is true regarding multiple gestation in the context of gravidity?
Which statement is true regarding multiple gestation in the context of gravidity?
A woman who has given birth to two viable infants after 20 weeks of gestation is classified as:
A woman who has given birth to two viable infants after 20 weeks of gestation is classified as:
If a woman is pregnant for the second time but her first pregnancy ended in miscarriage before 20 weeks, which terms apply to her?
If a woman is pregnant for the second time but her first pregnancy ended in miscarriage before 20 weeks, which terms apply to her?
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Study Notes
Preconception and Interconception Care
- Aim of preconception care: Enhance health and wellbeing prior to pregnancy to improve outcomes and prevent complications.
- Important components include evaluating immunization status, existing medical conditions, reproductive health practices, nutrition, and lifestyle behaviors.
- Identify and address biomedical, behavioral, and social risks impacting women's health and pregnancy outcomes.
Risk Factors for Adverse Pregnancy Outcomes
- Teratogenic risks include isotretinoins, alcohol, illicit drugs, and smoking.
- Certain medications (anticoagulants, diabetic drugs, cancer treatments, antiepileptics) may pose risks.
- Medical conditions such as diabetes, hypothyroidism, STIs (particularly rubella), obesity, and maternal phenylketonuria increase adverse outcomes.
- Folic acid deficiency is a critical nutritional risk.
The First Prenatal Visit
- Involves a comprehensive health history, physical examination, and laboratory tests.
Comprehensive Health History
- Key areas of inquiry:
- Reason for seeking care: include suspicion of pregnancy, last menstrual period (LMP) date, and pregnancy signs.
- Full medical, surgical, and family history.
- Reproductive history: menstrual, obstetric, and gynecological details.
Determining Estimated Due Date (EDD)
- EDD calculation is crucial for guiding tests and interventions throughout pregnancy.
- Nagele’s Rule:
- Subtract 3 months from LMP
- Add 7 days
- Add 1 year
- Example: LMP of 1/1/23 → EDD of 10/8/24.
Pregnancy Terms
- Gravid: The state of being pregnant.
- Gravida/Gravidity: Total number of pregnancies regardless of outcome; multiple gestations count as one.
- Nulligravida: Never been pregnant.
- Primigravida: First-time pregnancy.
- Secundigravida: Second pregnancy.
- Multigravida: Third or more pregnancies.
Definitions Related to Birth
- Para: Number of births at or beyond 20 weeks gestation (viable pregnancies).
- Parity: Total pregnancies reaching viability, regardless of outcomes; multiple births count as one.
- Nullipara: No viable offspring birthed.
- Primipara: One birth after a pregnancy of at least 20 weeks.
- Multipara: Two or more births after pregnancies of at least 20 weeks.
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