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Preconceptional Counseling

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Preconceptional counseling involves collection of information regarding previous pregnancy outcomes, medical conditions, and family history. What is the optimal method of collecting this information?

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a. Nurse visit

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b. Paper intake form

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c. Online questionnaire

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d. Combined questionnaire plus interview

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A 30-year-old woman with no known medical conditions is noted to have 3+ glucosuria at her first prenatal visit. A fasting blood glucose level is 144 mg/dL. How should she be counseled regarding her risk for fetal anomalies?

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a. Her risk is the same as other 30-year-old women.

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b. Her risk is twice as high as other 30-year-old women.

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c. Her risk is fourfold higher than other 30-year-old women.

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d. Her risk is 10 times higher than other 30-year-old women.

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Preconceptional evaluation of a woman with diabetes mellitus should include all EXCEPT which of the following?

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a. Hemoglobin A1c

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b. Retinal examination

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c. Bone density testing

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d. 24-hour urine collection

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All EXCEPT which of the following can be expected following preconceptional counseling and its implementation in women with pregestational diabetes?

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a. Decreased perinatal death rate

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b. Reduced congenital anomaly rate

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c. Improved preconceptional folic acid use

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d. Decreased need for antihypertensive therapy

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A 23-year-old patient tells her gynecologist that she wants to have a child in the next few years. She is concerned as she has a seizure disorder and takes valproic acid. It has been 1 year since her last seizure, and she has heard that seizures are dangerous for the fetus. What can you tell her regarding her seizure risk during pregnancy?

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a. Because of the length of time she has been seizure-free, it is reduced 50%.

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b. If she delays pregnancy for an additional

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12 months, her risk will be reduced by 50%.

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