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Preconceptional Counseling

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

a. Nurse visit

b. Paper intake form

c. Online questionnaire

d. Combined questionnaire plus interview

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?

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

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

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

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

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

a. Hemoglobin A1c

b. Retinal examination

c. Bone density testing

d. 24-hour urine collection

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

a. Decreased perinatal death rate

b. Reduced congenital anomaly rate

c. Improved preconceptional folic acid use

d. Decreased need for antihypertensive therapy

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?

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

b. If she delays pregnancy for an additional

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

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