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Preconceptional Care

Which of the following is the most accurate definition of preconceptional care as defined by the Centers for Disease Control and Prevention?

a. Implement strategies that mitigate potential pregnancy risks before conception

b. Reduce risks of adverse pregnancy outcomes through preconceptional interventions

c. Assure childbearing-aged women that with appropriate interventions they can enter pregnancy in optimal health

d. A set of interventions that aim to identify and modify biomedical, behavioral, and social risks to a woman’s health or pregnancy outcome through prevention and management

A 27-year-old patient with systemic lupus erythematosus tells her gynecologist she desires to get pregnant. She reports she does not have a rheumatologist, and that she experiences approximately 4 flares per year. She receives care for these flares through the emergency room and is treated with prednisone each time. Her gynecologist recommends she defer pregnancy until she sees a rheumatologist. Her workup for SLE reveals a serum creatinine of 1.2 mg/dL. She is started on plaquenil and azathioprine. Two years later her serum creatinine is 0.7 mg/dL and she experiences no flares while on these medications. This example of preconceptional care best exemplifies which principle?

a. Reduce the disparities in adverse pregnancy outcomes

b. Improve knowledge, attitudes, and behaviors of women related to preconceptional health

c. Reduce risks indicated by a previous adverse pregnancy outcome through interconceptional interventions to prevent or minimize recurrent adverse outcomes

d. Ensure that all childbearing-aged women receive preconceptional care services—including evidence-based risk screening, health promotion, and interventions—that will enable them to enter pregnancy in optimal health.

A 29-year-old with no prenatal care presents for her screening ultrasound at 28 weeks’ gestation. Evaluation of the fetal head reveals the abnormality pictured below. What percentage of fetuses with this condition are born to women at low risk for the anomaly?

a. 10%

b. 33%

c. 60%

d. 90%

A 29-year-old with no prenatal care presents for her screening ultrasound at 28 weeks’ gestation. Evaluation of the fetal head ...

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