Obstetrics MDM39

كويزات الاوبس اللي نزلت ع المنصه للتلت مجموعات

اخواتي المزنوقين😤 دي أهم النقط في الأسرة لو مذكرتهاش والله تبقى نموذج حقير🫥

Nutritional care✅ Component of nutriental care ( assesment - education _ supplimintation- correction of deficiency ) ✅ nutritional assessment History=screening questionnaire Score 0=health eating habits Score 1= less health eating habits Score 2= least health eating habits Summary score range from 0_16 Lower numberd indicate good habits higher number indicate bad habits ✅جدول مهم بتاع body mass index ✅0.5 _ 2 kg weight gain in first trimester ✅lab investigation Hemoglobin/hematocrit.... Check at first prenatal visit Late second trimester Early third trimester ✅ بص علي قيم بتاع ال anmia ✅ vitamin D not necessary to be done ✅ measurements is reasonable (Obese- minimum sin exposure - malabsorptive disease) ✅food Guide Pyramid Base ( rice ..pasta..bread..cereal ) Second layer (vegetables and fruits ) Third layer (milk group cheese yogurt ) and meet .. poultry..egg ) Fourth layer ( fat ..oil ..suger) ✅ supplimintation- 1_ routine in pregnancy iron and folic acid after third trimester 200 mg ferrous fumurate 400 ug folic acid 2 At high risk of neural tube defect should receive 4 mg folic acid prior to consepaton and first 12 weeks 3. Vitamin A above 700 teratogen 4 ca (second trimester )500mg ✅most common deficiency is anamia ✅ Indication to iron iv .. 1 cannot tolerate oral iron 2 sevee symptomatic anamia 3 impaired absorption of oral ✅ Expected response to iron 1 start reticulocytosis with week 2 increase Hb with two weeks 3 return s ferritin to normal . ✅indication of referal in iron deficiency anaemia ..HB <7 Intolerance to oral iron Presist anmia ✅most common cause of megaloblastic anmia is folic acid deficiency ✅ effect of folic acid deficiency Neural tube defect Spina bifida Anencephaly ✅ supplimintation-of folic acid is recommended at (periconceptional and first trimester )0.4 mg ✅all women in childbearing should receive folic acid once per day ✅ Previous pregnancy by NTD = 4 mg of folic acid every day Prior to conception and in first Trimester Then decrease dose to (0.4 ) After first trimester. ✅ measurement of folic acid before and after supplimintation-is not recommended

Premarital care ✅ components of premarital care Assessment - counseling - immunization ✅ Assessment= screening History.( Chronic disease DM .. family history of genetic disease Thalassemia... sickle cell anemia... congenital anomalies in families.. Rubella history for female.. Mumps for male ) . clinical examination..lab investigation ✅ Lab investigation during perimarital CBC- ABO- RH - Hb- Hepatitis c - Hepatitis B s antigen - infertility test ✅ counseling Interpersonal communication to help other to take disicion Including 2 G+ 2R 1 general counsel and health education( life style.. prevent smoking.. prevent alcohol) 2 gentic counseling( Study of genogram of both parents..) 3 reproductive health counseling(appropriate tome for first pregnancy.. importance of antenatal visit .. 4 relevant health problems( management if has DM ..HTN) ✅ Immunization not less than 3 months to plan of pregnancy against Rubella ✅ Iterconceptional care Care of femal in between pregnancies ✅ Timing of interconceptional care Post partum care Post abortive care. Home visit At MCH for child care

Five visits during antenatal..