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| 2 | 4th Quiz Obs G3.pdf | 0 |
| 3 | 3rd Quiz Obs G3.pdf | 0 |
| 4 | 2nd Quiz Obs G3.pdf | 0 |
| 5 | 1st Quiz Obs G3.pdf | 0 |
| 6 | 4th Quiz Obs.pdf | 0 |
| 7 | 3rd Quiz Obs.pdf | 0 |
| 8 | 2nd Quiz Obs.pdf | 0 |
| 9 | 1st Quiz Obs.pdf | 0 |
| 10 | 4th Quiz Obs G1.pdf | 0 |
| 11 | 3rd Quiz Obs G1.pdf | 0 |
| 12 | 2nd Quiz Obs G1.pdf | 0 |
| 13 | 1st Quiz Obs G1.pdf | 0 |
| 14 |  بدون متن... | 0 |
| 15 | اخواتي المزنوقين😤
دي أهم النقط في الأسرة
لو مذكرتهاش والله تبقى نموذج حقير🫥 | 0 |
| 16 | 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 | 0 |
| 17 | بدون متن... | 0 |
| 18 | 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 | 0 |
| 19 | بدون متن... | 0 |
| 20 | Five visits during antenatal.. | 0 |
