Women's Health and Maternity Care, Free CME Quiz
This week's Med-Challenger free CME quiz - Women’s Health and Maternity Care - the quick quiz covers the impact of bariatric surgery on pregnancy outcomes, the diagnosis of jaundice and cholestasis during pregnancy, the concurrent use of antibiotics and combined oral contraceptives, and the recent changes to recommended immunization practices for women over 50.
A free Women’s Health and Maternity Care question included below. The full Women’s Health and Maternity Care CME quiz is free online for a limited time. You can earn AMA CME credit - and now you can earn ANCC contact hours as well! Play now.
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Here's this week's sample CME board review question on Women’s Health and Maternity Care:
A 28-year-old woman who is 27 weeks pregnant complains of epigastric pain and difficulty swallowing.
Her past medical/surgical history is significant for bariatric surgery for weight management 2 years ago.
Question:
Which of the following statements is true concerning bariatric surgery and pregnancy?
Answer Options:
Bariatric surgery is usually performed outside of the reproductive age group.
Bariatric surgery reduces pregnancy complications among morbidly obese patients.
Nutritional requirements are identical in those who have had surgery and those who have not.
Cesarean section is more common in those who have had bariatric surgery.
See the Answer:
The correct answer is:
Bariatric surgery reduces pregnancy complications among morbidly obese patients.
Educational Objective:
Review the impact of bariatric surgery on pregnancy outcomes.
Key Point:
Bariatric surgery reduces maternal complications of pregnancy among morbidly obese patients.
Explanation:
Bariatric surgery among morbidly obese women reduces the incidence of gestational diabetes, large-for-gestational age infants, hypertension, post-partum hemorrhage, and Cesarean delivery in pregnancy.
Surgery does increase the risk of delivering an infant who is small for gestational age, as well as preterm delivery.
Fifty percent of all bariatric surgery is performed in women between the ages of 18 and 45 years.
Nutritional requirements do change in those who have had weight reduction surgery.
Monitoring of patients throughout pregnancy, for deficiencies of Vitamin B-12, Folic acid and minerals, is essential.
References:
Kwong W, Tomlinson G, Feig DS. “Maternal and neonatal outcomes after bariatric surgery: a systematic review and meta-analysis: do the benefits outweigh the risks?” Am J Obstet Gynecol 2018, 218(6):53.
Maggard MA, Yermilov I, Li Z, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JAMA. 2008;300(19):2286-2296.
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