1. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Preconception Planning and Monitoring Fetal Health Twenty Questions

2. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri The following slides contain 20 questions about preconception planning and monitoring fetal health This activity can be completed individually or as a group. On the game board, click a question number to go to the question slide. Read the question and allow time for a response. Click “Show Me the Answer” to check the answer. Click “Go Back to Question Table” and chose another question. Twenty Questions

3. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri 12345 678910 1112131415 1617181920 Twenty Questions About Preconception Planning and Fetal Health Conclusion

4. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 1 What two nutrients are especially important during pregnancy? Go Back to Question Table Show Me the Answer

5. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 1 Q? What two nutrients are especially important during pregnancy? Calcium and folic acid Go Back to Question Table

6. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 2 Name five avoidable teratogens that could harm an unborn baby. (An avoidable teratogen is a substance or experience in the environment that could harm a developing fetus.) Go Back to Question Table Show Me the Answer

7. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 2 Q? Name five avoidable teratogens that could harm an unborn baby. ◦ Hyperthermia ◦ Alcohol ◦ Tobacco ◦ Medications ◦ Illegal drugs Go Back to Question Table

8. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 3 Hyperthermia is ________. Go Back to Question Table Show Me the Answer

9. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 3 Q? Hyperthermia is ________. Elevated body temperature Go Back to Question Table

10. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 4 High body temperatures in early pregnancy increase the risk for what type of birth defects? Go Back to Question Table Show Me the Answer

11. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 4 Q? High body temperatures in early pregnancy increase the risk for what type of birth defects? Neural tube defects such as spina bifida Go Back to Question Table

12. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 5 Go Back to Question Table Show Me the Answer Complete this statement: Avoidable exposures include over-the- counter and prescription medicines, illegal drugs, alcohol and _________.

13. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 5 Q: Avoidable exposures include medicines, illegal drugs, alcohol and ________. Tobacco Go Back to Question Table

14. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 6 What is the “tool” to collect a family’s medical information to determine risks for: ◦ Birth defects ◦ Genetic syndromes ◦ Major health problems Go Back to Question Table Show Me the Answer

15. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 6 Q? What is the “tool” to collect a family’s medical information to determine potential health risks? A family health history Go Back to Question Table

16. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 7 What are two primary reasons to visit a doctor before becoming pregnant? Go Back to Question Table Show Me the Answer

17. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 7 Go Back to Question Table Q? What are two primary reasons to visit a doctor before becoming pregnant? ◦ To have a physical exam ◦ To discuss possible health risks to the mother and to the pregnancy

18. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 8 Prenatal testing refers to a process that determines the health and condition of the unborn baby, and includes both screening and diagnostic testing. How do these two processes differ? Go Back to Question Table Show Me the Answer

19. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 8 Go Back to Question Table Q? How do these two processes — screening and diagnostic testing — differ? ◦ Screening is a noninvasive test to identify if a pregnancy is at a higher than average risk for certain birth defects or chromosomal abnormalities ◦ Diagnostic testing is the use of any diagnostic procedure, such as CVS or amniocentesis, in pregnancy to determine whether the baby has a genetic abnormality

20. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 9 All pregnancies have what percent of risk for a birth defect? Go Back to Question Table Show Me the Answer

21. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 9 Go Back to Question Table Q? All pregnancies have what percent of risk for a birth defect? 3 to 4 percent

22. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 10 Name three factors that increase the risk of having a birth defect. Go Back to Question Table Show Me the Answer

23. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 10 Q? Name three factors that increase the risk of having a birth defect. Mother is age 35 or over Medical conditions of the mother, such as diabetes or seizures Family history of a genetic condition Go Back to Question Table

24. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 11 What percent of babies are born with a birth defect? Go Back to Question Table Show Me the Answer

25. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 11 Go Back to Question Table Q? What percent of babies are born with a birth defect? 3 to 4 percent

26. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 12 Which identifies high-risk pregnancies, a screening test or a diagnostic test? Go Back to Question Table Show Me the Answer

27. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 12 Go Back to Question Table Q? Which identifies high-risk pregnancies, a screening test or a diagnostic test ? Screening test

28. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 13 Complete this statement: Screening tests are typically maternal _________ tests. Go Back to Question Table Show Me the Answer

29. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 13 Go Back to Question Table Q? Screening tests are typically maternal ________ tests. Blood

30. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 14 If a screening test is positive, additional testing will be offered to learn if a real problem exists. This type of testing is called _______ testing. Go Back to Question Table Show Me the Answer

31. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 14 Q? If a screening test is positive, additional testing will be offered to learn if a real problem exists. This type of testing is called ________ testing. Diagnostic Go Back to Question Table

32. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 15 True or False: All women are encouraged to choose prenatal testing regardless of age. Go Back to Question Table Show Me the Answer

33. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 15 Q? True or False: All women are encouraged to choose prenatal testing regardless of age. True. Prenatal testing (screening and follow-up diagnostic testing, if needed) can reassure a family of their baby’s health and help to identify and monitor or respond to potential problems. Go Back to Question Table

34. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 16 The screening tests based on a blood sample from the mother are a first trimester screen, sequential screen, quad screen, and alphafetaprotein screen. The screening test that uses sound waves to create images on a screen is an _____. Go Back to Question Table Show Me the Answer

35. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 16 Q? The screening tests based on a blood sample from the mother are a first trimester screen, sequential screen, quad screen, and alphafetaprotein screen. The screening test that uses sound waves to create images on a screen is an __________. Ultrasound Go Back to Question Table

36. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 17 Which diagnostic test analyzes a small piece of the placenta for chromosome abnormalities: CVS (chorionic villus sampling) or amniocentesis? Go Back to Question Table Show Me the Answer

37. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 17 Q? Which diagnostic test analyzes a small piece of the placenta for chromosome abnormalities: CVS (chorionic villus sampling) or amniocentesis? CVS – chorionic villus sampling A catheter or a needle is used to suction off a small piece of the placenta. The cells are analyzed for chromosome abnormalities or DNA testing is done if there is risk for a specific disorder. Go Back to Question Table

38. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 18 Which diagnostic tests analyzes cells in the amniotic fluid that surrounds the fetus for chromosome abnormalities: CVS (chorionic villus sampling) or amniocentesis? Go Back to Question Table Show Me Answer

39. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 18 Q? Which diagnostic test analyzes cells in the amniotic fluid that surrounds the fetus for chromosome abnormalities: CVS (chorionic villus sampling) or amniocentesis? Amniocentesis A fine needle is inserted through the mother’s abdomen into the uterus to withdraw a few tablespoons of amniotic fluid, which contains cells sloughed off the fetus. Go Back to Question Table

40. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 19 What is the process to identify and understand what health problems a couple may pass on to their children, to determine particular risks and to allow families to make informed decisions right for their family? Go Back to Question Table Show Me the Answer

41. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 19 Q? What is the process to identify and understand what health problems a couple may pass on to their children, to determine particular risks and to allow families to make informed decisions right for their family? Genetic counseling Go Back to Question Table

42. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Question 20 Genetic counseling is important for families of ethnic groups with genetic disorders common to their group, because a pregnancy may face higher ______. Go Back to Question Table Show Me Answer

43. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Answer 20 Q? Genetic counseling is important for families of ethnic groups with genetic disorders common to their group, because a pregnancy may face higher ________. Risk Go Back to Question Table

44. An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Conclusion Preconception planning can improve the chance of having a healthy baby. Prenatal testing (screening and follow-up diagnostic testing, if needed) can reassure a family of their baby’s health and help to identify and monitor or respond to potential problems.