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Summary and some quick MCQs
Hopefully now you will feel that you have met some of the objectives set out at the beginning of this topic and feel you understand more about identifying and modifying common pregnancy risk factors. Here are a couple of MCQs to test your learning. There is a stem and only 1 answer of the 5 is correct.
Which of the following statements is NOT true for the effects of smoking in pregnancy?
The effects of smoking are dose dependant
The risks can be reversed by stopping smoking
Smoking increases the risk of preterm labour
Smoking can affect future fertility
Nicotine replacement therapy should not be used in pregnancy
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The correct answer is 5. Nicotine replacement doubles the cessation rate in non pregnant women and so is likely to help cessation in pregnancy. Also it delivers less plasma nicotine than smoking cigarettes and none of the other toxic components of cigarette smoke.
Which of the following statements is true for these pregnancy risk factors?
The rate of gestational diabetes has been stable over the last 5 years
Obese women are more likely to have a spontaneous vaginal birth than normal weight women
HDL cholesterol is decreased with obesity
10% of still born babies are SGA
Ethnicity is not a risk factor for spontaneous preterm birth
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The correct answer is 3 - obesity decreases HDL but increases LDL and total cholesterol
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