PRE CONCEPTION CNM FINAL EXAM QNS & ANS 2026/2027 5pages

1. What is preconception care and why is it important? Preconception care is the provision of health services and education to individuals and couples before they conceive a child. It aims to improve their health status, identify and reduce risk factors, and optimize their fertility and reproductive outcomes. Preconception care is important because it can prevent or minimize adverse maternal and fetal outcomes, such as congenital anomalies, low birth weight, preterm birth, miscarriage, and stillbirth. 2. What are some of the key components of preconception care? Some of the key components of preconception care are: - Assessment of medical history, family history, genetic screening, immunization status, nutritional status, lifestyle factors, mental health, and environmental exposures. - Counseling and education on reproductive health, family planning, contraception, fertility awareness, pregnancy spacing, and prenatal care. - Management of chronic conditions, such as diabetes, hypertension, thyroid disorders, epilepsy, asthma, and mental illness. - Treatment of infections, such as sexually transmitted infections (STIs), urinary tract infections (UTIs), and dental caries. - Prevention and treatment of substance abuse, such as tobacco, alcohol, drugs, and caffeine. - Folic acid supplementation to prevent neural tube defects. - Optimization of weight and physical activity. 3. What are some of the risk factors for poor preconception health? Some of the risk factors for poor preconception health are: - Age: Women who are younger than 18 or older than 35 years have higher risks of complications during pregnancy and childbirth. - Parity: Women who have had multiple pregnancies or deliveries have higher risks of maternal morbidity and mortality. - Previous pregnancy outcomes: Women who have had previous adverse pregnancy outcomes, such as preterm birth, low birth weight, stillbirth, or neonatal death have higher risks of recurrence in subsequent pregnancies. - Previous pregnancy complications: Women who have had previous pregnancy complications, such as gestational diabetes, preeclampsia, eclampsia, placenta previa, placental abruption, or postpartum hemorrhage have higher risks of developing them again in subsequent pregnancies. - Infertility: Women who have difficulty conceiving or maintaining a pregnancy have higher risks of having