<prompt> A mother comes with history of antenatal fetal death due to neural tube defect in first child. What is the amount of folic acid you will prescribe during pre-conceptional counseling?4 microgramsday40 microgramsday400 microgramsday4000 microgramsday  <response>: Ans: D. 4000 microgramsdayRef Williams 24e p1104; Nelson 20e p2805, 20e p2805, 19e p2001If a pregnancy is planned in high-risk women previously affected child with neural tube defects, supplementation should be staed with 4 mg 4000 microgram of folic acid daily, beginning 1 month before the time of the planned conception.Recommendations:By U.S. Public Health Service.Folic acid 0.4 mg daily - For all women of childbearing age ones capable of becoming pregnant.Folic acid 4 mg 4000 microgram daily - For planned pregnancy in high-risk women previously affected child - Beginning 1 month before time of planned conception.Areas addressed by the preconception care :Nutritional conditionsVaccinepreventable diseasesGenetic conditionsEnvironmental healthInfeility subfeilityFemale genital mutilationToo early, unwanted and rapid successive pregnanciesSexually transmitted infectionsHuman immunodefi ciency virus HIVInterpersonal violenceMental healthPsychoactive substance useTobacco use 