• Judy E. Smith RNC, MN

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    • Judy E. Smith, RNC, MN, is a certified obstetric-gynecology nurse practitioner and is currently a professor of nursing at California State University, Long Beach. She received her B.S.N. and M.N. from UCLA and is currently a doctoral student at Claremont Graduate School, Claremont, California. She is a certified childbirth educator with the American Society for Psychoprophylaxis in Obstetrics (ASPO), a member of NAACOG, and a member of Sigma Theta Tau. She has published several articles related to high-risk conditions in women's health care.

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Thyroid disorders during pregnancy can have potential adverse affects on the fetus, making recognition and treatment of paramount importance. Signs and symptoms of thyroid disease can be masked by pregnancy. Familiarity with thyroid function test values and their interpretation during normal pregnancy is necessary to discriminate between expected changes and pathological changes. Ongoing management of a pregnant woman with thyroid disease involves sign and symptom monitoring, thyroid function testing to adjust medication dosage, and patient education/counseling regarding the disease and its relationship to her pregnancy.