Generalized Epilepsy Is On in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#17032

SMLE Question #17032

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 28-year-old woman with generalized epilepsy is on lamotrigine and has been seizure-free for 6 months. She attends preconception counseling and plans to conceive while continuing her antiseizure medication. She has no previous pregnancy affected by a neural tube defect, but a first cousin has a child with spina bifida. What is the most appropriate folic acid recommendation?

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