1. 11/08/2020

Question 1

What are levels of TSH aimed to be maintained between in preganacy

Answer 1

TSH< 2.5

Question 2

What is meant by CUB screening?

What is involved in it?

Answer 2

Combined ultrasound and biochemical screening

USS- NT (Downs syndrome)
Biochem- B HCG, PAPP-A,

Question 3

Apart from downs syndrome (T21) what other genetic condiitons are tested for?

Answer 3

Edward’s syndrome (T18)- causes learnign disabilites and very little survive past the 1st year of life

Patau’s syndrome(T13)- serious condition where most die in the first 7-10 days of life

Question 4

What should you be worried about if someone has a pelvic kidney and is preganant?

Answer 4

C-section- may damage kidney
Renal function may be impaired due to pressure
(Don’t need aspirin)

Question 5

What is true of mental health problems in preganancy

Answer 5

75% recurrence of mental health problems

Question 6

What is parent craft

Answer 6

antenatal classes that are used to educate mothers on how to look after there upcoming child

Question 7

What are the differences between sciatica vs pre-eclampsia vs miscarriage

Answer 7

Pre-eclampsia- headache, epigastric pain, blurred vision, heightened reflexes

Sciatica- shooting pain, comes and go’s, no bleeding/discharge from vagina

Pain and discharge

Question 8

What is the gold standard test to assess proteinurua?

Answer 8

Protein creatinine ratio

Question 9

What is obstetric cholestasis?

Answer 9

Caused by increased bile acids in pregnancy, leads to itching on hands and feet and jaundice

Bile acids reducers are given as they reduce symptoms and bile acid levels.

Question 10

What is given to woman with recurrent miscarriage?

Answer 10

Progesterone (until 16 weeks)

Question 11

What is given to woman with suspected anti-phospholipid syndrome.

Answer 11

Aspirin and dalterparin

Question 12

What is the minimum time apart that growth scans can be conducted

Answer 12

2 weeks

Question 13

What is meant by HELLP?

Answer 13

Haemolysis
Elevated LFT
Low platelets

May follow on from pre-eclampsia

Question 14

What blood tests are done for HELLP syndrome?

Answer 14

Bilirubin
Platelets
Heamoglobin
ALT, GGT

Question 15

What dose of magnesium sulphate is given for pre-eclampsia?

Answer 15

4.5g/l loading dose

1g/hr after that

Given as syringe driver not IV as fluid restrictions

Question 16

What is neuralgia parasthetia

Answer 16

Impingement of the lateral femoral cutaneous nerve causing pain an numbness in a specific area of the thigh

Question 17

What are the complications of pre-eclampsia?

Answer 17

Seizures
HELLP
Stroke
Pulmonary oedema
DIC
Fetal problems

Question 18

When do woman get anti-d injections

Why do woman get anti-d injections?

Answer 18

at 28 weeks and within 72 hours of birth

When a woman is rhesus negative

Question 19

What do people with anti-phospholipid syndrome tend to experience?

Answer 19

DVT
Clots
Miscarriage
MS like symptoms

Question 20

What drugs do you give someone with pre-eclampsia

Answer 20

Nifedipine, methyldopa, labetalol

Question 21

What drugs do you NOT give peopel with pre-eclampsia?

Answer 21

Ace inhibitors

Diuretics

Question 22

What is a baby’s normal heartbeat?

Answer 22

110-160 bpm

Question 23

How do you read a CTG?

Answer 23

DR- determined rate
C-contraction
BR- baseline rate
A- acceleration
VA- variabilty
D- declerations
O-overall- (baby, mum, progress)