Ante Natal Care Flashcards
1
Q
components of 12 week scan
A
- Full PMH and past obs hx
- Screening blood tests (optional)
- dating scan (EDD)
- offer secondary screening tests and discuss further diagnostics (Downs and spina bifida)
2
Q
20 weeks
A
fetal anomaly scan (ancephaly/ spina bifida/ cleft lip/ syndromes/ cardiac abnorms)
3
Q
what should be done at each return appt?
A
BP, Gen Hx, urinanalysis, Obs exam and auscultation
4
Q
what should be repeated at weeks 28 + 34?
A
FBC and AB’s + give anti-D if needed at week 28
5
Q
early signs of pregnancy
A
amenorhea N+V boobs and nips increase size temperature increase bladder irritability
6
Q
what tests is done for downs (screening –> diagnostic)
A
AFP/HcG test + nuchal translucency // amaniocentesis or cvs
7
Q
normal signs of pregnancy
A
headaches, backache, freq, sob, constipation, GORD, palpations/fainting
8
Q
using anti-D immunoglobulins - when used? how much and to who?
A
given to mothers which are rhesus -ve but baby rhesus +ve or unknown
500U at 20 weeks if status unknown
if child is delivered and IS rh +ve then another dose.
