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Reproduction > Antenatal > Flashcards

Antenatal Flashcards

1
Q

What are pre-pregnancy vitamins that should be taken?

A

Vitamin D

Folic acid

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2
Q

What is the pre-pregnancy dose of vitamin D

A

10mcg daily

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3
Q

What are the 2 types of pre-pregnancy problems?

A

Maternal

Foetal

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4
Q

What are the maternal problems?

A

DVT
Pre-eclampsia
Caesarean section

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5
Q

What are Foetal problems?

A

Intrauterine growth restriction
Pre-term delivery
Foetal abnormality

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6
Q

What are the infections to screen for during pregnancy?

A

Hepatitis B
Syphilis
HIV
MSSU

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7
Q

What do you screen for at 12 and 28 weeks?

A

Iron deficiency anaemia

Isoimmunisation

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8
Q

What do you check for in the first scan?

A

Ensure pregnancy is viable
Multiple pregnancies
Abnormalities incompatible with life
Offer downs screening

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9
Q

When is the first trimester screening carried out?

A

10-14 weeks gestation

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10
Q

What is measured in first trimester screening?

A

Maternal risk factors
Serum B-human chorionic gonadotrophin (B-hCG)
Pregnancy associated plasma protein A (PAPP-A)
Foetal nuchal translucency (NT) measurement

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11
Q

Where is nuchal translucency taken from ?

A

Between Crown rump length of 45-84mm

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12
Q

What happens to nuchal translucency as age increases?

A

Nuchal translucency increases

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13
Q

What are the incidence of chromosomal abnormalities related to?

A

The size of the nuchal translucency, not the appearance

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14
Q

What is a high risk result of nuchal translucency?

A

Over 150

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15
Q

If you get a high risk result, what further tests would you offer?

A

CVS
Amniocentesis
Non-invasive prenatal testing

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16
Q

What is non-invasive prenatal testing?

A

Taking maternal blood

17
Q

Why is non-invasive prenatal testing useful?

A

Can detect foetal cell free DNA released from placenta
No risk of miscarriage
Not diagnostic
Can be offered amniocentesis after

18
Q

Is screening for neural tube defects routinely offered?

A

No

19
Q

What would you give if there was a history of neural tube defects?

A

5mg folic acid

20
Q

What would you use in first trimester to look for variants of neural tube defects?

A

Ultrasound

21
Q

What are variants of neural tube defects?

A

Anencephaly

Spina Bifida

22
Q

When is the second trimester ultrasound carried out?

A

At 20 weeks

23
Q

What does the second trimester ultrasound detect?

A

More than 90% NTD

Foetal abnormalities

24
Q

What foetal abnormalities does a second trimester ultrasound detect?

A

Hypoplastic left heart
Exomphalos
Cleft lip

Reproduction (88 decks)

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