Antenatal Appointments

Question 1

8-12 weeks

Answer 1

Booking Appointment
(Pre-eclampsia, Diabetes Mellitus, Gest. DM, Rhesus, Anaemias, HBV, HIV, rubella, syphilis)

Question 2

Up to 10 weeks

Answer 2

Blood test for Sickle Cell/Thalassemia

Question 3

10 - 14 weeks

Answer 3

Combined test (blood and scan) for Down’s, Edward’s and Patau’s. Nuchal translucency, PAPP-A down, bHCG up assoc w/ Down’s

Question 4

15 weeks

Answer 4

Amniocentesis to detect for Down’s

Question 5

14 - 20 weeks

Answer 5

Quadruple test (blood) for Down’s (bHCG, Oestriol E3, AFP, Inhibin A)

Question 6

18 - 20 weeks

Answer 6

Anomaly scan (structural foetal anomalies)

Question 7

Blood test for syphilips/HIV/Hep B

Answer 7

Offered from 8 weeks –> birth

Question 8

Folic Acid

Answer 8

Advised to take 400mcg before and first 12 weeks of pregnancy

Question 9

16 - 32 weeks

Answer 9

Whooping cough vaccine (DtaP/IPV)

Question 10

Flu vaccine

Answer 10

Offered if pregnant September - January

Question 11

Amniocentesis

Answer 11

Offered 15 weeks onwards
Small needle
1% risk of miscarriage

Question 12

Chorionic villus sampling

Answer 12

11 weeks onwards
Big needle
2 - 3% miscarriage risk

Question 13

Health Literacy

Answer 13

Ability to understand and use information that promotes good health

Question 14

Screening test

Answer 14

A test to identify asymptomatic, healthy individuals to detect genetic predispositions or early signs of debilitating or life-threatening conditions

Question 15

Diagnostic test

Answer 15

Test to confirm that a person has a disease or is free from the disease

Question 16

Prevalence

Answer 16

The number of individuals in a population with the target condition

Question 17

Sensitivity

Answer 17

The ability of a test to correctly identify those WITH the disease (true positive rate)

Question 18

Specificity

Answer 18

The ability of a test to correctly identify those who do NOT have the disease (true negative rate)

Question 19

False positive

Answer 19

Referred but has no condition

Question 20

False negative

Answer 20

Not referred but has the condition

Question 21

When is the Booking Appointment?

Answer 21

8-12 weeks

Question 22

When can the blood test for sickle cell/thalassemia be done?

Answer 22

Up to 10 weeks

Question 23

When can the combined test for Down’s, Edward’s and Patau’s be done?

Answer 23

10 - 14 weeks

Question 24

When can amniocentesis be done?

Answer 24

15 weeks

Question 25

When can the Quadruple blood test for Down’s be done?

Answer 25

14 - 20 weeks

Question 26

When can the Anomaly scan be done?

Answer 26

18 - 20 weeks

Question 27

When can the blood test for syphilis/HIV/Hep B be done?

Answer 27

Offered from 8 weeks until birth

Question 28

When can the Whooping Cough vaccine be given?

Answer 28

16 - 32 weeks

Question 29

What are the Wilson-Junger criteria for screening?

Answer 29

Important health problem
Acceptable treatment for the recognised disease
Treatment and diagnostic facilities should be available
Recognisable at an early stage of symptoms (latent and symptomatic stage)
Opinions on who to treat must be agreed
Guaranteed safety - suitable test/examination
Examination/test must be suitable to the population
Natural history of the condition must be understood
Inexpensive test, economically balanced w/ overall health
Continuous screening process, not a one-off

Question 30

Fertilisation to implantation

Answer 30

Week 1

Question 31

Bilaminar disc formation

Answer 31

Week 2

Question 32

Gastrulation

Answer 32

Week 3

Question 33

Organogenesis

Answer 33

Week 3 - 8

Question 34

Foetal period

Answer 34

Week 8 - birth

Question 35

Embryology: Week 1

Answer 35

fertilisation to implantation

Question 36

Embryology: Week 2

Answer 36

bilaminar disc formation

Question 37

Embryology: Week 3

Answer 37

gastrulation

Question 38

Embryology: Weeks 3 - 8

Answer 38

organogenesis

Question 39

Embryology: Week 8 - birth

Answer 39

foetal period