Antenatal Care

Question 1

Rhesus isoimmunization
- what blood products are not type specific

Answer 1

• FFP
• Cryoprecipitate

Question 2

What dose of anti D covers 5 doses of platelets

Answer 2

250IU

Question 3

Incidence if postpartum psychosis

Answer 3

1-2:1000

Question 4

After what gestational age can emergency cerclage no longer be offered

Answer 4

27+6

Question 5

When is the ideal time to place a history indicated cerclage

Answer 5

11-14 weeks

Question 6

What is the indication for history indicated cerclage (1)

Answer 6

• singleton pregnancy with 3 or more previous ptb

Question 7

When should an ultrasound indicated cerclage be offered

Answer 7

• if there are no other risk factors, cerclage should not be offered for an incidental finding of a short cervix

Question 8

Should a cerclage be placed for cervical funneling without cervical length <25mm?

Answer 8

No

Question 9

What is the management of patients with h/o trachelectomy (2)

Answer 9

• preterm prevention specialist by 12 weeks
• cervical scanning every 2-4weeks (16-24 weeks)

Question 10

List the complex social factors in pregnancy (5)

Answer 10

• substance misuse
• recent migrants/asylum seekers
• foreign language
• age <20
• domestic abuse

Question 11

What level of anti C requires MFM

Answer 11

> 7.5iu/ml

Question 12

What level anti K requires MFM

Answer 12

Any level

Question 13

What level anti D requires MFM

Answer 13

4 iu/ml

Question 14

What is the monitoring protocol for rhesus isoimmunization

Answer 14

• weekly mca-psv (>1.5 mom significant)
• monthly titres until 28 week then 2 weekly

Question 15

At what gestation age is the fetus most at risk of FGR due to radiation

Answer 15

3-10weeks

Question 16

At what gestation is the fetus most at risk of CNS (microcephaly, mental retardation) effects of radiation

Answer 16

10- 17 weeks