Antenatal care

Question 1

When does antenatal care start?

Answer 1

Preconception:
- lifestyle e.g. smoking, alcohol, weight
- optimise medical disorders
- ideal timing pregnancy

Question 2

What medications should be considered in antenatal care?

Answer 2

Commence folic acid 3 months prior

Avoid teratogenics

Adjust medication, make medication pregnancy plan

Question 3

When is the first pregnancy appointment for an uncomplicated pregnancy?

Answer 3

By 10 weeks

Question 4

For nullparous women, how many appointments do they have during pregnancy?

Answer 4

10

Question 5

For multiparous women, how many appointments do they have during pregnancy?

Answer 5

7

Question 6

What food hygeine is advised for during pregnancy?

Answer 6

Avoid Raw Seafood
Avoid Unpasteurized Juice or Cider
Unpasteurized Milk is a No-No
Avoid Soft Cheese & Cheese Made from unpasteurized Milk
Only Consume Cooked Eggs
Avoid Premade Meat or Seafood Salad
Do Not Eat Raw Sprouts
Avoid Undercooked Meat & Poultry
Reheat Hot Dogs & Luncheon Meats
Be Selective with Meat Spreads or Pate

Question 7

What are screening for during pregnancy?

Answer 7

Pre-existing conditions (diabetes, hypertension, epilepsy, HIV, cardiac, autoimmune)
Risk factors e.g. GDM, pre-eclampsia
Infections
Long term health implications - cardiac, renal
BMI
Domestic violence
Mental health problems
Migrant women

Question 8

If a pregnant women has a hypertensive disorder, what must be done?

Answer 8

BP every visit

Question 9

If a pregnant women has anaemia, what must be done?

Answer 9

FBC at booking, 28 weeks, 34 weeks

Question 10

If a pregnant women has red cell antibodies, what must be done?

Answer 10

Group, antibodies (anti D if needed)

Question 11

If a pregnant women has gestational diabetes, what must be done?

Answer 11

GTT or COVID tests (random glucose, HbA1c)

Question 12

What screening is done for the fetus?

Answer 12

Dating scan - recommended at 8-14 weeks

Downs screening - combined test (before 14 weeks OR QUAD test 13 - 20 weeks

Anomaly scan at 18-21 weeks

Growth - SFH measurement from 24-26 weeks until birth

Question 13

What is put done during the third trimester of pregnancy?

Answer 13

Prepare and plan for labour and birth

Confirm fetal size and presentation

Breast feeding information

Caring for newborn baby

Vitamin K prophylaxis after birth

Neonatal screening tests

Postnatal care/ Mental health