Antenatal care Flashcards

1
Q

When does antenatal care start?

A

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

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2
Q

What medications should be considered in antenatal care?

A

Commence folic acid 3 months prior

Avoid teratogenics

Adjust medication, make medication pregnancy plan

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3
Q

When is the first pregnancy appointment for an uncomplicated pregnancy?

A

By 10 weeks

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4
Q

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

A

10

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5
Q

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

A

7

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6
Q

What food hygeine is advised for during pregnancy?

A

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

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7
Q

What are screening for during pregnancy?

A

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

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8
Q

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

A

BP every visit

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9
Q

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

A

FBC at booking, 28 weeks, 34 weeks

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10
Q

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

A

Group, antibodies (anti D if needed)

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11
Q

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

A

GTT or COVID tests (random glucose, HbA1c)

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12
Q

What screening is done for the fetus?

A

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

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13
Q

What is put done during the third trimester of pregnancy?

A

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

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