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Isleans Mrcog Part 2 > Antenatal Care > Flashcards

Antenatal Care Flashcards

1
Q

What vitamin should all women have in pregnancy and breastfeeding and at what dose

A

Vitamin D 10mcg

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2
Q

Ideally when should screening for sickle and thalassaemia be done by

A

10 weeks

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3
Q

What screening for downs screening is offered and when

A

Combined screening at 11-13+6

Triple or quad screening at 15-20 weeks if:
Combined missed
Unable to measure NT on USS

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4
Q

When should booking occur by

A

Ideally 10 weeks

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5
Q

How many anc appointments should low risk women get

A

Nulliparous 10

Multiparous 7

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6
Q

When and how should gestational age be assessed

A

USS CRL at 10-13+6

HC if CRL >84mm

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7
Q

How is listeriosis avoided

A

Pasteurised or UHT milk
No ripe/soft cheese
No pate inc vegetable pate
No uncooked/undercooked ready meals

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8
Q

How is salmonella avoided

A

Raw/partially cooked eggs

Raw/partially cooked meat

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9
Q

What is 1 unit of alcohol

How much can you have in pregnancy

A

1/2 pint, 1 shot

Small wine = 1.5 units

No more than 1-2 weekly

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10
Q

How should seatbelts be applied

A

Above and below the bump not over it

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11
Q

When should N&V resolve

A

16-20 weekdays

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12
Q

What is considered normal Hb

A

Booking 110

28 week 105

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13
Q

When should sickle and thalassaemia screening be done as routine

A

Feral prevalence >1.5 cases per 10,000 pregnancies

Otherwise family origin questionnaire can be used

Or if MCV <27 picograms

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14
Q

What at the anomaly scan should print referral for an FMU scan

A

NT >6mm

>2 soft markers

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15
Q

When should a placental localisation scan be done

A

At 32 weeks only if the placenta covered the int os at the anomaly

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16
Q

If women decline induction when and what monitoring should be offered

A

2x weekly CTG and weekly deepest pool

17
Q

At 11-13+6 what does an A wave and tricuspid regurge indicate an increased risk of

A

Aneuploidy

18
Q

What % of PET can be predicted from the booking Hx

A

47%

With a false + rate of 10%

19
Q

What % of women take the correct pre conception folic acid

A

20-50%

20
Q

What is the incidence of RBC Ab

A

1:80

21
Q

What is the incidence of a cute appendicitis in pregnancy

A

1:800 - 1:1500

Most common in 2nd trimester

22
Q

If US imaging for appendicitis in pregnancy is inconclusive, what imaging is second line

A

MRI

sensitivity 90% specificity 98%

23
Q

What is the 1st line malaria prophylaxis in areas of chloroquine resiStance

A

Mefloquine

24
Q

What investigation should be done for a 1st presentation of reduced FM

A

Auscultation with Doppler, CTG not indicated

25
Q

What % of twins are monochorionic

A

33%

26
Q

What is the perinatal mortality in the whole uk and what is it in monochorionic twins

A

UK 7 per 1000
MC twins 300-700 per 1000

A 30-70% increase

27
Q

What risks are reduced by antenatal steroids and by how much

A

Death 31%
RDS 44%
Intraventricular haemorrhage 46%

28
Q

Doxorubicin & epirubicin

What type of drugs are they
A Hx of use should prompt what investigation antenatally

A

Anthracyline chemotherapy agents used in breast Ca

Cause dose dependant LV dysfunction so an echo is required

29
Q

By how much does domestic violence increase maternal mortality

A

3x

30
Q

What level of anti-D should trigger referral to FMU

How often should levels be measured

A

> 4

Levels 4-15 correlate with a moderate risk of HDFN

Once detected they should be checked every 4 weeks till 28 weeks, then 2 weekly till delivery

31
Q

Regarding anti-D, what is the window for optimal timing to prevent sensitisation

A

72hr

32
Q

If placenta praevia is suspected at the anomaly scan, what follow up imaging should be done and when

A

Colour flow Doppler at 32 weeks

MRI is used if scan is not diagnostic

33
Q

I’m sepsis, what fluids should be given if lactate is >4

A

Crystalloid 20ml/kg

34
Q

When should caution be used with acyclovir

A

<20 weeks

35
Q

What is the risk of HSV infection if primary infection occurs within 6 weeks of delivery

A

30-60%

36
Q

How long is the incubation period for HSV

A

7 days

37
Q

What % of pregnancies are complicated by PPROM

A

2%

38
Q

Regarding PPROM at what gestation should delivery be considered

A

34 weeks

39
Q

What is the risk of prom at the time of Cx stitch insertion

A

<1%

Isleans Mrcog Part 2 (26 decks)

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