Antenatal Care Flashcards
Listeria infection is a problem if contracted, with fetal
mortality being _______
30–50%.
Folic acid (0.5 mg tablets) is now generally recommended to commence about\_\_\_\_\_\_\_\_ preconception and \_\_\_\_\_\_\_post concepcion
3 months prior to conception, continuing to 12 weeks postconception
Rubella serology should be estimated and, if
required, immunisation_______ prior to conception
should be initiated
4 weeks
When to test for seroconversion for rubella
Test for seroconversion 6–8
weeks late
Rubella Vaccination should be avoided in early
pregnancy, and pregnancy avoided for ________after
rubella vaccination.
28 days
if vaginal bleeding: if Rh negative, send blood
sample for Rh antibodies—if absent, give one
ampoule ______ within
72 hours of first bleed
anti-D gammaglobulin
Perform the four classic techniques of palpation
(applies to later visits):
1 Fundal palpation
2 Lateral abdominal palpation
3 Pawlik palpation
4 Deep pelvic palpation
When to do Maternal serum screening (MSST)
(9–13 weeks, 11 is ideal):
MSST tests
— Free β -hCG
— PAPP-A
If MSST performed at 11 weeks and combined
with NT one week later, it enables the risk of
_____ and _________ to be defined and
compared with age-related risk
trisomy-21 and trisomy-18
Nuchal translucency (NT) ultrasound (usually \_\_\_\_\_\_\_\_
12–13 weeks)
Second trimester MSST
• performed at ________ (if desired)
15–16 weeks
Second trimester MSST
Genetic testing for recessive disorders
such as ________ and ________ can be
discussed at this time.
cystic fibrosis
thalassaemia
Recently, free fetal DNA testing has been available
in Australia and overseas. It is performed on a
maternal blood sample taken at about_______
10–12 weeks
If positive free fetal DNA testing, _______ or __________would usually be required for
confirmation
amniocentesis or
chorionic villus biopsy
A common routine schedule (if all appears normal)
- Initial in first trimester: _______
- Up to 28 weeks: every _______
- Up to 36 weeks: every _____
- 36 weeks–delivery:_____
8–10 weeks
4–6 weeks
2 weeks
weekly
Guidelines for OGTT
• First visit—if previous gestational diabetes or
strong family history
• About 20 weeks—as above + normal initial test
• About 26 weeks—for all other patients
The average number of visits is 12 but the need
for this number is being questioned, with some
authorities recommending as few as______
six visits
urinalysis (protein and sugar)—many clinics
repeat at each visit only if there is _______at
the first visit or if signs of hypertension, kidney
disease or pre-eclampsia develop.
proteinuria
Record day of first fetal movements (i.e.
‘quickening’) (ask patient to write down the dates):
• primigravida: ______
• multigravida:______
17–20 weeks
16–18 weeks
Causes of proteinuria in pregnancy
Urinary tract infection
Contamination from vaginal discharge
Pre-eclampsia toxaemia
Underlying chronic kidney disease
The uterus is a pelvic organ until the ______ of pregnancy
twelfth week