Antenatal care Flashcards
1
Q
Causes of abnormal lie (9)
A
- Placenta previa
- Prematurity
- Lax uterus
- Fetal congenital anomaly (anencephaly)
- Multiple pregnancy
- Polyhyramnion
- Pelvic mass preventing engagement
- IUD
- Uterine malformation (arcuate/subseptate)
2
Q
Complication of abnormal lie (2)
A
- Cord presentation
- Shoulder presentation
3
Q
Benefits of dating scan (5)
A
- Accurate dating
- Reduced incidence of IOL
- Serum screening to detect fetal abnormalities
- Early detection of multiple pregnancies
- Detect failed intrauterine pregnancy
4
Q
Risk factor for multiple pregnancies (5)
A
- IVF
- Advanced maternal age
- High parity
- Black race Multiparity
5
Q
Anterpartum complication of multiple pregnancy
A
Maternal
- Severe hyperemesis gravidarum
- GDM
- Anemia
- Increase risk of APH
- Thromboembolic disease
- PPROM (overdistension abdomen)
Fetal
- Miscarriage
- Preterm labor
- IUGR
- Fetal congenital anomalies
- Unexplained IUD
- Twin to twin transfusion syndrome
6
Q
Risk factors screening for GDM (4)
A
- BMI > 30kg/ m2
- Previous baby > 4.5kg
- Prev GDM
- Family relative with diabetes
7
Q
Uterus larger than date (6)
A
Maternal
- Wrong date
- Multiple pregnancy
- Pelvic mass
- Molar pregnancy
Fetal
- Congenital anomalies (NTD, anencephaly, oesophageal atresia)
- Polyhyramnion
- Macrosomia
8
Q
Uterus smaller than date (6)
A
Maternal
- Wrong date
- Oligohydramnion
- Missed abortion
- IUD
Fetal
- Failure to thrive (IUGR)
- Congenital anomaly (renal agenesis)
9
Q
When to give anti-D prophylaxis?
A
- 28 weeks: first rhogam
- 34 weeks: second dose
