Antenatal Care

Question 1

What causes morning sickness to be particularly bad

Answer 1

Conditions where hCG is higher
E.g Twin
Molar pregnancy

Question 2

What can severe morning sickness progress to

Answer 2

Hyperemesis Gravidarum

Question 3

What causes anaemia in pregnancy

Answer 3

Increase in plasma volume results in dilution anaemia

Question 4

Which 3 infections are screened for antenatally

Answer 4

Syphilis
HBV
HIV

Question 5

Hows is Syphilis treated in pregnancy

Answer 5

Penicillin

Question 6

Why is giving a woman MSSU in pregnancy very important

Answer 6

Because increased risk of UTI which can lead to complications

Question 7

When can the fetal HR be detected on USS

Answer 7

6 weeks

Question 8

What is an ectopic pregnancy

Answer 8

Pregnancy that implants outside the womb

Question 9

Which is the most common condition to be screened for

Answer 9

Down Syndrome

Question 10

What is the simplest screening test

Answer 10

Maternal age

Increased age = Increased risk

Question 11

What are the 2 types of diagnostic tests offered

Answer 11

Chorionic villus sampling

Amniocentesis

Question 12

What do both Dx tests carry a risk of?

Answer 12

Miscarriage

Question 13

What is a diagnostic test

Answer 13

A test which can confirm wether the baby has the condition or not

Question 14

What is a screening test

Answer 14

Tests that can be offered to assess the risk of having a certain condition

But it cannot say for sure

Question 15

How many scans does a women get during pregnancy

Answer 15

2

Question 16

Is there a routine scan in 3rd trimester?

Answer 16

No only 1st and 2nd

Question 17

Which screening tests can be used to detect risk for Down Syndrome

Answer 17

HCG 
PaPP A (pregnancy associated plasma protein A)

Nuchal translucency

Question 18

What can be measured on USS to assess risk/screen for Down Syndrome

Answer 18

Nuchal translucency

Question 19

What does the Quadruple Test screening test check the blood for

Answer 19

Alpha fetoprotein
HCG
Unconjugated oestriol (UE3)
Inhibin-A

Question 20

Which blood marker is used to assess risk of NTD

Answer 20

Alpha fetoprotein

Question 21

What are other causes of increased AFP

Answer 21

Incorrect gestational age 
Multiple pregnancy 
Bleeding in pregnancy 
Fetal death 
Abdominal wal abnormalities

Question 22

what is the aim of the 20 week scan

Answer 22

To screen for structural abnormalities of the fetus

Question 23

What is the Dx test for NTD

Answer 23

Second trimester (20wk) USS scan is diagnostic test 
Will detect 90% NTD

Question 24

If screening results for Down syndrome come back as high risk what can be offered to the mother

Answer 24

Diagnostic tests

Question 25

What is the aim of the first scan

Answer 25

Identify gestational age
Can also Dx:
Miscarriage
Multiple pregnancy

Question 26

What is amniocentesis

Answer 26

Dx test in which a sample of the amniotic fluid is take using USS guided technique
Taken and tested

Question 27

What is CVS

Answer 27

Chorionic villus sampling

Sample of the placenta is taken and tested

Question 28

What is considered high risk for Dx test

Answer 28

1: 150
1: 200??

Question 29

Risk of miscarriage in CVS

Answer 29

1-2%

Question 30

Risk of miscarriage in amniocentesis

Answer 30

<1%

Question 31

Pro of CVS

Answer 31

It can be carried out earlier than amniocentesis