Antenatal care Flashcards
Number of appointments for:
- uncomplicated primip?
- uncomplicated multip?
Primip 10, multip 7
NICE Antenatal 2008
How much folic acid supplementation?
400 micrograms/day
NICE Antenatal 2008
When to do a dating scan?
10+0 to 13+6
NICE Antenatal 2008
If CRL > …. mm then use head circumference at dating scan.
84mm
NICE Antenatal 2008
When to do an anomaly scan?
18+0 to 20+6
NICE Antenatal 2008
When to do the combined screening test?
11+0 to 13+6
NICE Antenatal 2008
What is in the combined screening test?
Nuchal translucency, HCG, PAPP-A
NICE Antenatal 2008
At what measurement of NT on the anomaly scan should referral to fetal medicine be made?
≥ 6mm or two soft markers
NICE Antenatal 2008
Levels to define anaemia?
- Booking
- 28/40
- Postnatal
Booking - 110
28/40 - 105
Postnatal - 100
(NICE Antenatal 2008)
Sickle cell screening - what prevalence is considered high and what screening done?
High = >1.5/10,000 - lab screening
NICE Antenatal 2008
Sickle cell screening - what prevalence is considered low and what screening is done?
Low = ≤1.5/10,000 - screening as per Family Origin Questionnaire
(NICE Antenatal 2008)
What level of MCV would trigger lab screening for sickle cell?
<27 picograms
NICE Antenatal 2008
Defining hypertension:
Diastolic measurements
Single diastolic >110mmHg or 2x >90mmHg 4 hours apart
NICE Antenatal 2008
Defining hypertension:
Systolic measurements
Systolic >160mmHg 2x four hours apart
NICE Antenatal 2008
If low lying placenta at anomaly scan, when to rescan for location?
32 weeks
NICE Antenatal 2008
When to start measuring SFH?
From 24 weeks
NICE Antenatal 2008
When to start palpating fetal presentation?
From 36 weeks. If breech consider ECV from 37 weeks
NICE Antenatal 2008
When to start fetal heart ausculation?
Not routinely recommended. Do if maternal request.
NICE Antenatal 2008
Management of women over 42/40 who decline IOL?
2x weekly CTG and USS of maximum amniotic pool depth
NICE Antenatal 2008
