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MRCOG Part 2 > Antenatal care > Flashcards

Antenatal care Flashcards

1
Q

Number of appointments for:

  • uncomplicated primip?
  • uncomplicated multip?
A

Primip 10, multip 7

NICE Antenatal 2008

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2
Q

How much folic acid supplementation?

A

400 micrograms/day

NICE Antenatal 2008

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3
Q

When to do a dating scan?

A

10+0 to 13+6

NICE Antenatal 2008

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4
Q

If CRL > …. mm then use head circumference at dating scan.

A

84mm

NICE Antenatal 2008

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5
Q

When to do an anomaly scan?

A

18+0 to 20+6

NICE Antenatal 2008

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6
Q

When to do the combined screening test?

A

11+0 to 13+6

NICE Antenatal 2008

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7
Q

What is in the combined screening test?

A

Nuchal translucency, HCG, PAPP-A

NICE Antenatal 2008

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8
Q

At what measurement of NT on the anomaly scan should referral to fetal medicine be made?

A

≥ 6mm or two soft markers

NICE Antenatal 2008

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9
Q

Levels to define anaemia?

  • Booking
  • 28/40
  • Postnatal
A

Booking - 110
28/40 - 105
Postnatal - 100
(NICE Antenatal 2008)

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10
Q

Sickle cell screening - what prevalence is considered high and what screening done?

A

High = >1.5/10,000 - lab screening

NICE Antenatal 2008

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11
Q

Sickle cell screening - what prevalence is considered low and what screening is done?

A

Low = ≤1.5/10,000 - screening as per Family Origin Questionnaire
(NICE Antenatal 2008)

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12
Q

What level of MCV would trigger lab screening for sickle cell?

A

<27 picograms

NICE Antenatal 2008

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13
Q

Defining hypertension:

Diastolic measurements

A

Single diastolic >110mmHg or 2x >90mmHg 4 hours apart

NICE Antenatal 2008

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14
Q

Defining hypertension:

Systolic measurements

A

Systolic >160mmHg 2x four hours apart

NICE Antenatal 2008

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15
Q

If low lying placenta at anomaly scan, when to rescan for location?

A

32 weeks

NICE Antenatal 2008

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16
Q

When to start measuring SFH?

A

From 24 weeks

NICE Antenatal 2008

17
Q

When to start palpating fetal presentation?

A

From 36 weeks. If breech consider ECV from 37 weeks

NICE Antenatal 2008

18
Q

When to start fetal heart ausculation?

A

Not routinely recommended. Do if maternal request.

NICE Antenatal 2008

19
Q

Management of women over 42/40 who decline IOL?

A

2x weekly CTG and USS of maximum amniotic pool depth

NICE Antenatal 2008

MRCOG Part 2 (4 decks)

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