Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Reproduction and sexual health > Antenatal care and dates > Flashcards

Antenatal care and dates Flashcards

1
Q

what is gravidity

A

number of confirmed pregnancies a woman has had regardless of the outcome of the pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is parity

A

the total number of pregnancies a woman has carried beyond 20 weeks (and delivered, live or stillborn)
total number of births after 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

when is the booking appointment

A

10 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What screening should be offered at the booking appointment

A

provide information about baby development, nutrition, pelvic floor exercises
offer antenatal screening eg BBV, STIs, asymptomatic bacteriuria, Down’s, structural anomalies, gestational age, GDM, PET, mental health conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What assessments should be done at the booking appointment

A

height, weight, BMI
blood group
RhD status
anaemia, haemoglobinopathies, HBV, HIV, syphilis
urinalysis
USS to determine gestational age using CRL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is CRL

A

crown rump length - from top to toe of foetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when can CRL be measured

A

between 10-13+6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When can you do a Down’s screening test

which is more accurate

A

1st and 2nd trimesters

1st trimester is more accurate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is done in a 1st trimester Down’s screening test, and when

A

NT is measured
PAPP-A levels
HCG levels
11-13+6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is NT in Down’s screening

A

Nuchal thickness = measure of skin thickness behind foetal neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PAPP-A levels are high/low in Down’s screening

A

low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

HCG levels are high/low in Down’s screening

A

high

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is done at 2nd trimester Down’s screening

A

blood test 15-20 weeks
HCG levels
AFP levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

AFP levels are high/low in Down’s screening

A

low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what happens if there is a high risk of Down’s with the screening tests

A

you do a definitive test such as amniocentesis or chorionic villi sampling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What should the USS assess on booking visits

A 
viability of pregnancy 
single vs multiple pregnancy 
gestational age estimate 
structural anomalies 
offer Down's screening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when is the next appointment after the 10 week booking appointment

A

16 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is done at the 16 week appointment

A

discuss results of screening tests

BP and check for proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

when is the anomaly scan

A

18-20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

if placenta previa is found at the anomaly scan, how should she be followed up

A

offer another USS at 32 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

for nulliparous women, when is the next appointment after the anomaly scan

A

25 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is done at the 28 weeks appointment

A

screening for anaemia
anti-D prophylaxis to Rh- women
BP and urinalysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

when is a second dose of anti-D administered

A

34 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

when can external cephalic version be offered

A

36 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Increased NT is specific to Down’s syndrome, true or false

A

false

can be associated with a range of conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

list biomarkers for aneuploidy screening

A

AFP
HCG
UE3
inhibin A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what is non-invasive prenatal testing NIPT

A

detects cell free foetal DNA cffDNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

when can amniocentesis be carried out

A

> 15 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

when can chorionic villus sampling be carried out

A

> 12 weeks

30
Q

how are sickle cell anaemia and thalassemias inherited

A

autosomal recessive

31
Q

who manages women in the green pathway

A

midwives

32
Q

who manages women in the red pathway

A

obstetricians + midwifery support

33
Q

why is it important to give anti-D to Rh- women

A

to prevent formation of antibodies against Rh which can attack baby in future pregnancy

34
Q

what is looked for in urinalysis in pre-eclampsia

A

proteinuria ++

35
Q

what are RF for GDM

A 
BMI>30
previous macrosomic baby 
previous GDM
FH
ethnic minority
36
Q

what should women take if they are at high risk of PET

A

75mg aspirin from 12 wk until delivery

37
Q

what are RF for PET

A 
HTN during previous pregnancy 
CKD
autoimmune disease 
T1/2DM
chronic HTN
BMI>35
multiple pregnancy
38
Q

why should women take folic acid in early pregnancy and at which doses

A

to prevent NTD e.g. spina bifida and anencephaly
400ug normally
5mg if: obese, AED, DM, coeliac, FH/personal history of NTD

39
Q

what should be offered by 41 weeks for women who have not yet given birth

A

membrane sweep
induction of labour
BP and urinalysis
symphyseal fundal height

40
Q

how many USS scans does a normal pregnancy get

A

2

41
Q

purpose of USS at booking

A 
gestational age 
abnormalities e.g. gastrochisis 
multiple pregnancy 
viable foetus 
in utero
42
Q

rank multiple pregnancy chorionicity from most dangerous to safest

A

monoamniotic
monochorionic diamniotic
dichorionic diamniotic

43
Q

TTTS is more likely to occur in monochorionic/dichorionic

A

mono

44
Q

which trisomies are screened for in the 1st trimester

A

Downs - 21
Edwards - 18
Pataus - 13

45
Q

order of anomaly screening

A
  1. NT and maternal blood markers (hCG and PAPP-A)
  2. NIPT or go straight to
  3. diagnostic amniocentesis / CVS
46
Q

teratogenic drugs

A 
ACEI 
warfarin 
Na valproate 
Lithium 
Methotrexate
47
Q

are TCA and SSRIs safe in pregnancy generally?

A

yes

48
Q

you must stop teratogenic drugs ASAP e.g. lithium

A

false, must refer to specialist ASAP instead

49
Q

previous c-section increases the risk of

A

uterine rupture

50
Q

any operation that has breached the uterine cavity can increase the risk of ..

A

uterine rupture

51
Q

what are the booking bloods that are done in absolutely everyone who is pregnant

A 
FBC - Hb (booking, 28 weeks)
Blood group 
Rh status and red-cell antibodies 
haemoglobinopathies 
HIV, HBV, HCV, syphilis 
CMV only if in contact or symotomatic or foetal anomalies detected
52
Q

what does maternal anaemia put a woman at increased risk of

A

maternal death by PPH

53
Q

are congenital infections routinely screened for

A 
not routinely screened:
CMV
toxoplasmosis 
rubella 
HSV 
HZV
54
Q

are women screened for PID

A

no

unless symptomatic etc..

55
Q

is D antigen the only one that can cause foetal anaemia

A

no, it is one of many

it is the only one that we can do anything about ie giving anti-D to Rh- mothers

56
Q

USS can be used to identify foetal anaemia by looking at MCA, true or false

A

true

57
Q

who is the primary responsibility for, mother or baby

A

mother

58
Q

TVUSS is safe in pregnancy, true or false

A

true

59
Q

what is cervical ‘incompetance’

A

the cervix just silently opens up meaning the baby can be lost

60
Q

150mg aspirin taken at night instead of 75mg?

A

150mg is from new research and is found to be more effective

61
Q

contraindications to aspirin

A

some asthmatics

PUD

62
Q

vaccines available to pregnant women

A

flu
whooping cough
covid - for high risk women
at any gestation - maybe after 20 weeks

63
Q

elective c-section indications

A

maternal choice

64
Q

dont want to do c-section before 39 weeks

A

risk of ADHD and autism in child

65
Q

IOL is safe at 39-42 weeks

it is always offered at 42 weeks

A

from increased risk of stillbirth

66
Q

GBS prophylaxis

A

previous babies affected
if she is known to have it
yes - antibiotics

67
Q

postnatal contraception

A

mirena coil…

68
Q

if you fall pregnant within a year of c-section, risk of

A

accreta

rupture

69
Q

where can a woman deliver

A

home
community
labour suite

70
Q

any one at increased risk of PPH should be encourage to have active/physiological 3rd stage

A

active
does increase risk of N+V
reduces risk of PPH by 50%

71
Q

anyone at risk of an emergency should have IV access, true or false

A

true

e.g. PET, epileptic, obese, twins

72
Q

epidural labour for patients who are at high risk of needing an operation

A

yes

Reproduction and sexual health (46 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions