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Antenatal Care And Screening Flashcards

1
Q

What is taking in booking visit history?

A 
Menstrual 
Medical
Obstetric
family
Social
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2
Q

Examinations at booking visit?

A 
Height
Weight
BP
CVS
Abdomen
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3
Q

Investigations done at booking visit?

A 
Hb
ABO, Rhesus
Syphilis, HIV, hep B&C
Urinalysis, MSSU C&S
USS
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4
Q

Why USS at booking visit?

A

Confirm viability
Singleton / multiple pregnancy
Estimate gestational age
Detect anomalies

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5
Q

What examinations are done at follow up visits?

A 
BP
Urinalysis
Symphysis- fundal height (SFH)
Lie and presentation 
Engagement of presenting part
Fetal heart auscultation,
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6
Q

What is placenta praevia?

A

When placenta is low lying, covering part or all of cervix

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7
Q

If an early USS shows placenta praevia, what is offered next?

A

Another USS at 32 weeks

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8
Q

What is involved in downs risk assessment in 1st trimester?

A

Measure skin thickness behind fetal neck by USS - Nuchal thickness - Measured 11-13+6 weeks
HCG and PAPP-A
CRL between 45-84mm

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9
Q

Downs assessment in 2nd trimester?

A

Blood sample - 15-20 weeks

HCG and AFP

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10
Q

What are specific diagnostic tests?

A

Amniocentesis

Chorionic villus sampling

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11
Q

When are mums screened for maternal anaemia?

A

At booking and 28 weeks

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12
Q

When are mums screened for ABO and Rhesus?

A

At booking at 28 weeks

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13
Q

Risk factors for gestational diabetes?

A 
BMI >30
Previous macrosomic baby >4.5kg
Previous gestational diabetes 
Farm history of diabetes
Minority ethnic family origin with high prevalence of diabetes
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14
Q

What fasting plasma glucose is diagnostic of gestational diabetes?

A

> 5.6mmol/l

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15
Q

What 2hour plasma glucose level is diagnostic of gestational diabetes?

A

> 7.8mmol/l

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16
Q

What is measured to predict SGA of neonate?

A

Symphysis fundal height from 24 weeks onwards

17
Q

If SFH is below 10th centile or slow/static growth, what is next action?

A

Ultrasound measurement of fetal size

18
Q

Why is urinalysis done?

A

UTI
Asymptomatic bacteriuria
PET
Diabetes

19
Q

Women at high risk of pre-eclampsia should do what?

A

> 75mg aspirin daily from 12 weeks until birth

20
Q

High risk factors for PET?

A 
Hypertensive disease during previous pregnancy
Chronic kidney disease
Autoimmune disease
Type 1 or 2 diabetes 
Chronic hypertension

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