Antenatal Care Karamursel

Question 1

What can an ultrasound detect?

Answer 1

Intrauterine gestational sac 4-5 weeks of pregnancy
&
Fetal heart activity 6-7 weeks

Question 2

What are the risks of pregnancy of women with BMI >30 (obese)?

Answer 2

1-inc risk of gestational diabetes
2-pregnancy induced hypertension
3-thrombo-embolic disorders
4-delivery by C-section
5-fetal growth restrictions

Question 3

What are the 2 methods to estimate gestational age of infant?

Answer 3

1-crown-rump (head-butt) length measurement; but if it’s >84mm, then—>

2-gestational age can be measured by using head circumference.

Question 4

Why do we monitor cardiotocography and Doppler ultrasound?

Answer 4

-For the prediction of fetal growth restriction
-Cardiotocography for infant heart rate
(++in women with uncomplicated pregnancy)
-doppler u/s is used to measure blood flow

Question 5

What if the pregnancy is risky and your can’t use cardiotocography and doppler ultrasound?

Answer 5

Use umbilical u/s or fetal heart rate monitoring instead

Question 6

Knwo the leopold maneuver hand positionting

Question 7

Pregnancy hypertension:

Answer 7

140/90

Question 8

Small baby (small uterus)is either considered ……… or……..

Answer 8

Mentelly retarded or genetically small baby

Question 9

How do we hear fetal heart rate if we have no ultra sound?

Answer 9

Stethescope

Question 10

Ultrasound is used for …….?

Answer 10

High risk pregnancies

Question 11

Screening tests are to detect……?

Answer 11

Which pregnancies are at higher risk

Question 12

What is the screening test for gestational diabetes?

Answer 12

50g glucose tolerance test

Question 13

What are diagnostic tests for chromosomal abnormalities?

Answer 13

-Chronic villus sampling

-or amniocentesis (16-20 wks

Question 14

What are screening tests for chromosomal abnormalities?

Answer 14

-Double test
-Triple test (60% sensitivity, not reccommended)
-Quadriple test(low sensitivity)
-Maternal self-ring fetal test
-NIPT(non-invasive prenatal screening test)(high sensitivity, recommended)

Question 15

What are the risk factors for gestational diabetes?

Answer 15

-BMI >30
-previous gestational diabetes
-previous macrosomic baby
-family history of diabetes

Question 16

Which test do we make to detect erythroblastosis fetalis?

Answer 16

Indirect Cons test (detects antibodies in mother)

Question 17

How can we detect the severity of hemolytic anemia?

Answer 17

By Doppler u/s

Question 18

What is the treatment for 2nd pregnancy of baby who is Rh+ ?

Answer 18

Administration of anti-D prophylactic (to prevent the formation of maternal antibodies)

Question 19

If the pregnant woman is rh negative and her husband is rh positive, and the baby turns out to be Rh+ is there any risk of Erythroblastosis fetalis (hemolytic anemia) on baby?

Answer 19

No, no risk and no need to administer anti-D

Question 20

What are the screening tests recommended routinely to pregnant patients?

Answer 20

Syphilis
Hepatitis B &C
HIV
Measure thyroid function

Question 21

Which vaccines are not given to pregnant women?

Answer 21

HPV
MMR
Live influenza
Varicella

Question 22

Which vaccines are given to pregnant women?

Answer 22

Hepatitis A,B
Tdap (tetanus-diptheria)
Meningococcal
Pneumococcal

Question 23

What are the symptoms of pregnancy?

Answer 23

-Missed period(amenorrhea)
-morning sickness
-fatigue/weakness
-breast changes
-urinary symptoms(inc frequency)
-constipation
-Primigravid(1st pregnancy) patients feels quickening from 18-20wks (4-5 months)

Question 24

What is the normal fetal heart rate?

Answer 24

120-160 beats/min

Question 25

Fetal biopsy is screening or diagnostic test?

Answer 25

Diagnostic test