Antenatal Care & Medical Complications

Question 1

When is an anomaly scene carried out?

Answer 1

20wks gestation

Question 2

If a mother were to have hypertension detected >20wks, what would this be categorised as?

Answer 2

Gestational hypertension

Question 3

41 y/o woman @ 32wks gestation is found to be hypertensive. Proteinuria is detected on urinalysis.

What condition are you worried about here?

Answer 3

PET

Question 4

What test is of little prognostic value in PET but used to assess fatal wellbeing?

Answer 4

CTG

Question 5

What is the main assessment tool in PET?

Answer 5

Umbilical artery doppler velocimetry

Question 6

State 2 anti-hypertensives which can be given during pregnancy

Answer 6

Labetalol and methyl-dopa

Question 7

What are the 4 indications for birth in PET?

Answer 7

• Inability to adequately control BP.
• Rapidly deteriorating biochemistry/haematology.
• Eclampsia.
• Fetal compromise.

Question 8

What is eclampsia and when does it most commonly occur?

Answer 8

Tonic-clonic seizure occurring with features of PET; postpartum .

Question 9

What is the main cause of maternal death in eclampsia and how is it avoided?

Answer 9

Inadequate fluid balance resulting in pulmonary oedema; running the patient “dry” at 80ml/h.

Question 10

Which thyroid condition has serious implication in pregnancy (name 2)?

Answer 10

Hyperthyroidism; IUGR and preterm labour.

Question 11

Which test is not carried out in the assessment of a pregnant woman with suspected DVT?

Answer 11

D-dimers