antenatal programme Flashcards

1
Q

when is booking visit?

A

8-12 weeks

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2
Q

when is first anti D given?

A

28 weeks

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3
Q

from 12-28 weeks when do you get visits/

A

monthlly

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4
Q

28-36 weeks visits?

A

fortnightly

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5
Q

36 till delivery visits?

A

weekly

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6
Q

what things are done at booking visit?

A
History of pregnancy and movements
FBC - antibodies, rubella, glucose and syphillis
urinalysis 
blood pressure 
abdo exam 0 symphyseal fundal height 
doppler for Heartbeat
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7
Q

second anti given?

A

34 weeks

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8
Q

exercise in pregnancy

A

ok

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9
Q

diet in pregnancy?

A

avoid unpaseurized food such as soft cheese and pate

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10
Q

what infection screen is done at booking?

A

rubella, HIV, hep B and C

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11
Q

markers in downs?

A

high HCG and Inhibin A

low AFP, PAPPA and estriol

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12
Q

congeital malformations marker?

A

high AFP

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13
Q

twins marker

A

high AFP

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14
Q

diabetes?

A

Low AFP

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15
Q

when can chronic villus sampling be done?

A

10-13 week, usually after 12

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16
Q

what is chronic villus sampling ?

A

ultrasound guided sampling of placenta

17
Q

what is risk of miscarriage with CVS?

A

2% (A1C2)

18
Q

what is amniocentesis?

A

ultrasound guided collection of amniotic fluid, which will contain fetal cells

19
Q

risks of amniocentesis and CVS?

A

infection, Rh autoimmunization and amniotic fluid leak

20
Q

when can amniocentesis be done?

A

after 15 weeks

21
Q

advantages and disadvantages in CVS?

A

CVS can identify neural tube defects

22
Q

disadvantages of CVS?

A

may be a delay in diagnosis

sample may not be adequate