antenatal screening

Question 1

What happens to women with a single SFH which plots below the 10th centile or serial measurements which demonstrate slow or static growth by crossing centiles

Answer 1

referred for ultrasound measurement of fetal size

Question 2

Serial measurement of symphysis fundal height (SFH) is recommended at each antenatal appointment from……weeks

Answer 2

24

Question 3

Advise women at high risk of pre-eclampsia to take 75mg of ? daily from 12weeks until the birth of the baby

Answer 3

asprin

Question 4

what makes women high risk for pre eclampsia? cs

Answer 4

hypertensive disease during a previous pregnancy
chronic kidney disease
autoimmune disease such as systemic lupus erythematosis or antiphospholipid syndrome
type 1 or type 2 diabetes
chronic hypertension.

Question 5

Advise women with more than one moderate risk factor for pre-eclampsia to take 75mg of aspirin* daily from 12weeks until the birth of the baby. Factors indicating moderate risk are:
first pregnancy
age 40years or older
pregnancy interval of more than 10years
body mass index (BMI) of 35kg/m2or more at first visit
family history of pre-eclampsia
multiple pregnancy.

Answer 5

.

Question 6

when can you carry out chronic villus sampling? what is the miscarriage rate?

Answer 6

after 12 weeks. miscarriage rate of 2%

Question 7

when can you do amniocentesis? miscarriage rate?

Answer 7

15 weeks, 1%

Question 8

what risk of downs requires further investigation\?

Answer 8

over 1:250

Question 9

neagles rule? chart?

Answer 9

add 9 months 7 days

Question 10

when is the nuclei thickness measured?

Answer 10

11-13 weeks

Question 11

nuchal thickness is raised in a range of conditions

Answer 11

y

Question 12

nuchal thickness combined with>

Answer 12

HCG and PAPP-A

Question 13

Down syndrome screening. in second trimester take bloods and assay for?

Answer 13

HCG and AFP

Question 14

biggest risk in terms of HCG and AFP?

Answer 14

HCG 2.0, AFP 0.5 and maternal age 40. risk is 1 in 10