CLINICAL PLACEMENT

Question 1

What are the 3 sections of taking a normal pregnancy history?

Answer 1

obstetric history
gynaecological history
normal history

Question 2

what are some important questions to ask in the obstetrics history?

Answer 2

how far along
if the estimated due date matches with expected due dat after ultrasound dating scan
parity and gravidity
if they are taking any anticonvulsants or antidepressants
if previous pregnancies have been normal
social history
mental health
if she is hoping for a normal delivery

Question 3

what are some important gynaecological questions to ask?

Answer 3

symptoms
LMP date and if their periods are normally regular (what do they mean by regular)
history of cervical smear test
past gynaecological illnesses

Question 4

what are some diseases to ask a pregnant woman about?

Answer 4

diabetes
hypertension
epilepsy
thyroid disease
asthma
thromboembolic diseases

Question 5

why can the first trimester of pregnancy increase the risk of heartburn?

Answer 5

muscles in your esophagus push food more slowly into the stomach and your stomach takes longer to empty. This gives your body more time to absorb nutrients for the fetus, but it can also result in heartburn.

Question 6

what chromosomal abnormality is down syndrome?

Answer 6

trisomy 21

Question 7

what chromosomal abnormality is Edwards syndrome?

Answer 7

trisomy 18

Question 8

what chromosomal abnormality is Patau’s syndrome?

Answer 8

trisomy 13

Question 9

what are the signs of pre eclampsia?

Answer 9

proteinuria, oedema and hypertension

Question 10

what are some signs of eclampisa?

Answer 10

headaches, visual disturbances and seizures

Question 11

what causes pre eclampsia?

Answer 11

problems with the blood vessels that connect the placenta to the uterus

Question 12

why is it important to ask about mental health during pregnancy?

Answer 12

pregnancy can induce psychotic states

post partum depression

Question 13

how many peopke will experience baby blues?

Answer 13

1/5

Question 14

what are the levels of screening for chromosomal abnormalities?

Answer 14

blood tests
nuchal translucency ultrasound
amniocentesis
chronic villus sampling

Question 15

what are the risks of amniocentesis and chronic villus sampling

Answer 15

miscarriage, infection, preterm, limb defects in infants

Question 16

why are systolic murmurs common in pregnancy?

Answer 16

increased flow through the right and left ventricular outflow tracts as blood volume increases

Question 17

why is constipation more common in pregnancy?

Answer 17

as increases progesterone levels causes decreased gut motility

Question 18

why are pregnant women at a higher risk of UTIs?

Answer 18

pee has more sugar, protein, and hormones in it and the growing uterus puts more pressure on the bladder which can cause urinary stasis

Question 19

why do pregnant women get chloasma (dark patches on skin)?

Answer 19

stimulation of pigment-producing cells by female sex hormones so that they produce more melanin pigments (dark coloured pigments) when the skin is exposed to sun.
oestrogen can cause increased synthesis of melanin

Question 20

why does pregnancy cause palmar erythema?

Answer 20

increased oestrogen levels

Question 21

what causes mole changes in pregnancy?

Answer 21

the higher levels of oestrogen and progesterone in your body stimulates the melanin cells in your skin to make more pigment.

Question 22

in pregnancy, what’s an effect of progesterone and relaxin?

Answer 22

relax muscles and loosen ligaments and joints, especially in the pelvic area- risk of symphysis pubis dysfunction

Question 23

what painkillers should pregnant women not take from 20/40?

Answer 23

NSAIDs - increased risk of miscarriage and malformation

Question 24

what test is used for post natal depression diagnosis?

Answer 24

Whooley questions

Question 25

whats normal term for twins?

Answer 25

37 weeks

Question 26

whats the normal term length for triplets?

Answer 26

32 weeks

Question 27

what counts as a premature birth?

Answer 27

more than 3 weeks before due date

Question 28

whats the most common cause of neonatal death?

Answer 28

pre term birth asphyxia and infections

Question 29

what percentage of pregnancies end in miscarriage?

Answer 29

1/5

Question 30

what causes baby blues?

Answer 30

increased progesterone levels