MasterPass Flashcards
start feeling fetal movements
answer= 16 weeks [notes= 28weeks]
post partum blues onset
3 days post partum
when is baby usually engaged
36-38weeks
24yo woman with IDDM for 10 years, presents at 22weeks gestation with elevated HbA1c
DO FETAL CARDIAC ECHO
earliest stage can pick up downs
NUCHAL TRANSLUCENCY (first trimester)
25yo G2P1 US at 19weeks= significantly small baby and a disproportionately large placenta. she feels unwell during the scan. bp= 165/100, and +++ proteinuria
TRIPLOIDY
normal fetal karyotype, but copious watery discharge since amniocentesis
OLIGOHYDRAMNIOS– potters
intrahepatic cholestasis with severe pruritus–> can lead to….
INTRAUTERINE FETAL DEATH
chondrodysplasia punctata
teratogenic effect of warfarin
mid face hypoplasia
fetal alcohol syndrome
missed miscarriage
NO pv bleed
NO pregnancy symptoms anymore (uterus no longer palpable)
PC red degeneration of fibroid
african american woman 32weeks get, SFH=36cm, uterus is soft but irregular. marked tenderness over the right side of the uterus
appendicitis in a prego woman
marked tenderness with rebound to the right of the umbilicus– because the appendix is displaced upwards by an enlarged uterus
PC: tenderness with rebound to right of umbilicus=
PERITONITIS–> thus do FBC
if patient is from Indo-Asian descent assume….
thalassemia
what is the cause of SOB in this patient:
17yo IVDU admitted at 28weeks gestation with chest pain and SOB. basal creeps and bronchial breathing
PNEUMONIA
26yo G2 P1, routine anatomy scan at 20 weeks. feels less fetal movements than her last pregnancy. US– FHR=normal, but minimal movement observed. monographer concerned about the baby’s posture and position of its limbs
FETAL DYSKINESIA SYNDROME
37yo refugee of african origin, HIV positive, just arrived in UK, antenatal care at 22weeks. 2 month history of heavy fresh, post-coital bleeding following each episode of intercourse. on examination uterus is soft and non-tender, and the FHR=166bpm
cervical cancer (post coital bleeding)
woman at 22weeks,hx of early onset PET, currently normotensive and no proteinuria. WHAT TO DO TO PREDICT PET?
UTERINE ARTERY DOPPLER
epidural and PET
PET–> low platelet count–>increase risk of epidural hematoma
THUS: low platelet count= contraindication to epidural anaesthesia
diabetic mum, baby is 4.9kg at 38 weeks, what do you do?
C-SECTION– when significant LGA
reduced fetal movements at 37 weeks, and had hx of stillbirth at 39weeks… what do you do next?
INDUCE LABOUR
vasovagal attack
slow bp AND slow pulse [if no slow pulse, possibly PE as presentation]
cannot deliver placenta after traction, then mum suddenly becomes hypotensive
UTERINE INVERSION
