Obs antenatal Hx

Question 1

Foods to avoid

Answer 1

unpasturised milk, blue cheese, undercooked food, pate, raw eggs or meat, raw fish, swordfish and shark, liver products

Question 2

why should they avoid liver products

Answer 2

teratogenic levels of vit a

Question 3

why should they avoid unpasturised milk/blue cheese

Answer 3

can cause salmonellis

Question 4

what food product contains high levels of mercury

Answer 4

shark and swordfish

can result in nervous system developmental problems

Question 5

raw fish in pregnancy can result in what

Answer 5

food poisoning including hep A

Question 6

salmonellis is caused by

Answer 6

raw or undercooked eggs or meat

Question 7

when should you offer anti D

Answer 7

any TOP timing 
vaginal bleeding after 12 weeks 
amniocentesis 
external cephalic versio 
abdo trauma 
foetal death 
delivery 
ONLY IF MOTHER IS RHESUS NEG and child is pos

Question 8

Advice on exercise

Answer 8

light exercise - should still be able to talk

continue exercising for as long as you feel comfortable

Question 9

DS investigations between 11-13 weeks

Answer 9

HCG and inhibin and NT all high

PPA is low

Question 10

nuchal thickness >6mm

Answer 10

warrants further investigation

Question 11

AFP

Answer 11

spina bifida

Question 12

chorionic villous sample

Answer 12

if less than 14 weeks `

Question 13

amniocentesis

Answer 13

if more than 15 weeks

Question 14

once sample is take (amnio or chorionic) what test is done

Answer 14

pcr