Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Obstetrics & Gynae RIA > pregnancy > Flashcards

pregnancy Flashcards

1
Q

antenatal booking appointment at how many weeks?

A

12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

foods with folic acid

A
  • dark green leafy vegetables
  • oranges
  • wholegrain
  • yeast
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how long should folic acid be taken

A

first 12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when should folic acid dose 5 mg be given?

A
  • previous baby with neural tube defect
  • you or your partner have a neural tube defect
  • fhx neural tube defect
  • taking antiepileptic medx
  • DM
  • obesity
  • bowel disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

at 10-14 weeks, which syndromes are screened for?

A

Downs syndrome

Edwards syndrome (trisomy 18)

Patau syndrome (13)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the combined test & when is it carried out

A

Nuchal translucency USS - measures fluid at back of babys neck
& blood test: PAPP-A & b-hCG

10-14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what happens if screening test shows a higher chance result of syndrome?

A

told within 3 days
&
offered a diagnostic test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

when can Chorionic villus sampling be performed? & how is it carried out

A

between 11 and 14 weeks
&
fine needle inserted through abdomen to take a sample of tissue from placenta, the cells are then tested

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

when can Amniocentesis be carried out & how is it performed?

A

@ 15 weeks

fine needle inserted into uterus to collect a sample of fluid surrounding baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

number of visits in an uncomplicated pregnancy?

A

10 for first pregnancy & 7 for 2nd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when does booking visit take place?

A

8 to 12 WEEKS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is involved in Down’s syndrome screening?

A

combined test:

nuchal translucency & serum measurement of b-HCG and PAPP-A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

when is down’s sydnrome screening carried out?

A

11-14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

when is QUAD test carried out and what does this look for

A

AFP, Inhibin A, unconjugated oestradoil, hCG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when is anomaly scan?

A

18-20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when is anti- D prophylaxis given to rhesus -ve women?

A

28 weeks

2nd dose at 34 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

foods high in folic acid?

A
  • dark leafy vegetables
  • oranges
  • wholegrains
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

dose and duration of folic acid?

A

400 ug & for 12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

explain Rhesus disease?

A

mothers blood either has or hasnt got Rhesus antibodies

the antibodies destroy babys blood causing: haemolytic anaemia, thinner blood, tachycardia, jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

if mother has previously had gestational diabetes when should OGTT test be carried out?

A

24-28 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

risk factors for gestational diabetes (4)

A
  • BMI > 30
  • previous macrosomia baby > 4.5 kg
  • 1st degree relative
  • fam origin with high prevalence diabetes e.g. south asian
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how is pre eclampsia screened for ?

A

blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is pre-eclampsia?

A

pregnancy induced hypertension & proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

name 4 high risk factors for pre eclampsia

A
  • HTN in previous pregnancy
  • CKD
  • SLE
  • T1/2DM
  • Chronic HTN
25
Q

2 alternatives for diagnosing Gestational diabetes

A

Fasting glucose > 5.6

2 hours post prandial > 7.8

26
Q

what does antenatal screening for gestational diabetes consist of?

A

75g OGTT

fasting glucose level is measured, then 75g oral glucose given and plasma glucose repeated 2 hours later

27
Q

when is OGTT carried out?

A

at booking & at 24-28 weeks

28
Q

what is normal physiological changes in blood pressure in pregnancy?

A

BP usually falls in the first trimester and continues to fall until 20-24 weeks

from 24 weeks BP rises and returns to pre pregnancy state

29
Q

what is pre existing blood pressure defined as?

A

> 140/90 before 20 weeks

30
Q

what is gestational HTN defined as?

A

HTN after 20 weeks, no protein in urine & no oedema

31
Q

how is pre eclampsia diagnosed?

A

BP >140/90 on 2 or more occasions at least 4 hours apart

&

Proteinuria > 300mg/24 hours

32
Q

triad of Hyperemesis gravidarum?

A

1) 5% ore pregnancy weight loss
2) Dehydration
3) Electrolyte imbalance

33
Q

3 risk factors for hyperemesis gravidarum

A
  • multiple pregnancy
  • 1st pregnancy
  • raised BMI
34
Q

1st line treatment for hyperemesis gravidarum

A

antihistamines (cyclizine and promethizine)

35
Q

2nd line treatment for hyperemesis gravidarum

A

ondansetron & metoclopramide

36
Q

how is anaemia in pregnancy managed

A

Iron oral

37
Q

risks for ‘ small for gestational age’ baby

A
  • smoking > 11 a day
  • cocaine use
  • maternal age > 40
  • heavy bleeding
  • daily vigorous exercise
38
Q

what is given to women at high risk of pre eclampsia?

A

75 mg Aspirin from 12 weeks until delivery

39
Q

what is given if delivery between 24 & 36 weeks

A

anabolic steroids

40
Q

what is prolonged pregnancy defined as

A

pregnancy at or longer than 42 weeks

41
Q

prolonged pregnancy puts child at risk of

A

stillbirth

42
Q

what can be offered for prolonged pregnancy?

A

membrane sweeps @ 40/41 weeks

43
Q

treatment targets for gestational diabetes?

A

fasting: 5.3

2 hour glucose: 6.4

44
Q

3 complications of macrosomia?

A
  • shoulder dystocia
  • obstructed/delayed labour
  • increased rates of instrumental delivery
45
Q

3 fetal complications of gestational diabetes?

A
  • macrosomia
  • risk of post delivery hypoglycaemia
  • polyhydramnios
46
Q

what causes of shoulder dystocia?

A

macrosomic baby becomes stuck and anterior shoulder gets stuck behind pubic symphysis

47
Q

at what weeks can pregnancy induced HTN or pre eclampsia be diagnosed?

A

post 20 weeks

48
Q

what examination findings need to be examined for in hypertension in pregnancy?

A
  • headache
  • visual distrubances
  • papilloedema
  • hyper-reflexia
  • RUQ pain
49
Q

medications to manage HTN in pregnancy? (3)

A
  • Labetalol
  • Nifedipine
  • Hydralazine
50
Q

3 side effects of labetalol

A
  • postural hypotension
  • headache
  • N&v
51
Q

what can be given in pre eclampsia to prevent fits & eclampsia

A

Magnesium sulfate infusion

52
Q

3 side effects of Nifedipine

A
  • peripheral oedema
  • headache
  • constipation
53
Q

serious complication of pre eclampsia?

A

HELLP syndrome

54
Q

management of HELLP syndrome

A

blood & platelet transfusion

55
Q

features of HELLP?

A 
H - Haemolysis (low Hb) 
E - elevated 
L - Liver enzymes 
L - Low 
P - Platelets
56
Q

uterine stimulants (5)

A
  • oxytociin
  • prostin
  • misoprostol
  • endothelin
  • ergometrine
57
Q

uterine relaxants (7)

A
  • nifedipine
  • nitric oxide
  • relaxin
  • atosiban
  • magnesium
  • terbutaline
  • indomethacin
58
Q

when does levels of hCG peak?

A

week 7

Obstetrics & Gynae RIA (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions