Pregnancy is not a Disease

Question 1

What is used to record the foetal heartbeat during a pregnancy?

Answer 1

Cardiotocography

Question 2

What % of pregnant women gave birth at home in 2016?

Answer 2

2.1%

Question 3

What does “nulliparous” mean?

Answer 3

A women who has never given birth

Question 4

What are some aims of antenatal care?

Answer 4

• Monitor pregnancy / optimise mother and fetal health
• Develop partnership between woman and health professional
• Exchange information that promotes choice
• Recognise deviations from norm & refer appropriately
• Increase understanding of public health issues
• Offer opportunities for birth and parenthood

Question 5

Give examples of reports which drive antenatal care provision

Answer 5

• MBRACE-UK
• NICE Antenatal Care Guidelines
• Evidence based practice
• Local Policy / Guidelines
• Midwifery 2020
• National Maternity Review

Question 6

How many antenatal visits are there for Parous women? When do they occur?

Answer 6

7 in total

At booking, then 16, 28, 34, 36, 38, 41 weeks

Question 7

How many antenatal visits are for Nulliparous women? When do they occur?

Answer 7

10 in total

At booking, then 16, 25, 28, 31, 34, 36, 38, 40, 41 weeks

Question 8

What is particularly discussed at the 41 week antenatal appointment?

Answer 8

Possible induction of labour, as most women give birth by Week 40

Question 9

Prophylatic Anti-D immunoglobulin is offered to which group of pregnant women?

Answer 9

Rhesus negative women carrying a Rhesus positive baby

Question 10

On a 11-14 week ultrasound, what is searched for to suggest a Down’s syndrome pregnancy?

Answer 10

Increased nuchal translucency

Question 11

Foetal presentation assessed by abdominal palpation should be offered at what stage of the pregnancy?

Answer 11

36 weeks or later

Question 12

Why is the fundal height lower at 40 weeks than at 36 weeks in a pregnant women?

Answer 12

From 40 weeks onwards, the head will engage with the pelvis

Question 13

Give examples of risk factors which can affect pregnancy outcomes

Answer 13

• Chronic / acute disease
• Proteinuria
• Hypertension
• Significant oedema
• Uterus large or SGA
• Malpresentation
• Bleeding
• Infection

Question 14

How is a Miscarriage / Spontaneous Abortion defined as?

Answer 14

Loss of pregnancy before 24 weeks

Question 15

How is a Stillbirth defined as?

Answer 15

Born after 24 weeks, with no signs of life

Question 16

For diabetic pregnant women, what is screened for?

Answer 16

Diabetic retinopathy

Question 17

When does screening for Sickle Cell and Thalassemia occur?

Answer 17

At 10 weeks

Question 18

When does the HIV, Hep B and Syphilis screening test occur?

Answer 18

Between 8 and 12 weeks (but can be offered at any time)

Question 19

When is Edwards, Patau and Downs screened for?

Answer 19

11-14 weeks

Question 20

A physical examination of a newborn must occur when?

Answer 20

Within 72 hours of birth (eyes, hips, heart, testes)

Question 21

When does the Guthrie (Heel prick) test occur to screen for 9 conditions?

Answer 21

Within 5 days

Question 22

Give examples of some of the 9 conditions screened for by the Guthrie test

Answer 22

• Sickle cell disease
• Cystic Fibrosis
• Phenylketonuria
• Congenital hypothyroidism
• Homocysteinuria
• Maple Syrup urine disease
• MCADD
• Isovaleric acidaemia
• Glutaric aciduria Type 1

Question 23

A hearing test should be performed on a newborn by when?

Answer 23

5 weeks old

Question 24

What is External Cephalic Version?

Answer 24

A manual procedure involved in turning a breech baby into the correct position for delivery, performed at 37 weeks

Question 25

What are FMUs, AMUs and OUs?

Answer 25

Freestanding Midwifery Units
Alongside Midwifery Units
Obstetric Units