Prenatal care + common Sx

Question 1

Folic acid RDA for pregnancy

Answer 1

400 mcg

Question 2

Folic acid duration for pregnancy

Answer 2

3 months pre-conception up to the first trimester

Question 3

Folic acid RDA for high risk pregnancy

Answer 3

5mg daily

Question 4

Folic acid indication in pregnancy

Answer 4

To reduce neural tube defects (NTD)

Question 4

Vit D recommendation for pregnancy

Answer 4

10mcg (400IU) daily throughout pregnancy and breastfeeding

Question 5

Define pregnancy

Answer 5

Pregnancy is defined as the physiological state that begins with the implantation of a fertilised egg (embryo) into the lining of the uterus and continues until the birth of the baby or pregnancy loss

Question 6

Recommended weight gain in pregnancy for obese (BMI >30)

Answer 6

5–9 kg

Question 7

Recommended weight gain in pregnancy for normal BMI (18.5-24.9)

Answer 7

11-16 kg

Question 8

Recommended weight gain in pregnancy for underweight (BMI < 18.5)

Answer 8

13–18 kg

Question 9

when is high dose (5mg) folic acid indicated in pregnancy

Answer 9

• BMI > 30
• DM
• Epilepsy
• prev NTD
• Sickle cell
• Thalassaemia
• Malabsorption disorders

Question 10

Naegele’s Rule EDD formula

Answer 10

EDD = LMP + 1 year - 3 months + 7 days

Question 11

Define gravidity

Answer 11

Gravidity is the total number of pregnancies, regardless of outcome

Question 12

Define parity

Answer 12

Parity is the number of pregnancies beyond 24 weeks gestation.
Multiple pregnancies (e.g., twins, triplets) count as one parity event.

Question 13

what is used to accurately calculate EDD

Answer 13

Crown-rump length during USS

Question 14

The Booking appointment

Answer 14

• < 10 weeks

Question 15

when is Anti-D Ab prophylaxis given to pregnant women

Answer 15

1st dose: 28 wks
2nd dose: 34 wks

Question 16

RSV vaccine in pregnancy

Answer 16

28 weeks

Question 17

Whooping cough vaccine in pregnancy

Answer 17

16-20 weeks

Question 18

when is the Dating USS (1st USS) in pregnancy

Answer 18

11-14 wks

Question 19

Purpose of the dating USS in pregnancy

Answer 19

Confirm gestational age, viability, ?multiple

Question 20

when is the anomaly USS performed in pregnancy

Answer 20

20 wks

Question 21

when is OGTT offered in high risk GDM

Answer 21

24-28 wks

Question 22

How is pregnancy confirmed

Answer 22

1. Urine pregnancy test
2. Serum hCG > 25IU/L
3. TVUS / TAUS

Question 23

Mild NVP Mx

Answer 23

• Ginger
• Acupunture
• Hydration
• Oral antiemetics

Question 24

NVP 1st line oral anti-emetics

Answer 24

- cyclizine - prochlorperazine

Question 25

Define Hyperemesis gravidarum

Answer 25

**persistent and severe vomiting** during pregnancy, which leads to **weight loss**, **dehydration** and **electrolyte imbalances**

Question 26

when do NVP usually settled

Answer 26

20 wks

Question 27

when do NVP ususally begin

Answer 27

4-7 wks

Question 28

moderate/severe NVP / hyperemesis gravidarum Mx

Answer 28

- IV fluids NaCl 0.9% - parenteral antiemetics - thiamine - Wernicke's encepalopathy

Question 29

Rh isoimmunisation complication

Answer 29

Haemolytic disease of the newborn - **haemolysis to the foeta RBCs**

Question 30

Anti-D Ab prophylaxis indication in pregnancy

Answer 30

for all RhD -ve women

Question 31

GBS 1st line **Intrapartum Abx Prophylaxis (IAP)** Tx

Answer 31

IV Benzylpenicillin - from labour **every 4h** until delivery

Question 32

GBS **IAP** for women w/ **penicillin allergy**

Answer 32

IV Clindamycin