REPRO 4.5

Question 1

polyhydraminos causes

Answer 1

fetal trahceoesohageal fistula, rhesus, anencephaly, multiple pregnancy, hydrous fetalis/b19 infection, maternal DM, idiopathic

Question 2

symptoms of polyhydraminos

Answer 2

discomfort, labour, membrane rupture, cord prolapse

Question 3

ix for polyhydraminos

Answer 3

USS, clinical

Question 4

multiple pregnancy dx symptoms

risks

Answer 4

USS at 12 weeks
exaggerated preg symptoms, high AFP, feel more than 2 poles
congenital anomalies, preterm labour, growth restriction, PET, APH, TTTT

Question 5

rx for multiple pregnancies

Answer 5

more frequent antenatal visits. detailed anomaly scan at week 18, regular scans from 28 weeks, iron supplements

Question 6

triplets or more

Answer 6

cs

Question 7

diabetes risk factors

Answer 7

prev, prev big baby, obese, prev GDM, ethnicity

Question 8

DM cx

Answer 8

hypoxia, macrosomnia, congenital awn, miscarriage, IUD, PET

Question 9

treatment approach for DM

Answer 9

reg monitering for PET
fetal anomaly scan
diet
weight 
offer delivery at 38w

Question 10

further development of type 2 dm in mums risk factor and how many

Answer 10

70%

obesity, insulin treatment, IGT post part, ethnicity

Question 11

what does it mean to be small for dates

Answer 11

<10th centile

Question 12

maternal causes of IUGR

Answer 12

smoking, low BMI, v young, v old, htn, PET

Question 13

fetal causes of IUGR

Answer 13

rubella, CMV, congenital anomalies, downs

Question 14

placental causes of IUGR

Answer 14

infarcts, abruption - often secondary to htn

Question 15

ix for IUGR

Answer 15

fundal symphyseal height
USS for estimated weight
liquor vol

Question 16

when is liquor volume down

Answer 16

in placental insufficiency or rupture of membrane

Question 17

50% of IUGR are what and the 50% are what

Answer 17

sym - just small

assym - head bigger - placental insufficiency

Question 18

how to ix placental insufficiency

Answer 18

amniotic fluid index
doppler of blood flow
growth trajectory

Question 19

consequences of being growth restricted

Answer 19

hypoxia, hypoglycaemia, hypothermia, polycythemia, abnormal neurological development post natally

Question 20

preterm

Answer 20

24-36(+6)

Question 21

Rf for prem

Answer 21

previous, multiple pregnancy, uterine anomalies, teen, parity 0 or over 5, ethnicity, smoking, drugs, BMI <20

Question 22

causes of prem

Answer 22

infection, overdistention like fibroids, MP, polyhydramino
placental abruption, appendicits, pneumonia, cervical insufficiency, PROM
idiopathic

Question 23

what can be done if the baby is okay after birth

Answer 23

wait a min to cut cord to allow placental transfusion

Question 24

cx of prem

Answer 24

hypothermia, growth and nutrition, PDA, retinopathy of immaturity, hypoglycaemia, hyponatraemia, RDS

Question 25

correct gestations age for how in babies born 32-36w

<32w

Answer 25

1 year

2 years

Question 26

post dates is when

risks

Answer 26

> 42 weeks

placental insufficiency, meconium aspiration, oligohydraminos, still birth - rare

Question 27

what can be done for a breech baby

Answer 27

external cephalic rotation at 38 weeks

if doesnt turn - CS

Question 28

risks of vaginal delivery of breech baby

Answer 28

asphyxiation, cord prolapse