Routine antenatal care

Question 1

Nice NG201: When should booking appointment be carried out?

Answer 1

10+0 weeks gestation

Question 2

NICE NG201: How many routine antenatal appointments should be made for a nulliparous woman?

Answer 2

10

Question 3

NICE NG201: How many routine antenatal appointments should be made for a multiparous woman?

Answer 3

7

Question 4

NICE NG201: Indication to refer to stop smoking services at booking

Answer 4

Woman or partner smokes or woman has given up in last 2 weeks

Question 5

NICE NG201: When is the dating USS advised to take pace?

Answer 5

11+2 - 14+1 weeks gestation

Question 6

NICE NG201: What is the purpose of the first ultrasound (dating scan)?

Answer 6

To detect multiple pregnancy, to date the pregnancy, to carry out combined screening for Down’s, Patau’s and Edward’s syndrome, if the patient accepts this

Question 7

NICE NG201: When should the anomaly USS take place?

Answer 7

18+0 to 20+6 weeks gestation

Question 8

NICE NG201: For women at risk of GDM, when should the Oral glucose Tolerance Test be carried out?

Answer 8

24+0 -28+0 gestation

Question 9

NICE NG201: When des the guideline recommend to first start discussing self monitoring fetal movements?

Answer 9

24 weeks gestation. However, AFFIRM trial recommends RFM information be given from 20/40

Question 10

Risks associated with asymptomatic bacteruria?

Answer 10

Risk of pyelonephritis (30%), risk of preterm labour, risk of structural renal tract abnormalities (3-5%)

Question 11

Incidence of asymptomatic bacteruria in pregnancy?

Answer 11

2-5 in 100 women

Question 12

Which haematological disorders are screened at booking?

Answer 12

anaemia, haemoglobinopathies (sickle and thalassaemia), red cell autoantibodies