Womens Notes: Obs

Question 1

When is the dating scan in pregnancy?

Answer 1

10-14 weeks

Question 2

What investigations are done at 10-14 weeks dating?

Answer 2

Gestational age, multiple pregnancy, anomaly screen (combined test)

Question 3

When is the pertussis vaccine offered?

Answer 3

20 weeks

Question 4

When is the glucose tolerance test done if risk factors?

Answer 4

24-28 weeks

Question 5

When is the first dose of anti-D given to rhesus negative women? When is the second?

Answer 5

28 weeks (First), 34 weeks (second)

Question 6

When is external cephalic version done if still breech at this point?

Answer 6

36 weeks

Question 7

When is the anomaly scan done?

Answer 7

20 weeks

Question 8

What is the combined test?

Answer 8

Beta hCG, PAPPA, nuchal translucency

Question 9

When is extra folic acid indicated (5mg)?

Answer 9

Obese (>30), epilepsy medication

Question 10

What is the sign on USS of molar pregnancy?

Answer 10

Snowstorm appearance

Question 11

What is secreted in high levels in molar pregnancy?

Answer 11

b-hCG

Question 12

What are the risk factors for molar pregnancy?

Answer 12

Extremes of age, previous molar pregnancy, SE Asian background