Y2 2nd formative Flashcards
When offering CO2 screening in pregnancy for women who smoke, over which level of ppm should they be prompt referred to additional care?
More than 4 ppm
consultant led care is recommended for women with a BMI over ??
35
To reduce risk of gastric aspiration, ranitidine should be offered to women with
a. asthma
b. BMI over 30
c. Chronic kidney decease
d. beta Thalassemia
b. BMI over 30
Out width which increase of weight is there a greater incidence of poor maternal outcomes generally?
7-15 kg
Living in poverty does not cause?
a. 2.5x increased risk of chronic illness in children
b. reduced risk of premature birth
c. children at 3x risk of suffering mental health problems
d. increased risk of behavioural, emotional problems and adverse childhood events.
b. reduced risk of premature birth
What percentage of women eat 5 portions of fruit and veg every day
a. less than 25%
b. 90%
c. more than 75%
d. 50
a. less than 25%
FASD may present with following
a. various birth defects, IUGR, neurodevelopmental problems
b. always facial distortions and attention problems
c. facial distortions, IUGR, neurodevelopmental problems
d. Different neurodevelopmental problems, like irritability, attention deficits and motor delay.
a. various birth defects, IUGR, neurodevelopmental problems
What is the most dangerous effect on the fetus of a mother that smokes in pregnancy?
IUGR
How do nicotine affect bf in a woman who smokes?
a. delays oxytocin action on the milk ejection reflex
b. inhibits prolactin production for 2 hrs
c. Alter the milk taste causing baby rejecting it
d. increases the amount of CO in bm
b. inhibits prolactin production for 2 hrs
What are the 4 main elements in a NIPE that differs from a daily examination?
Hips, heart, eyes, genitals
When is the optimal time to perform a NIPE?
6-72 hrs
Which manoeuvre is dine first, Barlow or Ortilani?
Barlow, it dislocstes the hip and Ortalini relocates the dislocation.
What are the three main symptoms of Chlamydia?
Pain, discharge and irregular bleeding.
What percentage of women with chlamydia will be asymptomatic?
50%
Which medication may be prescribed during pregnancy for women with active herpes?
Acyclovir
Which of the following preexixting conditions can cause low milk supply?
a. Hypothyroidism
b. chronic kidney decease
c. marfans syndrome
d. cystic fibrosis
a. Hypothyroidism
A woman presents with mastitis, which of the following would you recommend her to do?
a. check positioning and attachment
b. avoid feeding from the affected side
c. firm massage
d. Use cold compress continuously until it resolves
e. prescribe analgesia and or anti inflammatory if needed
f. dangle feeding
g. hand express to get milk flowing and aid attachment
h. prescribe antibiotics within 24 hrs if self help does not help
i. feed from affected side
a, e, f, g, i
Which of the following is not a sign of effective attachment?
a. chin indenting breast
b. mouth wide open
c. cheeks rounded
d. symmetrical latch
e. pain free for mum
d. symmetrical latch
A baby with obvious tongue tie a frenulotomy is always recommended?
No
