Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Phase I Medicine > Antenatal Care > Flashcards

Antenatal Care Flashcards

1
Q

When does the booking appointment take place?

A

8-12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happens at the booking appointment?

A

General information: lifestyle, supplements (vit D + folate), antenatal classes
BMI, urine dip, BP

Bloods and urine tests booked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What tests are booked at the booking scan?

A 
Bloods:
FBC
Group & Save
Rhesus status 
RBC alloantibodies 
Haemoglobinopathies 
Hep B
Syphillis 
HIV is offered

Urine = culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When is the dating scan?

A

10-14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When does screening for Down’s syndrome take place?

A

11-14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When are tests/ Down’s syndrome screening results first reviewed?

A

16 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is the anomaly scan?

A

18-21 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When (in weeks) are the extra appointments for primigravidous women?

A

25, 31, 34, 36, 38, 40

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the purpose of the extra appointments in primigravidous women?

A

Checking for pre-eclampsia
Giving mum information about preparing for labour & birth (recognition, coping with pain and discussing birthing plan)
Information about what happens if the pregnancy lasts >41 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When can the pertussis vaccine be offered to pregnant women?

A

20-32 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When is anti-D prophylaxis given to Rh- pregnant women?

A

28 & 34 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When is external cephalic version offered to pregnant women with malpresentation?

A

36 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens at the 28 week appointment?

A

Symphysis-fundal height, BP, urine dip

Second screen for anaemia & atypical RBC alloantibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How many visits are recommended by NICE in a primigravidous woman with an uncomplicated pregnancy?

A

10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How many visits are recommended by NICE in woman with an uncomplicated pregnancy who has given birth before?

A

7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

True or false? women with uncomplicated pregnancies need to attend consultant reviews.

A

False

17
Q

Which conditions should pregnant women be offered screening for?

A 
Anaemia
Bacteriuria
Blood group
Rhesus status and anti-red cell antibodies
Down's syndrome
Fetal anomalies
Hepatitis B
HIV
Neural tube defects
Risk factors for pre-eclampsia
Rubella immunity
Syphilis
18
Q

Which conditions should pregnant women NOT be offered screening for?

A 
Bacterial vaginosis
Chlamydia
Cytomegalovirus
Fragile X
Hepatitis C
Group B Strep
Toxoplasmosis
19
Q

What foods should pregnant women avoid to prevent listeriosis?

A 
Unpasteurised milk
Ripened soft cheeses
Camembert
Brie 
Blue-veined cheeses
Pate
Undercooked meat
20
Q

True or false? pregnant women need to avoid cream cheese in pregnancy

A

False

21
Q

What foods should pregnant women avoid to prevent salmonella?

A

Eggs/ meat that has not been fully cooked

22
Q

What are the guidelines surrounding air travel during pregnancy?

A

Singleton pregnancy - do not fly after 37 weeks
Multiple gestation - do not fly after 32 weeks
Wear correctly fitted compression stockings to reduce VTE risk

23
Q

What is the method of screening for gestational diabetes?

A

Oral glucose tolerance test

24
Q

When is screening for gestational diabetes performed?

A

For anyone who has previously had it: ASAP following booking + at 24-28 weeks if first test is normal

For women with any risk factors: 24-28 weeks

25
Q

What are the risk factors for gestational diabetes?

A 
BMI >30 kg/m
Previous macrocosmic baby (=/>4.5kg)
Previous gestational diabetes
1st degree FHx of diabetes
Ethnicity: South Asian, Black Carribbean & Middle Eastern
26
Q

What is the stepwise management for gestational diabetes?

A

Lifestyle modification (diet & exercise)
Metformin
Insulin
For anyone who cannot tolerate metformin/ decline insulin: glibenclamide

27
Q

What are the plasma glucose level targets for self monitoring of pregnant women with diabetes?

A

Fasting - 5.3 mmol/l
1 hr post meals - 7.8mmol/l
2 hr post meals - 6.4mmol/l

28
Q

What are the diagnostic thresholds for plasma glucose levels in gestational diabetes?

A

Fasting: =/>5.6 mol/l

2-hours post meals: =/> 7.8mmol/l

29
Q

What additional management is there for pregnant women with pre-existing diabetes?

A

Weight loss if BMI > 27kg/m
Stopping oral hypoglycaemics (excl. metformin)
Folic acid 5mg/ day to 12 weeks gestation
Detailed anomaly scan at 20 weeks
Tight glycaemic control
Treating any retinopathy if present

Phase I Medicine (46 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions