Advice/Basics for Pregnancy

Question 1

How is gestational age calculated?

Answer 1

time since the first day of the last period

Question 2

when is the estimated date of delivery?

Answer 2

40 weeks from the first day of the last period

Question 3

gravida refers to

Answer 3

the number of times of they have conceived (however NB twins = one)

Question 4

para refers to

Answer 4

the number of pregnancies that have reached 24 weeks or longer (however NB twins = 1 or 2 depending on who you ask)

Question 5

gestation for:

first trimester

second trimester

third trimester

Answer 5

0-12 weeks

13-26 weeks

27 weeks +

Question 6

at what gestational age do foetal movements begin?

Answer 6

20 weeks gestation - and they continue until birth

Question 7

occurs before 10 weeks gestation

Answer 7

booking clinic

Question 8

occurs between 10 and 13+6 weeks gestation

Answer 8

the dating scan - accurate dating calculated from crown/rump length and also twins are identified

Question 9

occurs at 16 weeks gestation

Answer 9

antenatal appointment - results discussed and future appointments are planned

Question 10

occurs between 18 and 20+6 weeks

Answer 10

the anomaly scan

Question 11

multiple of these occur between 25 weeks and delivery

Answer 11

antenatal appointments to monitor pregnancy and discuss future plans

Question 12

when would an OGTT be done in at-risk patients?

Answer 12

24-28 weeks gestation

Question 13

when would anti-D be given in Rh -ve patients?

Answer 13

28 and 34 weeks gestation

Question 14

placenta previa diagnosed on the anomaly scan: when will this be followed up?

Answer 14

at 34 weeks

Question 15

how is IUGR/SGA followed up?

Answer 15

with serial growth scans

Question 16

from which point onwards is symphysis-fundal height used?

Answer 16

from 24 weeks

Question 17

from how many weeks gestation is foetal presentation assessed?

Answer 17

36 weeks

Question 18

2 vaccines offered to all pregnant people

Answer 18

influenza

whooping cough

Question 19

vaccines avoided in pregnancy

Answer 19

live vaccines e.g. MMR

Question 20

which vitamins should be taken in pregnancy?

Answer 20

folic acid 400mcg for the first 12 weeks

take 400IU of vitamin D

Question 21

which vitamin should be avoided in high doses in pregnancy?

Answer 21

A

Question 22

2 foods which can be harmful in pregnancy

why?

Answer 22

unpasteurised cheeses/dairy products (can cause listeriosis)

undercooked poultry (can cause salmonella

Question 23

exercise in pregnancy

Answer 23

safe but avoid contact sports (lol)

Question 24

travel in pregnancy

Answer 24

plane journeys increase the risk of VTE

place seatbelts above and below “bump” (not across it)

Question 25

recommended limits for alcohol in pregnancy

Answer 25

0

Question 26

6 manifestations of foetal alcohol syndrome

Answer 26

characteristic facial abnormalities e.g. close set eyes; small head learning difficulties behavioural difficulties hearing loss sight loss cerebral palsy

Question 27

6 complications of smoking in pregnancy for the foetus

Answer 27

SGA/IUGR stillbirth miscarriage cleft palate SIDS preterm labour

Question 28

2 complications of smoking in pregnancy for the mother

Answer 28

placental abruption pre-eclampsia

Question 29

When to stop flying in pregnancy (2)

Answer 29

37 weeks onwards for single pregnancies 32 weeks onwards for multiple pregnancies (NB after 28 weeks most airlines will require a note from a doctor or midwife that the pregnancy is uncomplicated)