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Flashcards in Anti-natal care Deck (26)
1

What happens at the booking visit

History - menstrual, medical, obstetric, family, social
Examination - ht, wt, bp, CVS, abdo
Investigations
Ultrasound

2

When is the gestation calculated from

1st day of last period

3

What investigations are done at the booking visit

Hb
ABO;rhesus
STI
HIV
Hep C and B
Urinalysis
ultradsound

4

At what gestation does the fundus reach the level of the umbilicus

20 wks

5

When is alpha fetal protein checked

16weeks

6

When is the fetal anomaly scan

18 weeks

7

When is anti d given if rhesus negative

28wks - Antibodies checked at 34wks

8

How often are midwife led follow up visits in a normal pregnncy

every 4 weeks from booking
every two weeks from 30 weeks
every week after 36wks

9

How is the risk for Downs assessed in 1st trimester

Nuchal thickness at 11-14wks
HCG and PAPP-A

10

How is down's risk assessed in second trimester

15-20 weeks get an assay of HCG and AFP

11

When would investigation of amniocentesis be required

with a risk greater than 1:250

12

When is amniocentesis performed

after 15 weeks

13

What is the miscarriage rate if amniocentesis

1 percent

14

When is chorionic villus sampling done

after 12 weeks

15

What is the miscarriage rate of chorionic villus sampling

2 percent

16

What is now the standard down;s screening

Combined test = Nuchal transclucency +HCG + PAPP-A

17

When is the combined test done

11-14 weeks

18

What happens if women requests downs screening after 14 weeks

triple or quadruple test between 15-20wks

19

define triple test

alpha-fetoprotein, unconjugated oestriol, human chorionic gonadotrophin

20

define quadruple test

alpha-fetoprotein, unconjugated oestriol, human chorionic gonadotrophin and inhibin-A

21

What is first line treatment for nausea in pregnancy

Anti histamines - Promethazine NICE recommended

22

How much vitamin D should pregnancy women supplement

10mg daily - in healthy start vitamins

23

What women are at risk of vit D deficiency

Asian
obese
poor diet

24

What vitamin is tetatrogenic in high doses

Vitamin A- liver should be avoided.

25

How much folic acid should be supplemented and when

400mcg from before conception until 12 weeks to reduce risk of neural tube defects

26

What food should be avoided in pregnancy

Liver - vit A
Ripened soft cheeses eg brie, pate or undercooked meat = LISTERIA
Raw or part cooked eggs and meat = SALMONELLA