Chapter 1 Flashcards

(33 cards)

1
Q

What is the purpose of a smear test done before pregnancy?

A

To screen for Rubella and Varicella

These screenings help ensure maternal immunity against these infections.

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2
Q

What is confirmed during the first visit with a midwife or family doctor?

A

Pregnancy is intrauterine and viable through an ultrasound scan

This step is crucial for assessing the health and location of the pregnancy.

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3
Q

What is the significance of a transvaginal ultrasound?

A

It is important in diagnosing early pregnancy complications and development of the embryo

This method helps identify conditions like ectopic pregnancies.

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4
Q

When is the second visit scheduled after the first?

A

After 8 to 11 weeks

This timing allows for further monitoring of the pregnancy.

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5
Q

What is the purpose of a dating scan?

A

To confirm the estimated gestational age and expected delivery date

Accurate dating is essential for managing prenatal care.

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6
Q

What does nuchal translucency measure?

A

A fluid-filled space underneath the skin at the back of the fetus’s neck

This measurement can help identify markers indicating a risk for chromosomal abnormalities.

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7
Q

What is Non-Invasive Prenatal Testing (NIPT)?

A

A prenatal diagnosis for chromosome analysis using maternal blood samples

This method tests for specific genetic conditions without risk to the fetus.

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8
Q

What is the origin of cell-free fetal DNA in maternal blood?

A

It originates from trophoblastic cells

Trophoblastic cells are part of the placenta and release DNA into maternal circulation.

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9
Q

What percentage of cell-free fetal DNA is typically present in maternal blood during early pregnancy?

A

3% to 8%

This percentage can increase slightly as pregnancy progresses.

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10
Q

True or False: Most of the cell-free DNA in maternal blood comes from the mother.

A

True

However, a smaller percentage comes from the fetus.

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11
Q

What is the frequency of hospital visits for women referred for Booking until 28 weeks?

A

Until 28 weeks, visits continue every week.

This schedule is crucial for monitoring maternal and fetal health during early pregnancy.

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12
Q

What is the frequency of visits for women between 28 and 32 weeks of pregnancy?

A

Visits continue every 3 weeks.

This periodic check helps in assessing the health status of both mother and fetus.

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13
Q

What is the visit frequency for women between 32 and 36 weeks of pregnancy?

A

Visits continue every 2 weeks.

Closer monitoring is essential as the pregnancy progresses.

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14
Q

How often do visits occur after 36 weeks of pregnancy?

A

Visits continue every week until delivery.

Weekly visits ensure timely interventions if complications arise.

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15
Q

How are high-risk mothers monitored during pregnancy?

A

High-risk mothers are followed up at a hospital or private obstetrician.

This ensures specialized care is available for potential complications.

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16
Q

What is the normal baseline fetal heart rate range?

A

Baseline rate is 110-160 beats per minute.

Monitoring this range is crucial for assessing fetal well-being.

17
Q

What is the purpose of fetal heart auscultation?

A

To monitor fetal heart rate and variability.

It provides insights into fetal health without invasive procedures.

18
Q

What is the primary tool used for fetal heart auscultation?

A

A handheld fetal stethoscope.

This method is non-invasive and allows the mother to hear her baby’s heartbeat.

19
Q

At what gestational age is the first routine ultrasound typically performed?

A

At 12 weeks gestation.

This ultrasound is important for confirming gestational dates.

20
Q

What is the purpose of the anomaly scan performed at 20-24 weeks?

A

To detect structural abnormalities in the fetus and confirm gestational age.

This detailed scan is conducted by a specialist ultrasonographer.

21
Q

What measurements are taken during the anomaly scan?

A

Measurements include:
* BPD (Biparietal Diameter)
* HC (Head Circumference)
* FL (Femur Length)
* AC (Abdominal Circumference)

These measurements help in assessing fetal growth and development.

22
Q

What does the anomaly scan help to identify?

A

Maternal and fetal structural abnormalities, multiple gestations, and placenta position.

Early detection allows for proper management and care planning.

23
Q

Why is it important to estimate the amniotic fluid volume during pregnancy?

A

To manage pregnancy effectively and ensure fetal well-being.

Abnormal fluid levels can indicate potential complications.

24
Q

What is the goal of early diagnosis of conditions during pregnancy?

A

To arrange timely referrals to tertiary centers for optimal care.

This ensures that both mother and baby receive necessary interventions.

25
26
What does IUGR stand for?
Intra-uterine Growth Restriction ## Footnote IUGR refers to a condition where a fetus is smaller than expected for the number of weeks of pregnancy.
27
What is the purpose of the BioPhysical Profile?
To check overall fetal health and timing of delivery ## Footnote The BioPhysical Profile involves various assessments to evaluate fetal well-being.
28
What variables are assessed in a BioPhysical Profile?
* Fetal breathing movements * Gross body movements * Amniotic fluid volume ## Footnote These variables help determine the health status of the fetus.
29
What does the Electronic Fetal Heart Monitor measure?
* Fetal heart rate * Uterine activity * Fetal movements * Maternal pulse ## Footnote The monitor provides vital information about the fetus's condition and the mother's health.
30
True or False: The Electronic Fetal Heart Monitor prints data onto a graph.
True ## Footnote This graphical representation is essential for monitoring and interpreting fetal health.
31
What is a key requirement of antenatal care?
Continuous antenatal care to observe maternal health ## Footnote Continuous monitoring helps in identifying any complications early.
32
Why is it important to observe fetal movements during pregnancy?
To ensure they follow a regular pattern ## Footnote Regular fetal movements are an indicator of a healthy fetus.
33
What is crucial for record keeping in antenatal care?
Especially if care is shared between practitioners ## Footnote Accurate record keeping ensures continuity and quality of care.