MSRA: Antenatal Care

Question 1

What dose of folic acid is recommended for women at low risk of neural tube defects?

Answer 1

400mcg (micrograms) during the first trimester

Question 2

Which groups of women are at higher risk of neural tube defects?

What dose of folic acid is recommended?

Answer 2

• BMI over 30
• Type 1 Diabetes
• Anti-epileptic medication
• Coeliac disease or IBD
• Partner has NTD, FHx of NTD, or previous pregnancy with NTD

5mg (milligrams) of folic acid during the first trimester

Question 3

What does the dating scan occur?

Answer 3

11-14 weeks

Question 4

When are women offered the Whooping Cough Vaccine?

Answer 4

16-32 weeks

Question 5

What SFH measurement is considered appropriate for gestational age?

Answer 5

Within 2cm of gestational age after 20 weeks

Question 6

Which vaccinations are routinely offered to pregnant women?

Answer 6

Influenza and Pertussis

Question 7

When does the anomaly scan occur?

Answer 7

18 - 20+6

Question 8

What are the risks of smoking during pregnancy?

Answer 8

IUGR
Pre-term birth
Stillbirth
Miscarriage

Question 9

What is the NICE guidance on induction of labour?

Answer 9

Assess using Bishop score.
Membrane sweep is a useful adjunct
BS 6 or less - vaginal prostaglandins
BS more than 6 - amniotomy

Question 10

What dose of vitamin D is recommended for pregnant women?

Answer 10

10mcg