Obs

Question 1

Gestational diabetes

Answer 1

Mx - metformin and exercise regime for 2 weeks
- Add insulin if ^^ not working

Question 2

Bishops score

Answer 2

• Used to measure cervical readiness for induction of labour

Question 3

Ectopic pregnancy

Answer 3

• Where pregnancy is implated outside the uterus

Ix - Transvaginal US

Mx - Expectant - <35mm, unruptured, no HR, no symptoms - wait 48hrs and monitor

Medical - <35mm, unruptured, no HR, no significant pain - give methotrexate

Surgical - >35mm, ruptured, pain, visible HR, - Laparoscopic salpingectomy 1st or salpingostomy if RF for infertility

Question 4

Folic acid mx

Answer 4

• Given 400mcg up to 12 weeks
• Give 5mg if BMI>30, FH of neural tube…