Prenatal care + common Sx

Question 1

Folic acid RDA for pregnancy

Answer 1

400 mcg to be taken 3 months pre-conception up to the first trimester

Question 2

Folic acid RDA for high risk pregnancy

Answer 2

5mg daily to be taken 3 months pre-conception up to the first trimester

Question 3

Folic acid indication in pregnancy

Answer 3

To reduce neural tube defects (NTD)

Question 3

Vit D recommendation for pregnancy

Answer 3

10mcg (400IU) daily throughout pregnancy and breastfeeding

Question 4

Define pregnancy

Answer 4

Pregnancy is defined as the physiological state that begins with the implantation of a fertilised egg (embryo) into the lining of the uterus and continues until the birth of the baby or pregnancy loss

Question 5

Recommended weight gain in pregnancy for obese (BMI >30)

Answer 5

5–9 kg

Question 6

Recommended weight gain in pregnancy for normal BMI (18.5-24.9)

Answer 6

11-16 kg

Question 7

Recommended weight gain in pregnancy for underweight (BMI < 18.5)

Answer 7

13–18 kg

Question 8

when is high dose (5mg) folic acid indicated in pregnancy

Answer 8

• BMI > 30
• DM
• Epilepsy
• prev NTD
• Sickle cell
• Thalassaemia
• Malabsorption disorders

Question 9

Naegele’s Rule EDD formula

Answer 9

EDD = LMP + 9 months + 7 days

Question 10

Define gravidity

Answer 10

Gravidity is the total number of pregnancies, regardless of outcome

Question 11

Define parity

Answer 11

Parity is the number of pregnancies beyond 24 weeks gestation.
Multiple pregnancies (e.g., twins, triplets) count as one parity event.

Question 12

what is used to accurately calculate EDD

Answer 12

Crown-rump length during USS

Question 13

The Booking appointment

Answer 13

• < 10 weeks

Question 14

RSV vaccine in pregnancy

Answer 14

28 weeks

Question 15

Whooping cough vaccine in pregnancy

Answer 15

16-20 weeks

Question 16

when is the Dating USS (1st USS) in pregnancy

Answer 16

11-14 wks

Question 17

Purpose of the dating USS in pregnancy

Answer 17

Confirm gestational age, viability, ?multiple

Question 18

when is the anomaly USS performed in pregnancy

Answer 18

20 wks

Question 19

when is OGTT offered in high risk GDM

Answer 19

24-28 wks

Question 20

How is pregnancy confirmed

Answer 20

1. Urine pregnancy test
2. Serum hCG > 25IU/L
3. TVUS / TAUS

Question 21

Mild NVP Mx

Answer 21

• Ginger
• Acupunture
• Hydration
• Oral antiemetics

Question 22

NVP 1st line oral anti-emetics

Answer 22

• cyclizine
• prochlorperazine

Question 23

Define Hyperemesis gravidarum

Answer 23

Defines as more than 3 episodes per day and more than 5% weight loss

persistent and severe vomiting during pregnancy, which leads to weight loss, dehydration and electrolyte imbalances

Question 24

when do NVP usually settled

Answer 24

20 wks

Question 25

when do NVP ususally begin

Answer 25

4-7 wks

Question 26

moderate/severe NVP / hyperemesis gravidarum Mx

Answer 26

- IV fluids NaCl 0.9% - parenteral antiemetics - thiamine - Wernicke's encepalopathy

Question 27

Rh isoimmunisation complication

Answer 27

Haemolytic disease of the newborn - **haemolysis to the foeta RBCs**

Question 28

Anti-D Ab prophylaxis indication in pregnancy and when are they given

Answer 28

for all RhD -ve women 1st dose: 28 wks 2nd dose: 34 wks

Question 29

GBS 1st line **Intrapartum Abx Prophylaxis (IAP)** Tx

Answer 29

IV Benzylpenicillin - from labour **every 4h** until delivery

Question 30

GBS **IAP** for women w/ **penicillin allergy**

Answer 30

IV Clindamycin