Flashcards in Routine Antenatal Care Deck (55)
The booking appointment should ideally be completed by when?
The fundus of a pregnant uterus is usually palpable by when for a singleton pregnancy?
What urine tests should be performed at the booking visit?
Urinalysis and MSSU for microscopy, culture and sensitivity
At booking, what conditions should a mother be screened for?
Anaemia, HIV, hep B, syphilis and rubella
When should the early ultrasound scan be performed?
11 - 14 weeks
What part of the early ultrasound scan can be used for Down's syndrome screening?
What measurement on the early ultrasound scan can be used to assess gestational age between 10 and 13+6 weeks?
Crown rump length
If the crown rump length is > 84mm or if the pregnancy is beyond 14 weeks, what measurement should be used to estimate the gestational age?
What are the most important parts of a history that should be discussed at every antenatal visit?
Physical and mental health and foetal movements
What investigations should be performed at every antenatal visit?
BP and urinalysis
Symphyseal fundal height should be measured at every antenatal visit from what gestation?
At what gestation is the foetal anomaly scan performed?
18 - 20+6 weeks
When should gestational diabetes screening be done in women who are deemed to be high risk?
24 - 28 weeks
When should a second blood test for anaemia and atypical antibodies be performed in routine antenatal screening?
When should the first dose of anti-D be offered to Rh negative women?
If a woman is found to have a low lying placenta at the anomaly scan, when should they undergo a second scan?
When should the second dose of anti-D be offered to Rh negative women?
What additional examination should be performed at the 36 week antenatal visit?
Assess position of the baby, and offer external cephalic version if the baby is in breech position
What should be offered to women who have not yet given birth by 41 weeks?
Membrane sweep and induction of labour
What is the most common cause of anaemia in pregnancy and how can this be treated?
Iron deficiency- treat with iron supplements
If an HIV test is decline at booking, it should be offered again to women at which antenatal visit?
When can the sex of the baby be determined?
At the 18 - 20+6 week anomaly scan
When can the 'combined test' for Down's syndrome be performed?
11 - 14 weeks
What are the two areas of the combined test for Down's syndrome screening?
Ultrasound scan for nuchal translucency and bloods for PAPP-A and HCG
When the crown rump length is 45-84mm, what would a normal nuchal translucency be?
What happens to concentrations of PAPP-A and HCG in Down's syndrome?
PAPP-A is low and HCG is high
At what gestation can second trimester screening for Down's syndrome be done?
15 - 20 weeks
What blood tests are measured in second trimester screening for Down's syndrome?
HCG, AFP, unconjugated oestradiol, inhibin-A
Which blood tests in second trimester screening will be high in Down's syndrome?
HCG and inhibin-A