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Flashcards in Routine Antenatal Care Deck (55)
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1

The booking appointment should ideally be completed by when?

10 weeks

2

The fundus of a pregnant uterus is usually palpable by when for a singleton pregnancy?

12 weeks

3

What urine tests should be performed at the booking visit?

Urinalysis and MSSU for microscopy, culture and sensitivity

4

At booking, what conditions should a mother be screened for?

Anaemia, HIV, hep B, syphilis and rubella

5

When should the early ultrasound scan be performed?

11 - 14 weeks

6

What part of the early ultrasound scan can be used for Down's syndrome screening?

Nuchal translucency

7

What measurement on the early ultrasound scan can be used to assess gestational age between 10 and 13+6 weeks?

Crown rump length

8

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?

Head circumference

9

What are the most important parts of a history that should be discussed at every antenatal visit?

Physical and mental health and foetal movements

10

What investigations should be performed at every antenatal visit?

BP and urinalysis

11

Symphyseal fundal height should be measured at every antenatal visit from what gestation?

24 weeks

12

At what gestation is the foetal anomaly scan performed?

18 - 20+6 weeks

13

When should gestational diabetes screening be done in women who are deemed to be high risk?

24 - 28 weeks

14

When should a second blood test for anaemia and atypical antibodies be performed in routine antenatal screening?

28 weeks

15

When should the first dose of anti-D be offered to Rh negative women?

28 weeks

16

If a woman is found to have a low lying placenta at the anomaly scan, when should they undergo a second scan?

32 weeks

17

When should the second dose of anti-D be offered to Rh negative women?

34 weeks

18

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

19

What should be offered to women who have not yet given birth by 41 weeks?

Membrane sweep and induction of labour

20

What is the most common cause of anaemia in pregnancy and how can this be treated?

Iron deficiency- treat with iron supplements

21

If an HIV test is decline at booking, it should be offered again to women at which antenatal visit?

28 weeks

22

When can the sex of the baby be determined?

At the 18 - 20+6 week anomaly scan

23

When can the 'combined test' for Down's syndrome be performed?

11 - 14 weeks

24

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

25

When the crown rump length is 45-84mm, what would a normal nuchal translucency be?

< 3.5

26

What happens to concentrations of PAPP-A and HCG in Down's syndrome?

PAPP-A is low and HCG is high

27

At what gestation can second trimester screening for Down's syndrome be done?

15 - 20 weeks

28

What blood tests are measured in second trimester screening for Down's syndrome?

HCG, AFP, unconjugated oestradiol, inhibin-A

29

Which blood tests in second trimester screening will be high in Down's syndrome?

HCG and inhibin-A

30

Which blood tests in second trimester screening will be low in Down's syndrome?

AFP and unconjugated oestradiol