Chapter 7 - Antenatal care

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elwoo4
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35108
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Chapter 7 - Antenatal care
Updated:
2010-09-17 08:35:52
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Women\'s Health core curriculum
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Women's Health
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  1. Which of the following statements is correct?
    a. Behavioural strategies to stop smoking during prenancy are unsuccessful
    b. social support during pregnancy prevents pre-term labour
    c. Air travel during pregnancy is contraindicated after 28wks gestation
    d. government organisations provide 12months maternity leave
    e. treatment of periodontal diesase should be delayed until after partition
    • d.
    • - treatment of periodontal disease (w/o surgery ) is good.
  2. Which of the following blood tests is not routinely performed at the 1st antenatal visit for all women?
    A. FBC
    B. TFTs
    C. Hep B serology
    D. Rubella serology
    E. HIV serology
    B. thyroid fn tests.
    (this multiple choice question has been scrambled)
  3. Which of the following statements is true?
    A. all fetuses w Down syndrome look abN on a scan at 18wks
    B. a scan at 18wks should only be done on women who are at high risk of fetal malformations
    C. all cases of spina bifida will have an elevated maternal serum alpha-fetoprotein blood test result
    D. amniocentesis can detect the vast majority of fetal malformations
    E. most cases of down syndrome are detectable by first-trimester screening w nuchal translucency US
    E.
    (this multiple choice question has been scrambled)
  4. Which is the most likely diagnosis in a woman with a quantitative beta-HCG of 3000IU/mL, an empty uterus on transvaginal US scan and light vaginal bleeding?
    a. a live intrauterine fetus
    b. an incomplete miscarriage
    c. a pseudo-pregnancy
    d. an ectopic pregnancy
    e. a delayed (missed) micarriage
    ectopic
  5. A 40 yo woman who has had a tubal ligation presents with a positive pregnancy test and 7 weeks' amenorrhea. Which of the following statements is correct?
    a. This is a false- positive test and the patient should be reassured
    b. The woman should have a transvaginal US scan and quantitative betaHCG
    c. The woman should be advised to terminate the pregnancy
    d. The woman should be advised to return in 2 weeks for a repeat test and evaluation
    e. The woman is probably extremely pleased to be pregnant.
    • b. - tubal ligation has low failure rate (1 in 200)
    • but increases likelihood of ectopic.
  6. Which of the following statements about spontaneous miscarriage is true?
    a. it is commonly due to an inherited chromosomal abNity
    b. it occurs after fetal viability, i.e. 24 weeks' gestation
    c. there is decreased risk if the woman is over 40
    d. it is most commonly due to sporadic chromosomal abNity
    e. it is frequently recurrent
    • d.
    • miscarriage = expulsion before 20wks
    • missed or delayed miscarriage = failure to expel products of conception after death of embryorecurrent miscarriage = 3 consecutive miscarriages. (1 in 500 pregnancies)50-60% of embryos miscarried in 1st Trim have chromosomal abNity
  7. Which of the following statements about antenatal care in the second trimester is correct?
    a. serial measurement of maternal wt is essential in assessing fetal wellbeing
    b. psychosocial issues have little bearing on the provision and outcome of mx in the 2nd trimester of pregnancy
    c. antenatal care in the 2nd trimester aims to id and manage any obstetric or medical problems that develop during this time
    d. US after 20 wks is very reliable in the calculatio nof the gestational age of the fetus
    e. a maternal bp of 10/95 mmHg is N.
    • procedure of 2nd trimester antenatal visit:
    • N bp <140/90
    • baby movement? asked to report sudden changes in fetal activity
    • symphysis-fundal height is measured (gen. fundal ht in cm is +or- 3= wks of gestation)
    • fetal size, lie and rpesentation and descent are assessed. comparison w previous measurements
    • fetal HR w doppler US
    • urine test for proteinurea - screen for infection and preeclampsia
    • infromation provided
  8. With respect to screening tests in the 2nd trimester, which of the following statements is correct?
    A. measurement of the symphysis-fundal ht is not a screening test.
    B. Umbilical artery doppler evaluation is a sueful screening tool for intrauterine growth restriction
    C. Maternal serum screening may be offered to assess the risk of Down syndrome
    D. screening for gestational diabetes is not carried out in the 2nd trimester
    E. an RH-neg woman in whom no anti-D was detected in the first trimester doesn't need to be tested for anti-D at 28 wks
    C.
    (this multiple choice question has been scrambled)
  9. Which of the following substances is not associated with the onset of parturition?
    A. gamma-aminobutyric acid
    B. oxytocin
    C. corticotrophin-releasing hormone
    D. prostaglandin
    E. oestrogen
    A.
    (this multiple choice question has been scrambled)
  10. Which of the following is an essential and routine part of the assessment during an antenatal visit in the 3rd Trim of pregnancy?
    A. dipstick testing of uring
    B. assessment of amniotic fluid volume
    C. wt measurement
    D. checking the amount of oedema in the lower limbs
    E. bp measurement
    E.
    (this multiple choice question has been scrambled)

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