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Antenatal Care and Screening in Pregnancy

Description

Antenatal Care and Screening in Pregnancy lecture given on the Tuesday morning of Week 3
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson over 5 years ago
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Resource summary

Question 1

Question
[blank_start]Sensitivity[blank_end] = Proportion of people with a disease which are detected by the test [blank_start]Specificity[blank_end] = Proportion of patients without a disease who are identified by a test
Answer
  • Sensitivity
  • Specificity

Question 2

Question
Ultrasound Screening Scans are carried out in which weeks of pregnancy? Week [blank_start]12[blank_end] and week [blank_start]20[blank_end]
Answer
  • 12
  • 20

Question 3

Question
[blank_start]Naegele's rule[blank_end] is used to calculate a woman's due date.
Answer
  • Naegele's rule
  • Gaelin's rule
  • Frederick's rule
  • Ralder's rule

Question 4

Question
Naegele's rule calculates a women's due date by taking the date of her last period and adding [blank_start]9[blank_end] months and [blank_start]7[blank_end] days (280 days in total)
Answer
  • 9
  • 7

Question 5

Question
What are the terms given to each of the things described below? [blank_start]Lie[blank_end] - baby's position in the womb i.e longitudinal or transverse [blank_start]Presentation[blank_end] - what part of the baby is most inferior i.e cephalic (head) or breech (feet)
Answer
  • Lie
  • Presentation

Question 6

Question
The normal foetal heart rate is between [blank_start]120-160[blank_end] bpm
Answer
  • 120-160
  • 60-100
  • 80-120

Question 7

Question
In clinic, fundal length is measured from the fundus of the uterus to which bony landmark? The [blank_start]pubic Symphysis[blank_end]
Answer
  • pubic symphysis

Question 8

Question
In terms of the fundal height, 1cm is approximately equal to [blank_start]1 week[blank_end] of gestation
Answer
  • 1 week
  • 0.5 weeks
  • 2 weeks
  • 3 weeks

Question 9

Question
A fundal length of 28cm would indicate the pregnancy is at around [blank_start]28[blank_end] weeks gestation
Answer
  • 28

Question 10

Question
Placenta [blank_start]praevia[blank_end] is when the placenta lies low in the uterus and covers the cervix
Answer
  • praevia

Question 11

Question
If placenta praevia is shown on the screening scan around 20 weeks, the woman should be offered another scan at [blank_start]32[blank_end] weeks gestation
Answer
  • 32
  • 24
  • 28

Question 12

Question
As maternal age increases, the risk of giving birth to a baby with trisomy 21 increases.
Answer
  • True
  • False

Question 13

Question
Measured early in the pregnancy, the [blank_start]nuchal[blank_end] thickness of a foetus is a prime indicator of Down's Syndrome
Answer
  • nuchal

Question 14

Question
Nuchal thickness is typically measured between weeks [blank_start]11 and 13[blank_end]
Answer
  • 11 and 13
  • 16 and 18
  • 19 and 20

Question 15

Question
A nuchal thickness of below [blank_start]3.5[blank_end]mm is considered normal
Answer
  • 3.5

Question 16

Question
Which measurement on foetal ultrasound is used to estimate gestational age?
Answer
  • Crown-Rump Length
  • Femur Length
  • Tibia Length
  • Ulnar Length

Question 17

Question
How are the following markers are affected by Down's Syndrome? HCG - [blank_start]Increased in Down's Syndrome[blank_end] AFP - [blank_start]Reduced in Down's Syndrome[blank_end] PAPP-A - [blank_start]Reduced in Down's Syndrome[blank_end]
Answer
  • Reduced in Down's Syndrome
  • Increased in Down's Syndrome
  • Reduced in Down's Syndrome
  • Increased in Down's Syndrome
  • Increased in Down's Syndrome
  • Reduced in Down's Syndrome

Question 18

Question
Non-Invasive Prenatal Testing (NIPT) involves taking a sample of the maternal [blank_start]blood[blank_end] and can be conducted any time after the Week [blank_start]8[blank_end] of gestation
Answer
  • 8
  • blood

Question 19

Question
An inherited blood disorder characterized by abnormal hemoglobin production is known as a [blank_start]thalassemia[blank_end]
Answer
  • thalassemia

Question 20

Question
As well as thalassemias, what is the other main haematological condition that is tested for during the antenatal period?
Answer
  • Sickle Cell Anaemia
  • Acute Myeloid Leukemia
  • Amyloidosis
  • Spherocytosis

Question 21

Question
It important to screen pregnant mothers for anaemia as can sporadically develop during pregnancy.
Answer
  • True
  • False

Question 22

Question
Whether a person is Rhesus positive or negative depends on the presence of the Rhesus [blank_start]D[blank_end] Antigen
Answer
  • D
  • C
  • E
  • c
  • e

Question 23

Question
Rhesus disease only occurs when the mother and father of a child have differing Rhesus statuses.
Answer
  • True
  • False

Question 24

Question
Rhesus disease only occurs if the woman is pregnant for the first time.
Answer
  • True
  • False

Question 25

Question
Which two of the following clinical signs are early indicators of pre-eclampsia?
Answer
  • Proteinuria
  • Hypertension
  • Haemolytic Anaemia
  • Hyperprolactinaemia
  • Thrombocytopenia
  • Deranged LFTs
  • Increased Creatinine

Question 26

Question
Women at a high risk of pre-eclampsia are advised to take which drug daily from 12 week until the birth of the baby? 75mg [blank_start]Aspirin[blank_end] daily
Answer
  • Aspirin

Question 27

Question
Pregnant women have routine urinalysis conducted. Which endocrine condition seen in pregnancy may be shown by this routine screening? Gestational [blank_start]Diabetes[blank_end]
Answer
  • Diabetes

Question 28

Question
If urinalysis shows bacteriuria in a pregnant woman but she is asymptomatic, she should be treated for this anyway.
Answer
  • True
  • False

Question 29

Question
The first trimester ends at [blank_start]13[blank_end] weeks The second trimester ends at [blank_start]28[blank_end] weeks The third trimester ends at [blank_start]40[blank_end] weeks
Answer
  • 13
  • 28
  • 40

Question 30

Question
Rhesus Disease can only possibly occur in Women who are [blank_start]RhD Negative[blank_end]
Answer
  • RhD Negative
  • RhD Positive
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