Babies are considered to be large for dates if their development is above the ...
50th centile
75th centile
90th centile
95th centile
100th centile
A large for dates baby has a fundal height of greater than 2cm greater than 1cm greater than 3cm( greater than 2cm, greater than 1cm, greater than 3cm ) above their expected gestational age
The term "fetal " is used to describe a newborn who's significantly larger than average
One method of predicting foetal weight is by measuring the length of which foetal bone? The
When a mother is found to have a macrosomic baby, which of the following conditions is it most important to rule out?
Maternal Diabetes
Hypertension
Cardiac Arrhythmia
Hyperthyroidism
Hyperprolactinaemia
The medical condition describing an excess of amniotic fluid in the amniotic sac is known as
Obstructed labour, also known as labour , is when, even though the uterus is contracting normally, the baby does not exit the pelvis during childbirth due to being physically blocked
On ultrasound, an amniotic fluid index (AFI) of greater than cm is diagnostic of polyhydramnios
What is the depth of amniotic fluid diagnostic of polyhydramnios on ultrasound? Deepest pool = ...
5cm
8cm
12cm
15cm
Which endocrine condition is a common cause of polyhydramnios? Maternal
Polyhydramnios can cause premature (early) post-term (late)( premature (early), post-term (late) ) labour
Which of the following is the main presenting symptom of polyhydramnios?
Abdominal pain
Prelabour rupture of membranes
Nausea and vomiting
Preterm labour
Cord prolapse
Which of the following investigative tests should be conducted in a mother of a polyhydramnios foetus?
Random blood sugar test
Oral glucose tolerance test
Dexamethasone suppression test
If a pregnant woman with a polyhydramnios foetus hasn't given birth by 37 weeks, labour should be induced.
What is the diagnosis?
Multiple Pregnancy
Polyhydramnios
Macrosomia
Uterus Didelphys (double uterus)
Assisted conception therapy for infertility is known to increase the chances of a multiple pregnancy
Low maternal age is a risk factor for multiple pregnancy
Monozygotic twins occur when ...
Two eggs are fertilised by two different sperm
One fertilised egg splits
One egg divides into two, which are then fertilised by two different sperm
Dizygotic twins occur when ...
One egg splits into two and these are fertilised by two different sperm
In terms of dizygous twins, such pregnancies are always dichorionic and diamniotic.
In terms of monozygous twins, such pregnancies are always dichorionic and diamniotic.
The earlier later( earlier, later ) the fertilised ovum divides, the more likely a monozygotic pregnancy is to be dichorionic diamniotic (DCDA)
Day 0-3 after fertilisation: ❌ Day 4-7 after fertilisation: ❌ Day 8-14 after fertilisation: ❌ Day 15 after fertilisation onwards: ❌
Which sign, found using ultrasound scanning, shows two placentas with a conjoining membrane and can thus be used to differentiate DCDA and MCDA twins? The sign
In multiple pregnancy, hCG levels are higher lower( higher, lower ) than in a usual pregnancy
Severe nausea and vomiting in pregnancy (which can be exacerbated by multiple pregnancy) is known as
Which supplement which is not generally required in normally pregnancy is a necessity in multiple pregnancy patients?
Folic Acid
Vitamin D
Vitamin C
Zinc
Iron
Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose in order to protect against this.
Women with a multiple pregnancy are at a higher risk of developing pre-eclampsia. They are therefore prophylactically prescribed low dose (antiplatelet medication) in order to protect against this.
Which vitamin is also supplemented to women with multiple pregnancy in order to protect the foetus against neural tube defects? Supplementation
What is twin-twin transfusion syndrome?
When one twin has polyhydramnios and the other has oligohydramnios due to imbalanced amniotic fluid
When one twin has hypotension and the other has hypertension due to incorrect formation of blood vessels from a single placenta (only occurs in MCDA and MCMA twins)
When one twin is macrosomic and the other is small for dates due to incorrect formation of blood vessels from a single placenta meaning that there is uneven distribution of nutrients (only occurs in MCDA and MCMA twins)
Which type of drugs are given during preterm labour to promote pulmonary surfactant production?
What is the target HbA1c in pregnant women?
< 48 mmol/mol
< 53 mmol/mol
< 58 mmol/mol
Pregnancy should be avoided is the HbA1c is above 86 mmol/mol 58 mmol/mol 65 mmol/mol 76 mmol/mol( 86 mmol/mol, 58 mmol/mol, 65 mmol/mol, 76 mmol/mol )
Patients with known diabetes should be started on a high dose of which supplement 3 months prior to pregnancy?
Folic acid
Thiamine
In diabetic patients, high dose Folic Acid (5mg) should be started 3 months prior to conception and continued at a high dose until ...
12 weeks gestation
14 weeks gestation
20 weeks gestation
24 weeks gestation
Diabetic patients are also given low dose in order to protect against the potential development of pre-eclampsia
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