Chapter 7 - Antenatal care

Which of the following statements is correct?
A. Behavioural strategies to stop smoking during prenancy are unsuccessful
B. Air travel during pregnancy is contraindicated after 28wks gestation
C. social support during pregnancy prevents pre-term labour
D. treatment of periodontal diesase should be delayed until after partition
E. government organisations provide 12months maternity leave

Which of the following blood tests is not routinely performed at the 1st antenatal visit for all women?
A. HIV serology
B. TFTs
C. FBC
D. Rubella serology
E. Hep B serology

Which of the following statements is true?
A. all cases of spina bifida will have an elevated maternal serum alpha-fetoprotein blood test result
B. a scan at 18wks should only be done on women who are at high risk of fetal malformations
C. all fetuses w Down syndrome look abN on a scan at 18wks
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

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

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. The woman should have a transvaginal US scan and quantitative betaHCG
B. The woman should be advised to terminate the pregnancy
C. This is a false- positive test and the patient should be reassured
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.

Which of the following statements about spontaneous miscarriage is true?
A. it is most commonly due to sporadic 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 frequently recurrent
E. it is commonly due to an inherited chromosomal abNity

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.

With respect to screening tests in the 2nd trimester, which of the following statements is correct?
A. Maternal serum screening may be offered to assess the risk of Down syndrome
B. measurement of the symphysis-fundal ht is not a screening test.
C. screening for gestational diabetes is not carried out in the 2nd trimester
D. 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
E. Umbilical artery doppler evaluation is a sueful screening tool for intrauterine growth restriction

Which of the following substances is not associated with the onset of parturition?
A. oxytocin
B. oestrogen
C. corticotrophin-releasing hormone
D. prostaglandin
E. gamma-aminobutyric acid

Which of the following is an essential and routine part of the assessment during an antenatal visit in the 3rd Trim of pregnancy?
A. bp measurement
B. wt measurement
C. checking the amount of oedema in the lower limbs
D. dipstick testing of uring
E. assessment of amniotic fluid volume