Obs

• When should anti-D be administered to a Rhesus negative woman?

  At 28 and 34 weeks
• What is the first-line treatment for vomiting in pregnancy?

  Antihistamines
• What tests are included in Down's syndrome antenatal screening?

  • Nuchal translucency
  • B-HCG
  • Pregnancy associated plasma protein A
• What is the first-line treatment for eclampsia?

  Magnesium sulphate
• What should be monitored when administering magnesium sulphate?

  Reflexes and respiratory rate
• What is the first step after chickenpox exposure in pregnancy?

  Check antibodies
• What does a raised AFP indicate?

  Neural tube defects
• What is the recommended folic acid dosage for women with epilepsy during pregnancy?


  5 mg
• Is breastfeeding acceptable with anti-epileptic drugs?

  Yes, nearly all are acceptable
• What is the investigation of choice for gestational diabetes?

  Oral glucose tolerance test
• Is methotrexate contraindicated in breastfeeding?

  Yes, it is contraindicated
• Who should receive maternal intravenous antibiotic prophylaxis?

  Women with a previous baby with GBS disease
• When does gestational hypertension occur?

  After 20 weeks gestation
• When should insulin be commenced for gestational diabetes?

  If fasting glucose is >= 7 mmol/l
• What is the recommended folic acid intake for women before conception?

  400 mcg OD for 3 months
• What is the first-line treatment for magnesium sulphate-induced respiratory depression?

  Calcium gluconate
• When should women with gestational diabetes in a previous pregnancy be offered an OGTT?

  As soon as possible after booking
• Who should be screened for gestational diabetes with an OGTT?

  All obese women (BMI >30)
• What is the risk for women with autoimmune conditions during pregnancy?

  High risk of pre-eclampsia
• What is the recommended aspirin dosage for women at risk of pre-eclampsia?

  75 mg daily
• What can cause folic acid deficiency?

  Phenytoin
• When are the Down's syndrome screening tests performed?

  • Nuchal scan: 11-13+6 weeks
  • Anomaly scan: 18-20+6 weeks
• What is the folic acid dosage for women on antiepileptics trying to conceive?

  5 mg instead of 400 mcg
• What should all pregnant women take daily?

  10 micrograms of vitamin D
• Is hepatitis C routinely screened during pregnancy?

  No, it is not routinely screened
• What condition can pre-eclampsia cause?

  Oligohydramnios
• What should women with pyrexia >38 degrees during labor receive?

  Benzylpenicillin for GBS prophylaxis
• What are the signs of chorioamnionitis in preterm PROM?

  • Maternal pyrexia
  • Maternal tachycardia
  • Fetal tachycardia
• How long should magnesium treatment continue after delivery?

  For 24 hours after last seizure
• What folic acid dosage should pregnant obese women receive?

  5 mg high dose
• What does a raised AFP indicate in fetal abdominal wall defects?

  Omphalocele
• How is gestational diabetes treated?

  With short-acting SC insulin
• Are antipsychotics contraindicated in breastfeeding?

  No, except clozapine
• When is an ultrasound indicated for lochia persistence?

  If it persists beyond 6 weeks
• What is the medication of choice for suppressing lactation?

  Cabergoline
• What does RCOG advise for women >37 weeks with singleton pregnancy?

  Avoid air travel
• What does RCOG advise for uncomplicated multiple pregnancies after 32 weeks?

  Avoid air travel
• What can oligohydramnios indicate?

  Renal agenesis (Potter sequence)
• What is the risk associated with intrahepatic cholestasis of pregnancy?

  Increased risk of stillbirth
• When is induction of labor generally offered for intrahepatic cholestasis?

  At 37-38 weeks gestation