A woman who is 12 weeks pregnant is seen in the antenatal clinic for her initial check-up. According to her electronic records, she is identified as a former smoker. In accordance with current NICE recommendations, what is the best approach to evaluate her smoking status?
Which one of the following about managing thyroid issues during pregnancy is inaccurate?
A 29 year old woman with no pre-existing medical conditions has discovered that she is expecting her first child. She has been purchasing pricey pregnancy supplements from the pharmacy and wonders if they are truly essential. What are the daily supplements recommended by the NHS for all pregnant women (without any additional risk factors)?
You are assessing a patient who is 36 weeks pregnant with her fourth child. Her third child had neonatal sepsis caused by Group B Streptococcus. During her recent visit to the obstetrician, it was recommended that she receive antibiotics via IV during labor to prevent a recurrence.
What is the appropriate IV antibiotic for this patient?
As a healthcare practitioner, it is important to assess pregnancy risk in women. When prescribing certain drugs, it is necessary to determine a woman’s risk of pregnancy. What criteria can be used to reasonably determine that a woman is not currently pregnant if there are no signs or symptoms of pregnancy and she is within the first 7 days of a natural menstrual period, less than 4 weeks postpartum (non-breastfeeding), fully breastfeeding and amenorrhoeic AND less than 6 months postpartum, within the first 7 days after an abortion, miscarriage, ectopic pregnancy or uterine evacuation for gestational trophoblastic disease, has not had intercourse for >14 days AND has a negative high-sensitivity urine pregnancy test (able to detect hCG levels around 20 mIU/ml), or has been correctly and consistently using a reliable method of contraception?
A 28-year-old mother comes to see her GP. She had given birth to her child 8 weeks ago. She is feeling upset and tearful, explaining that motherhood is not what she expected. She is experiencing poor quality of sleep, loss of appetite, and feelings of guilt. She has not mentioned any thoughts of suicide.
What screening tool should be used for this woman?
What is the most probable cause of menorrhagia?
A 35-year-old woman presents to your clinic after discovering she is pregnant. She requests a referral to the hospital for her booking appointment. During the consultation, you inquire about her obstetric history. She reports having one child who is now 5 years old. Additionally, she has experienced two miscarriages, one at 8 weeks and another at 14 weeks. At the age of 18, she underwent a termination of pregnancy at 10 weeks.
How would you document her gravidity and parity in the antenatal referral?
You see a 29-year-old female patient who has been trying to conceive with her partner for 18 months. They are both typically healthy and have not previously had a successful pregnancy. She has a regular menstrual cycle and is not taking any medications. She expresses interest in being referred to a fertility clinic, but you explain that she must first undergo some blood tests and her partner must have a semen analysis. You also discuss the most common reasons for fertility problems. However, her partner is hesitant about having a semen analysis. What percentage of infertile couples experience male infertility as the cause?
Sophie is a 26-year-old woman who has recently discovered that she is pregnant, around 10 weeks. She has come to seek advice on what to do about her cervical screening, which is due at this time. Sophie had a normal smear test 2 years ago and has not experienced any unusual bleeding or discharge since then.
What is the best course of action regarding her cervical screening?