A 32-year-old pregnant woman is concerned about the risk of measles, mumps, and rubella (MMR) infection for her unborn baby. She has never been vaccinated for MMR and is currently 14 weeks pregnant. There are no sick contacts around her.
What is the appropriate course of action in this situation?
You are an FY2 doctor in General Practice and have been asked to examine a lady who is 28 weeks pregnant as part of a routine antenatal check-up. She appears comfortable and her pregnancy has been uneventful so far.
Which of these should be part of a routine antenatal examination?
A 28-year-old G2P1 attends the clinic at 37 weeks’ gestation, complaining of ongoing nausea and vomiting for most of the pregnancy. Blood tests show abnormal results for sodium, alkaline phosphatase, and creatinine. What is the most appropriate management?
You are a Foundation Year 2 in general practice and a 32-year-old lady comes in who is pregnant with her first child. She feels unwell, has upper abdominal pain near her epigastrium, and thinks that her ankle swelling has been much worse over the last few days. You assess her and your findings are as follows:
Symphysis–fundal height (SFH): 39 cm
Presentation: breech
Lie: longitudinal
Blood pressure (BP): 152/93
Fetal movements: not palpable
Which of these investigations is most likely to lead you to a diagnosis?
A 28-year-old woman comes to the GP at 26 weeks into her pregnancy with an itchy rash that appeared this morning on her arms, legs, and trunk. She also has vesicles on her palms. She mentions feeling unwell for the past two days and experiencing a headache. Last week, she visited her niece in the hospital where a child was treated for a similar rash. Her vital signs are stable. What is the best course of action for this patient?
A 32-year-old pregnant woman comes to her antenatal check-up and asks for a screening test to detect any chromosomal abnormalities. She is in her 16th week of pregnancy and wants the most precise screening test available. She is worried about Edward’s syndrome due to her family’s medical history.
What outcome from the screening test would suggest a high probability of Edward’s syndrome?
A woman who is positive for hepatitis B serology and surface antigen gives birth to a healthy baby girl. What treatment should be provided to the newborn?
Which ONE of the following women has gestational hypertension?
Rewritten: Which ONE of the following women, who are all 35 years old, has gestational hypertension?
A 28-year-old woman has recently given birth to a healthy baby without any complications. She is curious about iron supplementation and has undergone blood tests which reveal a Hb level of 107 g/L. What is the appropriate Hb cut-off for initiating treatment in this patient?
A 30-year-old primiparous woman who is 10 weeks pregnant is curious about iron supplementation. Her blood tests reveal a Hb level of 110 g/L. What is the appropriate Hb cut-off for initiating treatment in this patient?