EBCOG PART 1 – ANTENATAL CARE – DAY 2 (EMQ)

A. No further tests required
B. Measure PAPP-A
C. CTG
D. Uterine artery doppler 20-24 weeks
E. Assessment fetal size and umbilical artery doppler in 3rd trimester
F. Serial assessment fetal size and umbilical artery doppler 26-28 weeks
G. MCA doppler
H. Caesarian section delivery
I. Measure fetal abdominal circumference
J. Repeat surveillance in 14 days

For the following scenarios select the most appropriate next management option

1. A 29 year old attends antenatal clinic for her first pregnancy. She smokes 5 cigarettes per day. Her BMI is 27kg/m2 and her BP is 110/65. Urinalysis is negative for protein, blood and leucocytes.

2. A 41 year old attends antenatal clinic for her second pregnancy. She is a non-smoker. Her BMI is 24kg/m2 and her BP is 108/67. Urinalysis is negative for protein, blood and leucocytes. She has no significant medical problems and her previous pregnancy was uncomplicated.

3. A 32 year old patient undergoes umbilical artery doppler at 24 weeks due to an SGA fetus.The doppler is found to be normal.