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

1.Small for gestation and severe small for gestation is defined as EFW or AC less

2.what percentage of babies of SGA are constitutionally small with fetal growth appropriate for maternal size and ethnicity?

3.You are reviewing Ms.Tessily ,24 year old, who is in her second pregnancy .She is now 10weeks pregnant.Her first delivery was induced as it was an SGA baby, delivered normally , a baby girl weighing 2100gm.She has a BMI Of 26 .She is fit and fine , non smoker .She is asking how much risk is increased of having this baby also as SGA ?

4.You are reviewing Ms.Tessily ,24 yearold, who is in her second pregnancy .She is now 13 weeks gestation.Her first delivery was induced as it was SGA baby, delivered normally , baby girl weighing2100gm.She has a BMI Of 26 .She is fit and fine , non smoker .What’s your further plan of care ?

5.All of the following women can be at risk of SGA except

6.SGA birth, particularly when severe , is characterised by failure of trophoblast invasion of the myometrial uterine spiral arteries and reduced uteroplacental blood flow. However reduced endovascular trophoblast invasion of decidual spiral arteries has been associated with the same waveform abnormalities as early as how many weeks of pregnancy ?

7.Mrs, Roshani , immigrant has come for late booking ,this is spontaneous preganncy ,primigravida .non smoker .BMI is 21kg\m2, her ultrasound at 17 weeks shown below ,what the pain of management ?

8.Whats the incidence of chromosome abnormality in severe SGA ?

9.You are reviewing Ms.Meenu ,24 year old, who is in her second pregnancy .She is now 28 weeks gestation.Her first delivery was induced as it was SGA baby, delivered normally , baby girl weighing2100gm.She has a BMI Of 26 .She is fit and fine , non smoker .Her growth scan shows severe SGA of less than 3rd Centile.You are suspecting chromosome abnormality .Which is the most common chromosomal abnormality causing this ?

10.feal infections responsible for what %of SGA fetus ?

11. A variety of descriptor indices of umbilical artery Doppler waveform have been used to predict perinatal outcome. Which is the best discriminatory ability to predict a range of adverse perinatal outcomes according to receiver operator curves?

12. Ductus venosus Doppler should be used for surveillance in the preterm SGA fetus with abnormal umbilical artery Doppler and used to time delivery.Which wave abnormality in the Ductus venosus indicates hypoxia of fetus ?

13. Low birth weight refers to

14. Mrs, Chelsea, is primigravida conceived by IVF pregnancy with BMIof 26.7kg/m2. Her uterine artery Doppler is like this .What do you advise her ?

15. In approximately what % of cases with abnormal uterine artery Doppler at 20–22 weeks of gestation, PI remains increased at 26–28 weeks

16. What percentage of women with abnormal uterine artery Doppler at 20–22 weeks of gestation, has risk of developing SGA?

17. When using two measurements of AC or EFW to estimate growth velocity, they should be at least how many weeks apart to minimise false–positive rates for diagnosing FGR. ?

18. Reported mean growth rates for AC and EFW after 30 weeks of gestation respectively are

19.what measurement of AC in serial growth monitoring suggestive of FGR ?

20. You are reviewing Ms. Meenu ,24 year old, who is in her second pregnancy .She is now 282 weeks gestation.Her first delivery was induced as it was SGA baby, delivered normally , baby girl weighing 2100gm.She has a BMI Of 26 .She is fit and fine , non smoker .Her growth scan shows severe SGA of less than 3rd Centile.You are suspecting chromosome abnormality .what percentage of ABBA Ives can have aneuploidy ?

21. You are reviewing Ms.Neenu ,24 year old, who is in her second pregnancy .She is here for booking visit.Her first delivery was complicated by preeclampsia induced as it was SGA baby, delivered normally , baby girl weighing 2100gm.She has a BMI Of 26 .She is fit and fine , non smoker .You advise her to start aspirin .She asks you about use of heparin in reducing the incidence of

SGA .

22. What is this phenomenon called ?

23. Mrs. Seena,A pregnant woman with a BMI of 25 sees her midwife at 24 weeks of gestation.A single symphysis fundal height (SFH) measurement is undertaken which is less than expected for this gestation.What is the most appropriate management?

24. You are reviewing Ms.Tessily ,24 yea old, who is in her second pregnancy .She is now 20 weeks gestation.Her first delivery was induced as it was SGA baby, delivered normally , baby girl weighing 2100gm.She has a BMI Of 26 .She is fit and fine , non smoker .Biophysical blood flow analyses (Doppler) may be used for her to assess possible perinatal outcomes Choose the Single most appropriate artery/vein for the scenario