You are reviewing the notes of a 32-year-old woman in the antenatal clinic. She is 10 weeks pregnant based on her last period date and this is her third pregnancy. Her sons, aged 4 and 2 years, respectively, are fit and healthy. You are looking for risk factors to offer her screening for gestational diabetes. Which of the following conditions will you NOT offer her such screening:

Q2. Commercial flights of more than 4 h duration are known to be associated with a small increase in the relative risk of:

Which antibiotics should be given to prevent early onset neonatal GBS disease to women who have accepted intrapartum antibiotic prophylaxis (IAP) and are allergic to benzylpenicillin?

Placental abruption is seen more often in all of the following conditions except:

The incidence of low-lying placenta in second trimester ultrasound scan is as high as:

You are preparing for the caesarean section of a multipara with central placenta previa. She is not anaemic, is haemodynamically stable and has never had any episode of vaginal bleeding. At least how many units of cross matched blood should be kept ready for use in anticipation of intraoperative blood loss?

Women with complex social factors have been identified as those needing special provisions in their antenatal care. Which of the following pregnant women would be identified as one with a complex social factor that warrants special attention by the antenatal healthcare providers?

A 28-year-old woman is 22 weeks pregnant. She has long-standing type 1 diabetes mellitus. Her 20-week fetal anatomy ultrasound showed no structural fetal abnormalities. However, she is concerned about how her diabetes may cause congenital fetal anomalies in her unborn child.

Of the options listed below, which SINGLE action addresses her anxiety?

A 24-year-old woman is 12 weeks pregnant. She is attending hospital for her dating scan and routine booking serological investigations. Screening and treating for the presence of a particular pathogen during early pregnancy will reduce the risk of developing congenital fetal abnormality. Which of the pathogens listed below fulfils this criterion?

All pregnant women are advised to take folic acid supplements (0.4 mg, once daily) pre-pregnancy and antenatally. Nonetheless, which of the following groups of women is a dietary supplementation using a higher dose of folic acid (5 mg once daily) recommended?

All pregnant women are advised to take folic acid supplements (0.4 mg, once daily) pre-pregnancy and antenatally. Nonetheless, which of the following groups of women is a dietary supplementation using a higher dose of folic acid (5 mg once daily) recommended?

A 24-year-old woman is 22 weeks pregnant in her second pregnancy. She has had one previous caesarean delivery. Her routine 20-week obstetric ultrasound revealed a low-lying anterior placenta, partially covering the cervical os. Which SINGLE action is most appropriate?

Which of the following is NOT a known risk factor for vasa previa:

Drugs are prescribed in pregnancy upon the assumption that their positive effect on health outweighs the probability and severity of any harm to mother and fetus. On this basis, which of the following medications is the most likely to be contraindicated for antenatal use in pregnancy?

A pregnant woman is seeking advice about the effects of smoking in pregnancy. Which of the following statements is correct in relation to pregnancy risks as a consequence of her smoking during pregnancy?

A 20-year-old woman is 33 weeks pregnant in her first pregnancy. She has a 6-h history of regular painful uterine contractions. Clinical examination confirms an appropriately sized fetus, longitudinal lie and cephalic presentation with normal fetal heart rate (155 bpm). Vaginal examination identifies a fully effaced cervix that is 5 cm dilated, with intact membranes. Which of the following is an appropriate next intervention step?

A 20-year-old woman is 36 weeks pregnant in her first pregnancy and is being reviewed in the antenatal clinic. A recent obstetric growth scan confirms breech presentation of a normally grown fetus with normal liquor volume. She has no other complicating medical or obstetric disorders. She is deciding between planned vaginal or elective caesarean (LSCS) modes of delivery. Which of the following is correct in relation to the counselling she will receive?

If the fetal crown rump length is disparate in twins at the 12 weeks scan, select the best method of dating the pregnancy.

Gestation is age can be allotted according to:

Screening for anemia in triplet pregnancy is advised at:

A 34-year-old primigravida with dichorionic twins, both fetuses in cephalic presentation, declines the offer of elective delivery at 37 weeks of gestation. You have explained to her that with uncomplicated dichorionic twin pregnancies, elective birth from 37 weeks 0 days does not appear to be associated with an increased risk of serious adverse outcomes and that continuing uncomplicated twin pregnancies beyond 38 weeks 0 days increases the risk of fetal death. What is the next step in her antenatal care?

A primigravida with twin pregnancy has booked for antenatal care at 16 weeks of gestation. Despite referral to higher centre, the chorionicity of the pregnancy could not be established by ultrasound. Fetal growth is within normal range and there are no obvious structural defects. What is the best option for further antenatal management in this case?

With regard to advice about diet, lifestyle and nutritional supplements in multiple pregnancy, which of the following is correct?