RISKY BUSINESS
IN YOUR GENES
BUGS AND BITES
X MARKERS THE SPOT
BITTER LITTLE PILL
100
These pregnant women are at greater risk of congenital anomalies, Trisomy 21, 18, 13, IUGR and stillbirth.
Who are women over the age of 40?
100
This is when traditional Integrated Prenatal Screening part 2 should take place.
What is between 15 weeks to 18 weeks + 6 days?
100
When exposed to this common little virus during pregnancy, administer VZIG within this time frame.
What is Varicella and within 96 hrs?
100
By providing Tdap to mother between these weeks can reduce whooping cough in the neonate.
What is 27 and 36 weeks?
100
All Pregnant women at increased risk of pre-term labour, IUGR or pre-eclampsia should take this.
What is ASA 81mg?
200
Women with a previous birth of infant weighing > 4000gm, or have obesity or BMI>30, or have previous history of stillbirth or infant with congenital anomalies.
Who should be screened for gestational Diabetes early in the first trimester?
200
Enhanced First Trimester screen (Enhanced FTS) is different from traditional FTS because of these additions.
What are Placental Growth Factor (PGF) and Alpha Fetal Protein (AFP)?
200
Try to prevent an outbreak of this nasty little virus, and thus transmission to the neonate, with oral anti-virals during last month of pregnancy.
What is Herpes Simplex virus?
200
Non-pregnant women immunized with this vaccine should be counselled to delay pregnancy for at least 4 weeks
What is MMR, varicella?
200
Folic acid is that remarkable vitamin.
What vitamin reduces the risk of neural tube defects by 50-70%?
300
Reduction in these drugs' dosage should take place only during the second trimester.
What are Methadone and other Opioids?
300
******DOUBLE JEOPARDY****** Situations where Non Invasive Prenatal Testing (NIPT) is covered.
What are: positive multiple marker screening test advance maternal age >/=40 fetal NT >/=3.5mm Hx of aneuploidy ?
300
Although just a 'smelly bug', this antenatal infection could lead to a recurrence of pre-term labour or PROM if not screened and treated for.
What is BV (Bacterial vaginosis)?
300
A choroid plexus cyst is associated with this Trisomy.
What is Trisomy 18?
300
Increase their THYROXINE dose by two extra tablets a week and then have a TSH done promptly.
What should we counsel women with pre-existing hypothyroidism to do when they find out they are pregnant?
400
A drug, taken during pregnancy, which can reduce the severity of Neonatal Abstinence Syndrome (NAS).
What is Methadone?
400
The acronym used in Accuro to find quickly all the Prenatal requisitions for initial labwork and IPS.
What is PNWB?
400
Screening with urine PCR for Zika virus should be undertaken in these people.
Who are men and women exposed to Zika and SYMPTOMATIC and planning a pregnancy, OR women already pregnant and exposed to Zika?
400
Isolated pelviectasis on second trimester is defined as a renal pelvis greater than this many millimeters.
What is greater than 4mm?
400
******DOUBLE JEOPARDY****** Pre-conception, women with epilepsy, IDDM, or a previous or family history of neural tube defects.
Which women should take 5 mg of FOLIC ACID prior to conception?
500
******DOUBLE JEOPARDY****** The largest contributors to Opioid use in Ontario.
What are narcotic prescribing Doctors?
500
An acronym for the high-risk referral centre for maternal and fetal concerns.
What is MSS SPP?
500
******DOUBLE JEOPARDY****** A cause of spontaneous abortions, fetal anemia/hydrops and death.
What is Human Parvovirus B19?
500
******DOUBLE JEOPARDY****** This is a soft marker for aneuploidy that is believed to represent a microcalcification of the papillary muscle.
What is isolated echogenic intracardiac focus?
500
Either NICOTINE REPLACEMENT THERAPY or WELLBUTRIN are acceptable alternatives.
What smoking cessation aids can be offered to pregnant women?
M
e
n
u