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Demo Question

 

A 24-year-old low-risk female in her first pregnancy presents to her GP for review. According to previous scans she is 25 weeks pregnant and the pregnancy has been progressing fine.

On examination, symphysis fundal height (SFH) is 31 cm, fetal heart sounds are heard and her blood pressure is 102/74 mmHg with normal urinalysis.

Which of the following is the most appropriate action for this patient?

  Refer for immediate review in hospital antenatal clinic


  Continue to monitor progress in antenatal clinic


  Refer for immediate review of community midwife


  Refer to radiology for ultrasound


  Refer for routine appointment at the hospital antenatal clinic

 

Key learning points


Causes of increased SFH include polyhydramnios, congenital malformations and multips.


Explanation

 

This woman has an SFH which is 6 cm more than her dates.

This should raise alarm bells as an SFH 2 cm above or below dates after 20 weeks is abnormal and merits further investigation.

Causes of increased SFH include wrong dates, full bladder, polyhydramnios, congenital malformations and multiple pregnancy.

 

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Based on 2 reviews
0%
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100%
(2)
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Dr Simon Baxter
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Improved exam technique and helped cover a wider varity of topics prior to the exam

D
Dr Jessema Abdul Latheef
Helped me to test my knowledge

Allowed me to revise by selecting types of questions that I wished to relive.

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