1. Choose the most appropriate first investigation in the following scenarios. Each option may be used once, more than once or not at all.

Possible Answers

For each of the questions below, select the answer which is most appropriate. Each option can be used once, more than once or not at all.

a.) A woman at 32 weeks has a symphysis–fundal height of 28 cm.

Choose from one of the following answersA Measurement of symphysis–fundal heightB Ultrasound assessment of fetal growthC Umbilical artery DopplerD Uterine artery DopplerE CardiotocographyF Biophysical profileG ‘Kick chart’H Middle cerebral artery Doppler

b.) A woman with previous severe pre-eclampsia presents at 22 weeks. Her anomaly scan was normal.

Choose from one of the following answersA Measurement of symphysis–fundal heightB Ultrasound assessment of fetal growthC Umbilical artery DopplerD Uterine artery DopplerE CardiotocographyF Biophysical profileG ‘Kick chart’H Middle cerebral artery Doppler

c.) A woman at 34 weeks has had a growth scan suggesting severe intrauterine growth restriction (IUGR). There are reduced fetal movements.

Choose from one of the following answersA Measurement of symphysis–fundal heightB Ultrasound assessment of fetal growthC Umbilical artery DopplerD Uterine artery DopplerE CardiotocographyF Biophysical profileG ‘Kick chart’H Middle cerebral artery Doppler

d.) A woman is 42 weeks' gestation and declines induction of labour.

Choose from one of the following answersA Measurement of symphysis–fundal heightB Ultrasound assessment of fetal growthC Umbilical artery DopplerD Uterine artery DopplerE CardiotocographyF Biophysical profileG ‘Kick chart’H Middle cerebral artery Doppler

e.) A woman at 26 weeks has been exposed to parvovirus and the baby is hydropic.

Choose from one of the following answersA Measurement of symphysis–fundal heightB Ultrasound assessment of fetal growthC Umbilical artery DopplerD Uterine artery DopplerE CardiotocographyF Biophysical profileG ‘Kick chart’H Middle cerebral artery Doppler