SGA

Question 1

Define

LBW
SGA
Severe SGA
FGR

Answer 1

LBW < 2.5 kg

SGA - AC and/or EFW < 10th centile

Severe SGA - <3rd centile

FGr - Pathological restriction of growth potential

Question 2

How many SGA babies are constitutionally small ?

Answer 2

50-70%

Question 3

What is SGA

Answer 3

AC &/or EFW <10th centile

Question 4

What is the recommended approach to monitor low-risk women for SGA detection?

Answer 4

SFH from 24 w

Question 5

How should a fetal growth-restricted fetus (FGR) be monitored?

Answer 5

Biometry fortnightly
+
UA doppler every week

Question 6

What is the optimal monitoring protocol for an FGR fetus with absent/reversed end-diastolic flow (AREDV) on UA-Doppler?

Answer 6

twice weekly cCTG + DV

Question 7

What are the indications for cesarean section (CS) in cases of SGA or FGR?

Answer 7

1. reduced STV
2. AREDV
3. DV abnormal

Question 8

When should delivery be planned for a fetus with absent end-diastolic velocity (AEDV) on
Doppler?

Answer 8

32-34

Reversed: 30-32w

Question 9

When should delivery be timed for a fetus with reversed end-diastolic velocity (REDV) on
Doppler?

Answer 9

30-32

Question 10

What are the cut-off values for short-term variability (STV) on computerised CTG from 26, 29, 32, and 34 weeks to indicate delivery?

Answer 10

26: <2.6
29: <3
32: <3.5
34: <4

Question 11

Which ductus venosus (DV) Doppler abnormalities indicate the need for delivery?

Answer 11

absent A wave

Question 12

What is the most common infection associated with early-onset FGR?

Answer 12

CMV

Question 13

What is the most common chromosomal abnormality linked to early-onset FGR before 26 weeks of gestation?

Answer 13

triploidy

Question 14

What is the most common chromosomal abnormality associated with early-onset FGR after 26 weeks of gestation?

Answer 14

edward syn

Question 15

A pregnant patient had recovered from critical COVID illness. When to do biometry after recovery?

Answer 15

within 2 weeks

Question 16

Which vitamins and medication can reduce SGA?

Answer 16

folic acid 400 ugm
Vit D 400 IU
Aspirin

Question 17

at what GA its appropriate to perform umb a. doppler for screening of PE and FGR

Answer 17

18-22w