2nd & 3rd Trimester Scanning at Window to the Womb

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Question 1 of 7

1. Question
A Growth & Presentation scan at Window to the Womb includes?
- AFI measure
- Umbilical artery doppler
- Estimated Fetal Weight
- Uterine artery doppler
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Question 2 of 7

2. Question
Growth charts used by Window to the Womb are?
- Hadlock
- GROW
- Chitty
- Campbell
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Question 3 of 7

3. Question
A client has requested a well-being scan at 18 weeks but unfortunately there is no fetal heartbeat detected. Do you…
- Switch the television screens off, tell the client and refer to the labour suite.
- Stop the scan, remove the probe from the abdomen and explain your findings. Then refer client to NHS according to the referral pathway.
- Place the calipers for the pulsed wave doppler and record the straight line. Continue with the scan checking all well-being checks as per protocol.
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Question 4 of 7

4. Question
The client attends for a Well-being + 4D Scan and as you start the scan you note there is no fetal heartbeat. Would you…
- Continue with the scan obtaining 4D images and confirmation of gender if requested.
- Stop the scan, remove the probe, explain findings to the client and advise to see her midwife.
- Stop the scan, remove the probe, explain findings to the client and discuss her wishes regarding any further 4D imaging she wishes to have. Refer to appropriate unit as per referral guidelines.
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Question 5 of 7

5. Question
The Estimated Fetal Weight (EFW) plots on the chart at below average but above the 5th centile. The calculation at the bottom of the screen suggest the gestation is 32 weeks. Do you…
- Explain that baby is within average measurements, show the client the chart pointing out the average line between the 5th & 90th centile. No referral required.
- Tell the client the baby is measuring small refer to the fetal medicine unit
- Tell the client her dates are incorrect and suggest she discusses with her midwife
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Question 6 of 7

6. Question
A tick in the ‘Observed’ box for lungs and heart confirms:
- A heart occupies half of the chest
- A true transverse view showing whole 2 ribs
- A four chamber view
- A transverse view showing several ribs
- Situs of the heart pointing to the left
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Question 7 of 7

7. Question
A ‘lemon shaped’ skull is observed during an ultrasound scan. What condition can this ultrasound finding be indicative of?
- Anencephaly
- Chromosomal conditions
- Spina bifida
- Ventriculomegaly
- Cleft lip
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Tier 2 Sonographer Induction

2nd & 3rd Trimester Scanning at Window to the Womb

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