Self-assessment questions

Abstract

A 34-year old woman in her first pregnancy is seen in your booking clinic at 12 weeks gestation. She has Marfan's syndrome, and her father died of a ruptured aortic aneurysm. She is currently taking metoprolol and a recent echocardiogram has measured her aortic root to be 3.8 cm. Which of the following pieces of advice is appropriate?A)She should terminate the pregnancyB)She should continue the β-blockersC)She should be delivered by caesarean sectionD)Antibiotic prophylaxis should be recommended for labour and deliveryE)Screening of the newborn for Marfan's syndrome will be advised