Preconception counselling
Obstetrics & Gynaecology · Topic 5
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 5 · combined PDF page 428
Practice questions
- A service-planning group is developing preconception care recommendations for a low- and middle-income country. Which set best matches the three themes identified in a scoping review?
- A preconception service emphasizes screening but gives women little opportunity to make informed decisions about whether and when to become pregnant. Which theme from the LMIC scoping review is most directly underrepresented?
- In the LMIC scoping review, what did the theme of “platforms” primarily refer to?
- A policymaker asks whether the LMIC scoping review established one proven, comprehensive model of preconception care. Which response is best supported?
- A woman with epilepsy who is considering pregnancy attends a preconception visit. Which approach is most consistent with the counselling framework described in a recent review?
- During counselling for a woman with epilepsy considering pregnancy, which risk discussion is most complete according to the reviewed framework?
- Which item is specifically included among the wider counselling topics identified for women with epilepsy planning pregnancy?
- A patient with epilepsy asks what else, beyond medication and seizure risks, should be discussed before pregnancy. Which group of topics is supported by the recent counselling review?
- A clinician claims that randomized evidence has established that preconception counselling reduces adverse pregnancy outcomes in women with epilepsy. Which statement best reflects the 2008 Cochrane review?
- A recent review offers a practical framework for preconception counselling in epilepsy. Which conclusion about effectiveness is justified by that fact alone?
- A scoping review of preconception counselling for women with serious mental illness identified which recurring set of themes?
- A preconception clinic for a woman with bipolar disorder discusses pregnancy risks but omits treatment options and medication considerations. Which review finding most directly supports including these topics?
- In the serious mental illness scoping review, which counselling theme was identified in 27 of 33 articles?
- A service designer is using the SMI scoping review to identify an underexplored area for future preconception-care research. Which topic is especially consistent with the review’s reported gaps?
- Which statement best characterizes the evidence base for preconception counselling interventions in women with serious mental illness described by the scoping review?
- A woman with acromegaly is planning pregnancy. Which group of issues is specifically identified as relevant to preconception counselling in the review?
- Why might tumour-related discussion be included in preconception counselling for a woman with acromegaly?
- A woman with acromegaly is concerned that pregnancy is invariably unsafe. Which counselling response is most consistent with the review?
- A clinician asks whether evidence provides firm recommendations for conception planning and pregnancy surveillance in acromegaly. Which answer best reflects the review?
- A patient with acromegaly asks whether medical treatment can ever be used during pregnancy. What does the review support?
- In a randomized trial of GP-initiated preconception counselling, what happened to anxiety scores after participants received counselling?
- In the same trial, mean anxiety scores focused on the first trimester were 38.5 in the control group and 38.7 in the intervention group. What is the most appropriate interpretation?
- Which population and setting were studied in the randomized trial of GP-initiated preconception counselling?
- Which conclusion about anxiety is supported by the randomized trial of GP-initiated preconception counselling?
- A clinician uses the GP counselling trial to argue that preconception counselling improves every obstetric outcome in every setting. What is the principal limitation of this inference?