Part d - Management
How would you confirm your impression?
Select one option from the answers below.
A. Correct. If she had a scan in the first trimester then it should be possible to correlate this with the current examination.
B. Correct. A scan in 2-3 weeks would allow you to determine whether the fetal head was growing normally and therefore this was a problem of 'wrong dates'. Or, if there was poor head growth, that this was a small head and therefore either growing poorly or possible abnormal brain development.
C. Correct. Her history suggests that her periods are irregular and it would be useful to confirm this with additional detail.
D. Correct. It would be important to know if she had previously delivered a baby that was either very small for dates or had abnormal brain development.