Instructions
For the scenario below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.
Question
A healthy 33 year old woman attends the antenatal clinic at 18 weeks gestation. She had travelled to an area where Zika virus transmission is known to occur and returned 4 weeks ago. She has not experienced any symptoms of Zika virus disease.
A. Discuss termination of pregnancy
B. Reassure
C. Blood and urine for Zika virus RT-PCR
D. Blood for Zika virus IgG and IgM
E. Refer to fetal medicine unit
F. Offer amniocentesis for Zika virus RT-PCR
G. Fetal brain MRI scan at 18-20 weeks
H. Base-line fetal ultrasound scan +/- 4 weekly scans
I. Fetal ultrasound scan to exclude microcephaly at 28-32 weeks
J. Fetal brain MRI scan at 18-20 weeks and 28-32 weeks
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