FE Reporting & Counseling Flashcards

Which information is mandatory in a fetal echocardiography report according to standard guidelines?

Answer: Gestational age, indication, image quality, cardiac situs, segmental analysis, and Doppler findings

A complete fetal echo report requires gestational age, clinical indication, image quality assessment, cardiac situs, segmental cardiac analysis, and relevant Doppler findings.

When counseling parents after diagnosis of a major congenital heart defect, which team member is essential?

Answer: Pediatric cardiologist and maternal-fetal medicine specialist

Multidisciplinary counseling involving both pediatric cardiology and maternal-fetal medicine is essential for accurate prognosis, management planning, and parental support.

Which fetal cardiac finding requires delivery at a center with immediate availability of cardiac surgery?

Answer: Ductal-dependent cardiac lesion

Ductal-dependent lesions require prostaglandin E1 at birth to maintain ductal patency; these neonates must deliver at a center capable of immediate cardiac surgery.

Which statement best describes the recurrence risk for congenital heart disease when one parent is affected?

Answer: Approximately 3–7%

When one parent has CHD, the recurrence risk for offspring is approximately 3–7%, varying by lesion type, higher for left-sided obstructive lesions.

Which karyotype abnormality has the highest association with atrioventricular septal defect (AVSD)?

Answer: Trisomy 21 (Down syndrome)

Trisomy 21 (Down syndrome) is the most strongly associated karyotype with complete AVSD, occurring in approximately 40–50% of cases.

What is the recommended follow-up interval for fetal echocardiography in a pregnancy with anti-Ro antibodies and no current heart block?

Answer: Weekly scans from 16–26 weeks gestation

Weekly fetal echo surveillance from 16–26 weeks is recommended for anti-Ro positive pregnancies to detect early AV block when intervention may be possible.