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- A gravida 2 Para 1, booked for low-risk midwifery care presents at 38 weeks with diminished fetal movements for 48 hours. The fetal heart rate was undetectable and sadly, intrauterine fetal death was confirmed with an ultrasound scan. The mother would prefer to go home and return 24 hours later for induction after arranging childcare for her other child. Her blood group is B RhD negative. What would you advise?
2.What is the main contraindication to the use of antenatal corticosteroids?CorrectIncorrect
3.A primagravida who is otherwise fit and well, sadly, has a stillbirth at 38 weeks of gestation. In what proportion of cases is there no identifiable cause?CorrectIncorrect
4.A woman attends the antenatal clinic in a wheel chair with a known long-term traumatic spinal cord injury. At what level of spinal injury and above would you be concerned about the occurrence of autonomic dysreflexia?CorrectIncorrect
5.A low-risk 34-year-old woman in her second pregnancy is admitted in spontaneous labour at 39 weeks gestation. Her cervix is effaced and 5 cm dilated with membranes intact on admission. 223 152mm x 229mm Sizer cans07.tex V3 – 01/20/2016 9:40 P.M. She is examined again four hours later and is 6 cm dilated; she consents to artificial rupture of membranes (ARM), liquor is clear. What is the most appropriate method of fetal monitoring?CorrectIncorrect
6.What proportion of intrapartum CTG with reduced fetal heart rate baseline variability and late decelerations results in moderate to severe cerebral palsy in children?CorrectIncorrect
7.In the case of a massive obstetric haemorrhage, above what level should fibrinogen be maintained?CorrectIncorrect
8.A low-risk 27-year-old woman is induced at 41+ 5 weeks gestation in her second pregnancy, having had a previous ventouse delivery for fetal distress. She has epidural analgesia for pain relief in labour. Following confirmation of full cervical dilatation and an hour of passive second stage, she pushes with contractions for 90 minutes without signs of imminent birth. She feels well, her contractions are strong, 4 in 10 minutes and the fetal heart rate is normal. What is the most appropriate management?CorrectIncorrect
9.In a cephalic presentation, the position is determined by the relationship of what fetal part to the mother’s pelvis?CorrectIncorrect
10.The relation of the fetal parts to one another determines which of the following?CorrectIncorrect
11.It is important to be able to estimate the blood loss at a delivery to determine if more aggressive management of uterine bleeding is indicated. Average blood loss during normal deliveries is how many milliliters?CorrectIncorrect
12.At 39 weeks during a pelvic examination, due to Braxton Hicks contractions, the patient is found to be 2 cmdilated. She asks if anything can be done to promote labor since she is exhausted fromdays of B H contractions. A sweeping (stripping) of the membranes is done based on the idea that this disrupts the lysosomes in the lower decidual. Which of the following, when released fromlysosomes, may initiate labor?CorrectIncorrect
13.When educating a patient about the possible signs of labor you mention “bloody show.” This is which of the following?CorrectIncorrect
14.A relative contraindication for induction of labor includes which of the following?CorrectIncorrect
15.A 4 ft 11 in Southeast Asian woman has an estimated fetal weight by ultrasound of 4,000 g. To estimate the pelvic capacity, you performclinical pelvimetry. 2. Which of the following does this procedure measure?CorrectIncorrect