1.Easy
What does fetal station 0 mean?
- AThe presenting part is at the level of the ischial spines
- BThe cervix is fully dilated
- CThe presenting part is at the vaginal opening
- DThe presenting part is floating above the pelvis
2.Easy
Which component is part of the APGAR score?
- AMuscle tone
- BBlood glucose
- CBody temperature
- DBirth weight
3.Easy
Which anaesthesia is usually used for a planned caesarean birth?
- AInhaled nitrous oxide only
- BPudendal nerve block
- CSpinal anaesthesia
- DLocal infiltration of the perineum
4.Medium
A woman is prescribed low molecular weight heparin after a caesarean. Which teaching is correct?
- AIt must be stopped if she chooses to breastfeed her baby
- BIt is a tablet taken with meals
- CIt is injected under the skin; report unusual bleeding
- DIt is given into the muscle of the thigh
5.Medium
A woman who has had a caesarean asks when she can drive again. Which answer is most accurate?
- AThe same day she is discharged
- BWhen she can brake hard without pain
- CNever before 6 months
- DOnly after her stitches are removed by a doctor
6.Medium
When should an Rh-negative woman with no anti-D antibodies routinely receive antenatal anti-D immunoglobulin?
- AAt about 28 weeks of pregnancy
- BOnly if the baby is known to be Rh-negative
- CAfter she has formed anti-D antibodies
- DOnly at the first antenatal visit
7.Hard
A woman at 20 weeks presents with painless cervical dilation and bulging membranes, without contractions. She lost a previous pregnancy in the same way. What is the likely diagnosis?
- APlacenta praevia
- BPreterm labour caused by infection
- CPlacental abruption
- DCervical insufficiency
8.Hard
Monochorionic twins at 22 weeks show one twin with polyhydramnios and a large bladder and the other with almost no fluid. What condition is suspected?
- AGestational diabetes in one twin
- BTwin-to-twin transfusion syndrome
- CRh isoimmunisation
- DPlacenta praevia
Answer key
- 1. A · The presenting part is at the level of the ischial spines
- 2. A · Muscle tone
- 3. C · Spinal anaesthesia
- 4. C · It is injected under the skin; report unusual bleeding
- 5. B · When she can brake hard without pain
- 6. A · At about 28 weeks of pregnancy
- 7. D · Cervical insufficiency
- 8. B · Twin-to-twin transfusion syndrome
Full step-by-step solutions: practise this topic on examproblems.com.