1.Easy
How many vessels does a normal umbilical cord contain?
- ATwo arteries and two veins
- BTwo arteries and one vein
- COne artery and two veins
- DOne artery and one vein
2.Easy
What is the main purpose of an ultrasound scan in the first trimester?
- ATo diagnose gestational diabetes
- BTo date the pregnancy and count fetuses
- CTo find out the baby's blood group
- DTo measure fetal lung maturity
3.Easy
Which drug class is used to ripen an unfavourable cervix before induction?
- ACorticosteroids
- BTocolytics
- CProstaglandins
- DBeta blockers
4.Medium
Carboprost, a prostaglandin used for postpartum haemorrhage, should be avoided in women with:
- AA previous caesarean birth
- BHypertension
- CEpilepsy
- DAsthma
5.Medium
Why must the fetal heart rate be monitored before and after external cephalic version?
- AIt is needed only to record the baby's position for billing
- BIt is used to diagnose gestational diabetes
- CThe procedure can cause cord compression or abruption
- DIt confirms the baby's sex
6.Medium
A woman at 18 weeks asks about safe exercise. Which advice is correct?
- AContact sports and scuba diving are safe if she did them before
- BModerate exercise like walking or swimming is encouraged
- CExercise should be stopped completely during pregnancy
- DExercise lying flat on her back is best after 20 weeks
7.Hard
A woman who had a placenta praevia and two previous caesareans is scheduled for a caesarean. The team plans for possible hysterectomy and blood products. Why?
- AShe is at high risk of a post-term birth
- BShe is at high risk of placenta accreta spectrum
- CShe is at high risk of pre-eclampsia only
- DShe is at high risk of gestational diabetes
8.Hard
A woman has been breastfeeding for 3 weeks. Her baby has gained little weight, feeds briefly and falls asleep at the breast. What is the most appropriate first action?
- AAdvise her to stop breastfeeding and use formula only
- BObserve a full feed to assess latch and milk transfer
- CTell her to feed only every 6 hours to build hunger
- DReassure her that slow weight gain is normal
Answer key
- 1. B · Two arteries and one vein
- 2. B · To date the pregnancy and count fetuses
- 3. C · Prostaglandins
- 4. D · Asthma
- 5. C · The procedure can cause cord compression or abruption
- 6. B · Moderate exercise like walking or swimming is encouraged
- 7. B · She is at high risk of placenta accreta spectrum
- 8. B · Observe a full feed to assess latch and milk transfer
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