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8. According to Friedmann, the normal rate of active-phase labor in a multipara is:
Anonymous Quiz
10%
a 1cm/hr.
0%
b 1.2cm/hr.
0%
d. 2cm/hr.
86%
1.5cm/hr.
3%
e 3cm/hr
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9. Station 0 describes the relationship between which of the following:
Anonymous Quiz
0%
a BPD and the pelvic outlet
33%
b. BPD and the ischial spines.
15%
C The lowermost portion of the presenting fetal part and the pelvic inlet.
52%
d The lowermost portion of the presenting fetal part and the ischial spines.
0%
e When the head is seen at the vulval ring.
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10. The following about the importance of the level of the ischial spine is true, EXCEPT:
Anonymous Quiz
12%
a It is the level of the levator Ani.
60%
b The internal os of the cervix lie at this level.
8%
c. The obstetric axis changes its direction at this level.
12%
d. The head is considered engaged if the vault is felt at or below this level.
8%
e Forceps should not be applied when the fetal head is above that level.
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11. The interspinous diameter of a normal pelvis should be at least:
Anonymous Quiz
0%
a. 5.5 cm.
10%
b. 8.5 cm.
55%
C. 10.5 cm.
17%
d. 11.5 cm.
17%
e. 12.5 cm.
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12. The head can be compressed as sutures allow the bones to come together and even
Anonymous Quiz
7%
overlap:
0%
a Retention.
11%
b. Caput.
0%
c Distension
79%
d Moulding
4%
e Detention.
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13. All the following are causes of non-engagement in the last 4 weeks in PG EXCEPT:
Anonymous Quiz
4%
Contracted pelvis.
11%
b. Pelvic tumors.
78%
Previous CS scar
7%
d. Polydramnios.
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14. A partogram is used for assessment of:
Anonymous Quiz
6%
a. Maternal wellbeing.
22%
b. Fetal wellbeing during labor.
0%
c. Fetal condition after delivery.
0%
d. Placental insufficiency.
72%
e Progress of labor
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15. A sure evidence of onset of labor is:
Anonymous Quiz
0%
a. Pelvic heaviness.
13%
b. Expulsion of mucus streaked with blood.
5%
Reflex bearing down.
21%
d. Head engagement.
61%
e. Progressive cervical dilatation
What is the most common cause of pathological anemia during pregnancy?
Anonymous Quiz
7%
Folic acid deficiency
7%
Vitamin B12 deficiency
0%
Aplastic anemia
86%
Iron deficiency
0%
Hemolysis
Which of the following is characteristic for cervical incompetence?
Anonymous Quiz
9%
Early 1 trimester abortion
9%
Fetal congenital anomalies
0%
Associated with cervical erosion.
9%
Associated with polyhydramnios.
73%
Short cervical length (less than 2.5 cm).
Which of the followings favors long internal rotation of fetal occiput in occipito-posterior malposition?
Anonymous Quiz
11%
Contracted pelvis.
0%
Early rupture of membranes.
33%
Strong uterine contractions.
22%
Fetal macrosomia
33%
Persistent deflexion,
In assisted breech delivery:
Anonymous Quiz
0%
Traction on fetal trunk should be done to assist fetal head delivery.
22%
Prague maneuver is routinely used to deliver the after- coming head
67%
Fetal back should be kept anterior.
11%
Once fetal neck appears under symphysis pubis, fetal body should be lifted towards mother's abdomen.
0%
Episiotomy should not be done as the buttocks are soft.
During an antenatal checkup of a 12 weeks pregnant primigravida, a living fetus with a crown rump length (CRL) corresponding to the menstrual age is detected with nuchal translucency thickness of 6 mm. How can you interpret these data?
Anonymous Quiz
0%
Normal finding.
89%
Down syndrome is suspected.
11%
Turner syndrome is suspected.
0%
Fetal hydrocephalus is suspected
0%
Fetal hydrops is suspected.
A 35-year-old, multipara with previous 3 cesarean sections, 32 weeks pregnant, presents to outpatient clinic for routine antenatal care. Ultrasound reveals low lying anterior wall placenta. How can you counsel this case?
Anonymous Quiz
22%
This is insignificant as she will deliver by cesarean section.
0%
Placental insufficiency is highly expected.
0%
Immediate termination should be considered.
0%
Placenta usually migrates up.
78%
High risk of placenta accreta and hysterectomy.
The major cause of the perinatal morbidity and mortality among twin pregnancies is:
Anonymous Quiz
0%
Gestational diabetes.
22%
Chorioamnionitis
22%
Malpresentations
44%
Preterm delivery
11%
Congenital anomalies
The following is considered an alarming sign during labor:
Anonymous Quiz
25%
Escape of a thick mucus plug streaked with blood in early labor.
0%
Passage of meconium after rupture of membranes in breech presentation.
0%
Duration of the 2nd stage of labor is 2 hours in primigravidas.
13%
Early decelerations on CTG during the second stage of labor.
63%
Receding up of the presenting part in a case of trial of labor after cesarean section.
A 30-year-old Pl was delivered with ventouse after prolonged 2nd stage. The baby shows a large well-defined swelling over the parietal bone with clear margins. Most likely diagnosis:
Anonymous Quiz
63%
Caput succedaneum
25%
Cephalhematoma
0%
Fracture skull
13%
Subdural hemorrhage
0%
Subarachnoid hemorrhage
A full term pregnant, obese, P5, presents to ER late in labor with a fully dilated cervix and involuntary bearing down. Head was delivered spontaneously but arrest of shoulder delivery occurred. Best management of this condition is:
Anonymous Quiz
0%
Immediate cesarean section
13%
Forcible traction on fetal head.
25%
Fundal pressure
63%
Introduce your hand vaginally to bring down the posterior arm.
0%
Cover the head with warm towel and wait for spontaneous expulsion.
The followings are known complications of episiotomy EXCEPT:
Anonymous Quiz
0%
Infection
11%
Dyspareunia
11%
Hematoma formation.
78%
Laceration of the cervix.
0%
Increased blood loss during labor.
A primigravida(PG) undergoes induction of labor with amniotomy followed by oxytocin at 41 weeks. Three hours later, she is getting 6 contractions/10 min, fetal heart rate (FHR) drops to 100/ min. First step in management is:
Anonymous Quiz
14%
Continue observation
29%
Change the position of the mother
0%
Give antibiotics.
0%
Give ergometrine IM
57%
Stop the oxytocin infusion