Midwifery National Exam Practice MCQ's -2
Questions With Correct Answers
What you explain to women about GBS screening... - CORRECT ANSWER✔✔-
| | | | | | | | | |
Transient micro-organism found in the vagina and bowel.
| | | | | | | |
Screening is RISK BASED approach... | | | |
o previous GBS-affected infant
| | |
o GBS bacteruria this pregnancy
| | | |
o preterm (< 37 weeks) labour and imminent birth
| | | | | | | |
o intrapartum fever > 380C
| | | |
o membrane rupture > 18 hrs.
| | | | |
Via HVS/rectal/MSU ?36/40
| |
Early-onset neonatal Group B Streptococcus (GBS) infection is the leading cause
| | | | | | | | | | |
of infectious disease in the newborn.
| | | | |
What details you must discuss with women with GBS risk factors... - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-- risks & treatment | | |
- involvement of AB's
| | |
- any Hx of penicillin allergy
| | | | |
,GBS cases - management... - CORRECT ANSWER✔✔-• All newborn babies
| | | | | | | | | |
showing signs of sepsis should undergo immediate referral and assessment from
| | | | | | | | | | |
a paediatrician. This will include a full blood count and blood cultures. While
| | | | | | | | | | | | |
waiting for culture results antibiotic therapy is recommended for at least 48-
| | | | | | | | | | |
hours.
• suspected chorioamnionitis - immediate assessment and referral to a
| | | | | | | | | |
paediatrician. Antibiotic therapy is recommended for babies showing signs of
| | | | | | | | | |
sepsis.
• Healthy-appearing babies born at > 35-weeks gestation to women with GBS risk
| | | | | | | | | | | |
factors and who have received appropriate antibiotics > 4-hours before birth
| | | | | | | | | | | |
require no investigations or treatment, but should be observed closely for at least
| | | | | | | | | | | |
24 hours post-partum. This includes close observation at home.
| | | | | | | | |
• Well-appearing babies born at > 35-weeks gestation to women with GBS risks
| | | | | | | | | | | | |
factors who have received either no or inadequate (< 4-hours) antibiotics during
| | | | | | | | | | | |
labour should be observed closely for at least 24-hours. It is recommended that
| | | | | | | | | | | | |
this be in hospital and that referral may be considered.
| | | | | | | | |
• Well-appearing babies born at < 35-week gestation to women without
| | | | | | | | | | |
chorioamnionitis, who have not received antibiotics > 4 hours before birth need
| | | | | | | | | | | |
close observation for at least 48-hours. It is recommended that this be in hospital
| | | | | | | | | | | | | |
and that referral may be considered.
| | | | |
placenta previa - CORRECT ANSWER✔✔-• bleeding from an abnormally located
| | | | | | | | | |
placenta
,Which of the following are associated with placenta previa?
| | | | | | | |
1. Prev C/S
| |
2. Prev uterine curettage
| | |
3. Primips
|
4. Anaemia
|
5. Male fetus
| |
6. Congentital abnormality
| |
a. 1 and 3
| | |
b. 2, 4, 5
| | |
c. 1, 2, 4, 5, 6
| | | | |
d. all of the above - CORRECT ANSWER✔✔-c. 1, 2, 4, 5, 6
| | | | | | | | | | | |
- Prev C/S
| |
- Prev placenta curettage
| | | |
- abortion
|
- Endometriosis
|
- Multiparty
| |
- Age
|
-Anaemia
, - Smoking (enlarged placenta)
| | |
- Multiple preg
| |
- congentital abnorm
| |
- MALE fetus
| |
- placental abnormality: Biparietal
| | |
What is the best practice if placenta previa/vasa previa is diagnosed at or beyond
| | | | | | | | | | | | | |
32/40?
a. Consultation
|
b. USS at 36/40
| | |
c. Transfer of care
| | |
d. USS in 2 weeks time - CORRECT ANSWER✔✔-c. Transfer of care
| | | | | | | | | | |
Realistically..
can compromise shared care
| | |
What should be your management plan if after a USS you find EFW < 10th
| | | | | | | | | | | | | | |
percentile on customised growth chart, or abdominal circumference (AC) < 5th
| | | | | | | | | |
percentile on ultrasound, or discordancy
| | | |
of AC with other growth parameters with
| | | | | | |
normal liquor and normal umbilical doppler?
| | | | |
Questions With Correct Answers
What you explain to women about GBS screening... - CORRECT ANSWER✔✔-
| | | | | | | | | |
Transient micro-organism found in the vagina and bowel.
| | | | | | | |
Screening is RISK BASED approach... | | | |
o previous GBS-affected infant
| | |
o GBS bacteruria this pregnancy
| | | |
o preterm (< 37 weeks) labour and imminent birth
| | | | | | | |
o intrapartum fever > 380C
| | | |
o membrane rupture > 18 hrs.
| | | | |
Via HVS/rectal/MSU ?36/40
| |
Early-onset neonatal Group B Streptococcus (GBS) infection is the leading cause
| | | | | | | | | | |
of infectious disease in the newborn.
| | | | |
What details you must discuss with women with GBS risk factors... - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-- risks & treatment | | |
- involvement of AB's
| | |
- any Hx of penicillin allergy
| | | | |
,GBS cases - management... - CORRECT ANSWER✔✔-• All newborn babies
| | | | | | | | | |
showing signs of sepsis should undergo immediate referral and assessment from
| | | | | | | | | | |
a paediatrician. This will include a full blood count and blood cultures. While
| | | | | | | | | | | | |
waiting for culture results antibiotic therapy is recommended for at least 48-
| | | | | | | | | | |
hours.
• suspected chorioamnionitis - immediate assessment and referral to a
| | | | | | | | | |
paediatrician. Antibiotic therapy is recommended for babies showing signs of
| | | | | | | | | |
sepsis.
• Healthy-appearing babies born at > 35-weeks gestation to women with GBS risk
| | | | | | | | | | | |
factors and who have received appropriate antibiotics > 4-hours before birth
| | | | | | | | | | | |
require no investigations or treatment, but should be observed closely for at least
| | | | | | | | | | | |
24 hours post-partum. This includes close observation at home.
| | | | | | | | |
• Well-appearing babies born at > 35-weeks gestation to women with GBS risks
| | | | | | | | | | | | |
factors who have received either no or inadequate (< 4-hours) antibiotics during
| | | | | | | | | | | |
labour should be observed closely for at least 24-hours. It is recommended that
| | | | | | | | | | | | |
this be in hospital and that referral may be considered.
| | | | | | | | |
• Well-appearing babies born at < 35-week gestation to women without
| | | | | | | | | | |
chorioamnionitis, who have not received antibiotics > 4 hours before birth need
| | | | | | | | | | | |
close observation for at least 48-hours. It is recommended that this be in hospital
| | | | | | | | | | | | | |
and that referral may be considered.
| | | | |
placenta previa - CORRECT ANSWER✔✔-• bleeding from an abnormally located
| | | | | | | | | |
placenta
,Which of the following are associated with placenta previa?
| | | | | | | |
1. Prev C/S
| |
2. Prev uterine curettage
| | |
3. Primips
|
4. Anaemia
|
5. Male fetus
| |
6. Congentital abnormality
| |
a. 1 and 3
| | |
b. 2, 4, 5
| | |
c. 1, 2, 4, 5, 6
| | | | |
d. all of the above - CORRECT ANSWER✔✔-c. 1, 2, 4, 5, 6
| | | | | | | | | | | |
- Prev C/S
| |
- Prev placenta curettage
| | | |
- abortion
|
- Endometriosis
|
- Multiparty
| |
- Age
|
-Anaemia
, - Smoking (enlarged placenta)
| | |
- Multiple preg
| |
- congentital abnorm
| |
- MALE fetus
| |
- placental abnormality: Biparietal
| | |
What is the best practice if placenta previa/vasa previa is diagnosed at or beyond
| | | | | | | | | | | | | |
32/40?
a. Consultation
|
b. USS at 36/40
| | |
c. Transfer of care
| | |
d. USS in 2 weeks time - CORRECT ANSWER✔✔-c. Transfer of care
| | | | | | | | | | |
Realistically..
can compromise shared care
| | |
What should be your management plan if after a USS you find EFW < 10th
| | | | | | | | | | | | | | |
percentile on customised growth chart, or abdominal circumference (AC) < 5th
| | | | | | | | | |
percentile on ultrasound, or discordancy
| | | |
of AC with other growth parameters with
| | | | | | |
normal liquor and normal umbilical doppler?
| | | | |
