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Pulse rate
Glasgow coma score
Blood pressure
A cardiotocograph shows type 1 variable decelerations. What is the cause of this
feature?
Umbilical cord compression
Placental insufficiency
Fetal movements
Fetal hypoxia
Fetal head compression
Vaginal tear
Uterine atony
Retained placenta tissue
Coagulopathy
Cervical trauma
Whilst you are attending to a patient in the antenatal ward, the patient collapses
and becomes unresponsive. You open their airway but they are not breathing.
What should you do next?
Left lateral tilt
Give a precordial thump
Get help
Endometrial polyp
Endometrial hyperplasia
Leiomyoma
A nulliparous woman presents with spontaneous rupture of membranes at 41
weeks of gestation. At 18:00h, her cervical dilatation is 3 cm. A further vaginal
examination at 22:00h reveals that her cervical dilatation is still 3 cm. At 02:10h,
the fetus is in the occipitoposterior position and uterine activity is present. What
is the most appropriate action?
compromised.
Placental abruption
Scar dehiscence
Scar rupture
Tetanic uterine contractions
Uterine atony
A 28-year-old primiparous woman is induced at 39+2 for raised BP and
proteinuria. She progresses well to full dilatation, but after pushing for 2 hours
there is no vertex visible. On examination, the head is felt to be OA, at +1 station.
A decision is made for an instrumental delivery, and the baby is delivered via
assisted vaginal delivery in theatre. For a ventouse delivery to be successful, the
ventouse cup needs to be applied to the flexion point of the fetal head. Which of
the following statements best describes the location of the flexion point?
after delivery, you examine the perineum. Your episiotomy has extended, and the
tear involves approximately 60% of the external anal sphincter. The internal anal
sphincter and anal mucosa are intact. How would you classify this perineal
trauma?
Second degree tear
3a degree tear
3b degree tear
3c degree tear
Fourth degree tear
Delivery is indicated
Reassure the patient
Repeat FBS after 1 hour
Repeat FBS if fetal heart rate abnormality persists
Repeat FBS within 30 minutes
A 75-year-old woman presents with increased weight, loss of hair and a dislike of
cold weather. She was noted to have a high prolactin and normal electrolytes.
She is otherwise fit and well. What is the likely cause of the high prolactin?
Antiemetic use
Hypothyroidism
Neuroleptic use
Prolactinoma
Renal failure