Obs

Question 1

What does RCOG define as RFM?

Answer 1

Less 10 movements within 2 hours (inpregnancies past 28 weeks gestation)

Question 2

What medication is useful in umbilical cord prolapse?

Answer 2

Tocolytics - these reduce uterine contractions

Question 3

Give an example of a tocolytic given in umbilical cord prolapse

Answer 3

Terbutaline

Question 4

What are vaginal prostaglandins useful for in labour?

Answer 4

Induce labour

Question 5

What is the recurrence rate of postnatal psychocsis?

Answer 5

25-50%

Question 6

First line for premature rupture of membranes?

Answer 6

Careful speculum to look for pooling of amniotic fluid in posterior vaginal vault

Question 7

When are steroids helpful?

Answer 7

Before 36 weeks

Question 8

Hep B and HIV breast feeding?

Answer 8

-Hep B cannot be transmitted via breastfeeding
-HIV can be transmitted via breastfeeding

Question 9

Risk factors pre-eclampsia?

Answer 9

-Aged 40 years or older
-Nulliparity
-Pregnancy interval >10 years
-Previous history preeclampsia
-BMI 30
-Pre-existing vascular disease
-Pre-existing renal disease
-Multiple pregnancy

Question 10

what steriod is used in preterm rupture of membranes?

Answer 10

Dexamethasone

Question 11

Venous thromboembolism in pregnancy risk factors?

Answer 11

-Age >35
-BMI>30
-Parity >3
-Smoker
-Gross varicose veins
-Pre-eclampsia
-Immobility
-Family history of unprovoked VTE
-Low risk thrombophilia
-Multiple pregnancy
-IVF pregnancy

Question 12

Management women with previous VTE history?

Answer 12

Start LWMH until 6 weeks post natal

Question 13

Women with 4 VTE risk factors?

Answer 13

Start LWMH until 6 weeks post natal

Question 14

women with 3 VTE risk factors?

Answer 14

Start LWMH 28 weeks until 6 weeks post natal

Question 15

DOAC and warfarin in pregnancy?

Answer 15

AVOID

Question 16

Diagnosis of DVT shortly before delivery?

Answer 16

anticoagulation for at least 3 months

Question 17

Time of diagnosis gestational diabtes >7mmol/l ?

Answer 17

Start insulin

Question 18

If plasma fglucose level between 6-6.9 mmol/l and there is eveidence of complicatiosn suhc as macrosomia or hydramnios how should you manage?

Answer 18

Offer insulin

Question 19

What is downs syndrome siggested by?

Answer 19

-Increase HCG, decrease PAPPA-A and thickend nuchal translucency

Question 20

1st stage of labour

Answer 20

-Latent phase- 0-3 cm
-Active phase - 3-10cm

Question 21

when should Cat 2 C section occur?

Answer 21

wihtin 75 minutes

Question 22

Why must aspirin be avoided in breastfeeding?

Answer 22

Aspirin can cause Reyes syndrome

Question 23

Initial booking visit midwife?

Answer 23

8-12 weeks

Question 24

external cephalic version if baby breech ?

Answer 24

36 weeks

Question 25

Down syndrome where nuchal scannign is available?

Answer 25

11-13+6 weeks