Obs q's I get wrong

Question 1

How is placental abruption managed <36 wks

Answer 1

-> Fetal distress : immediate c section
-> No distress : observe, steroids, no tocolysis

Question 2

How placental abruption managed at >36 wks

Answer 2

-> Fetal distress : immediate c section
-> No fetal distress : vaginal delivery

Question 3

Layers cut through to reach fetus

Answer 3

Superficial fascia
Deep fascia
Anterior rectus sheath
Rectus abdominis muscle (not cut, rather pushed laterally following incision of the linea alba)
Transversalis fascia
Extraperitoneal connective tissue
Peritoneum
Uterus

Question 4

If after 28/40 wks a woman reports reduced fetal movements with no heart beat what should be offered

Answer 4

USS

Question 5

What is the management of GBS detected in pregnancy

Answer 5

• Intrapartum IV benzylpenicillin only

Question 6

What are fetal moements felt

Answer 6

18-20 wks

Question 7

At what gestation would a referral to the maternal fetal medicine unit for lack of fetal movements be done

Answer 7

24 wks

Question 8

What are the cut of Hb levels for oral iron treatment with anaemia in pregnancy

Answer 8

1st trimester : 110
2nd/3rd trimester : 105
Postpartum : 100

Question 9

what is the plan for delivery in someone with obstetric cholestasis

Answer 9

-> Induction of labour at 37-38 wks