Quiz 3

Question 1

Husband has haemophilia. Worried about baby inheriting. What is advice?
A) x-linked recessive, both parents need it
B) x linked - sons and daughters will be effectec
C) not part of routine pregnancy screening but can refer to genetic counselling
D) dominant pattern if inheritance - 50% chance of effects

Answer 1

C) not part of routine but can refer

Question 2

During labour you perform an abdominal examination to assess engagement of fetal head inside pelvis. Assessment is 5/5. What does it mean
A)head completely above brim
B) only sinciput is still palpable
C) no longer palpable in abdomen, fully engaged
D) sinciput is prominent and occiput is descending below the brim but still very palpable

Answer 2

A) completely out of pelvic brim

Question 3

According to the NICE intrapartum care guideline, when a woman wishes to have a waterbirth you should:
a. ensure the water temperature is always above 37.5 degrees
b. confirm she is in established labour before water immersion
c. do a set of observations before water immersion
d. monitor the temperature of the woman and the water hourly

Answer 3

D) monitor temperature of water and woman hourly

Question 4

When is the screening for thalassemia offered?
a. Screening is only offered at booking for women with a family origin from an area with high incidence of thalassemia
b. At booking
0. At the newborn blood spot test
d. At booking and with the newborn blood spot test

Answer 4

B) at booking

Question 5

woman has chosen to have epidural analgesia for pain relief in labour. What additional care should you provide to her during labour?

a. Check sensory and motor block every hour
b. Check her pulse every 30 min
c. Listen to fetal heart rate every 5 minutes during 1st stage of labour
d. Check her temperature every hour
Your answer is correct

Answer 5

A) sensory and motor block every hour

Question 6

Up to which gestation can the combined serum screening test be offered?
Select one:

Oa. between 15 and 20 weeks

b. between 10 and 20 weeks

c. Up to 10 weeks

d. Between 10 and 14 weeks

Answer 6

D) CST between 10 and 14 weeks

Question 7

When a midwife describes fetal descend as station -2 (assessed via vaginal examination), which pelvic landmark are they using as reference for this?
Select one:
a. Iliac crest
b. Ischial spines
c. Ischial tuberosity
d. Promontory

Answer 7

B) Ischial spines

Question 8

When a woman is in active labour, how frequently should you record her pulse during the first stage?
Select one:
a. every 5 minutes after the contraction
b. every 15 minutes after the contraction
c. every hour
d. every 4 hours

Answer 8

C) every hour

Question 9

The neonatal and infant physical examination (NIPE) is a screening test offered to detect 4 specific conditions: descended testes, developmental hip dysplasia, cardiac conditions and…
a. Exomphalos
b. Congenital cataract
c. Diaphragmatic hernia
d. Bilateral renal agenesis

Answer 9

B) congenital cataract