Y2 2nd formative

Question 1

When offering CO2 screening in pregnancy for women who smoke, over which level of ppm should they be prompt referred to additional care?

Answer 1

More than 4 ppm

Question 2

consultant led care is recommended for women with a BMI over ??

Answer 2

35

Question 3

To reduce risk of gastric aspiration, ranitidine should be offered to women with

a. asthma
b. BMI over 30
c. Chronic kidney decease
d. beta Thalassemia

Answer 3

b. BMI over 30

Question 4

Out width which increase of weight is there a greater incidence of poor maternal outcomes generally?

Answer 4

7-15 kg

Question 5

Living in poverty does not cause?

a. 2.5x increased risk of chronic illness in children
b. reduced risk of premature birth
c. children at 3x risk of suffering mental health problems
d. increased risk of behavioural, emotional problems and adverse childhood events.

Answer 5

b. reduced risk of premature birth

Question 6

What percentage of women eat 5 portions of fruit and veg every day

a. less than 25%
b. 90%
c. more than 75%
d. 50

Answer 6

a. less than 25%

Question 7

FASD may present with following

a. various birth defects, IUGR, neurodevelopmental problems
b. always facial distortions and attention problems
c. facial distortions, IUGR, neurodevelopmental problems
d. Different neurodevelopmental problems, like irritability, attention deficits and motor delay.

Answer 7

a. various birth defects, IUGR, neurodevelopmental problems

Question 8

What is the most dangerous effect on the fetus of a mother that smokes in pregnancy?

Answer 8

IUGR

Question 9

How do nicotine affect bf in a woman who smokes?

a. delays oxytocin action on the milk ejection reflex
b. inhibits prolactin production for 2 hrs
c. Alter the milk taste causing baby rejecting it
d. increases the amount of CO in bm

Answer 9

b. inhibits prolactin production for 2 hrs

Question 10

What are the 4 main elements in a NIPE that differs from a daily examination?

Answer 10

Hips, heart, eyes, genitals

Question 11

When is the optimal time to perform a NIPE?

Answer 11

6-72 hrs

Question 12

Which manoeuvre is dine first, Barlow or Ortilani?

Answer 12

Barlow, it dislocstes the hip and Ortalini relocates the dislocation.

Question 13

What are the three main symptoms of Chlamydia?

Answer 13

Pain, discharge and irregular bleeding.

Question 14

What percentage of women with chlamydia will be asymptomatic?

Answer 14

50%

Question 15

Which medication may be prescribed during pregnancy for women with active herpes?

Answer 15

Acyclovir

Question 16

Which of the following preexixting conditions can cause low milk supply?

a. Hypothyroidism
b. chronic kidney decease
c. marfans syndrome
d. cystic fibrosis

Answer 16

a. Hypothyroidism

Question 17

A woman presents with mastitis, which of the following would you recommend her to do?

a. check positioning and attachment
b. avoid feeding from the affected side
c. firm massage
d. Use cold compress continuously until it resolves
e. prescribe analgesia and or anti inflammatory if needed
f. dangle feeding
g. hand express to get milk flowing and aid attachment
h. prescribe antibiotics within 24 hrs if self help does not help
i. feed from affected side

Answer 17

a, e, f, g, i

Question 18

Which of the following is not a sign of effective attachment?

a. chin indenting breast
b. mouth wide open
c. cheeks rounded
d. symmetrical latch
e. pain free for mum

Answer 18

d. symmetrical latch

Question 19

A baby with obvious tongue tie a frenulotomy is always recommended?

Answer 19

No