Y2 formative 3

Question 1

The doctor has ordered the antibiotic cidomycin 5.5mg/kg/day IV for mrs Lee, she weighs 82 kg, how many mg of cidomycin will she receive in 24hrs?

Answer 1

451 mg

Question 2

A patient with hypertension requires 600 mg PO in 3 divided doses. Only 50 mg tablets are left in stock, how many tablets will you give for each dose?

Answer 2

4 tablets

Question 3

An unwell PN woman is being infused with 1 litre of Hartmanns’s solution via a pump at 250 mL/hr. What volume of fluid will be left in the bag after 1,5 hrs?

Answer 3

626 mls.

Question 4

A 125 mL bag of 0.9% Normal Saline needs to be infused over 30 mins via pump for Miss Patel. at what rate in mL/hr will you set the pump.

Answer 4

250 mls/hr

Question 5

Sara has been prescribed 750mg of cefuroxime. 250mg vials of cefuroxime powder are in stock and each vial needs to be reconstituted with 3 mLs of water. What is the final concentration of cefuroxime in mg/mL to 1 decimal?

Answer 5

83.3 mg/mL.

Question 6

Is it true that the intrapartum care for an unplanned breech is different from a planned breech?

Answer 6

No.

Question 7

Passive descent of the head through the pelvis occurs by allowing the baby to hang unsupported, true or false?

Answer 7

True

Question 8

The Lovsetts manoeuvre is used to deliver the the aftercoming head of a breech, true of false?

Answer 8

False, it is rotation of the trunk to deliver arms and shoulders.

Question 9

If a breech is first diagnosed when the presenting part is visible, then seek immediate assistance from the most experienced clinician, true or false?

Answer 9

True

Question 10

Cephalohematoma…

a. Resolves within the first wee
b. Is contained within suture lines
c. Only occurs on one side
d. Can cross suture lines

Answer 10

b. Is contained within suture lines

Question 11

PROM is..

a. Associated with neonatal infection
b. Only relevant if the baby is preterm
c. Not relevant to the routine examination of the new born

Answer 11

a. Associated with neonatal infection

Question 12

Single palmar creases are…

a. Always indicative of abnormality
b. Associated with Turners syndrome
c. Associated with Down’s syndrome

Answer 12

c. Associated with Down’s syndrome

Question 13

A baby reported by mother to be sleepy and needs waking up for every feed…

a. All of them
b. Could be normal
c. Could be influenced by maternal drugs
d. Could have infection

Answer 13

a. All of them

Question 14

Erythema toxicum…

a. Only occurs on the face
b. Can comprise pustules and macules
c. Only occurs at 2 weeks of age
d. Is indicative of underlying infection

Answer 14

b. Can comprise pustules and macules

Question 15

What are the normal limits for a babys head circumference?

Answer 15

32-37 cm

Question 16

Suspected developmental dysplasia of the hips can be confirmed by?

a. Measuring and comparing the leg lengths
b. Ultrasound scan
c. Observing the folds in the buttocks
d. Checking family history

Answer 16

b. Ultrasound scan

Question 17

Which of the following cross the placenta and affect the fetus?

a. cytomegalovirus
b. carbon monoxide
c. all of these
d. caffeine

Answer 17

c. all of these

Question 18

Consequences of pelvic floor damage include…

a. faecal/urinary incontinence
b. chronic pelvic pain
c. all of these
d. Orgasmic dysfunction

Answer 18

c. all of these

Question 19

A third degree tear affects the same structures as a second degree tear but also involves the external sphincter complex and epithelium, true or false?

Answer 19

False, the tear goes through the external sphincter but not the epithelium, that would be a fourth degree tear.

Question 20

If you suspect a tear involves the urethra, what would you do?

a. Ask the charge midwife to suture while you watch to increase your learning.
b. refer to a medical team
c. Ensure good visualisation and suture carefully with adequate analgesia.

Answer 20

b. refer to a medical team

Question 21

The OASI care bundle is hotly debated, it recommends…

a. Episiotomy, at 60 degrees when crowning if indicated.
b. all of these
c. The use of manual perineal protection at all births
d. A perineal examination, including a per rectum examination, carried out following all vaginal births.

Answer 21

b. all of these

Question 22

Immediately after a perineal repair a non-steroidal PR suppository is given to all women, true or false?

Answer 22

False