Y2 formative 4

Question 1

Which vessel carries oxygenated blood from the placenta to the fetus?

Answer 1

The umbilical vein

Question 2

Which is correct:

a. Fetal Hb has the same concentration as an adult but lower affinity to oxygen
b. The fetus has a higher concentration of Hb than an adult
c. The fetus has a lower concentration of Hb than an adult.

Answer 2

b. The fetus has a higher concentration of Hb than an adult

Question 3

Which is correct:

a. Carbon dioxide is used to produce energy
b. In fetal tissues, oxygen binds to glucose to produce carbon dioxide
c. Oxygen is used in the metabolism of glucose to produce energy

Answer 3

c. Oxygen is used in the metabolism of glucose to produce energy

Question 4

Mum is on all fours, you’re behind and the breech baby is birthed to the fetal nipples, you can see the cord and feet are pointing toward you. In what position is baby?

Answer 4

Sacro anterior

Question 5

How long should it take from the breech presentation being visible at introitus until the baby is birthed?

Answer 5

7 mins

Question 6

The golden rule for a breech birth is that baby needs to rotate into:

Answer 6

Sacroanterior

Question 7

You see skin visible at the fetal sternum, the sternal crease. According to the breech algorithm, what does this indicate?

Answer 7

The arms are engaged jsut under the perineum, ready to be born.

Question 8

Baby is lying breech presentation with legs up, feet alongside ears. What type of breech is it?

Answer 8

Frank breech

Question 9

Frank breech position is..

Answer 9

the most common, over 70% and the most optimal

Question 10

A tear involving the skin layer and muscles of the perineum is a:

Answer 10

second degree tear

Question 11

Zidovudine is a drug used to prevent vertical transmission of..

Answer 11

HIV

Question 12

What do WHO recommend for women with mastitis whoa re not allergic to penicillin?

Answer 12

WHO recommend 500 mg of Flucloxacillin QID for women with mastitis who are NOT allergic to penicillin

Question 13

You visit Kirsty and baby Euan on day 3 PN. His tool is black and sticky, is this a reassuring sign for a baby on day 3?

Answer 13

No.

Question 14

The BAPM guidelines state that a blood sugar over 2 mmol/L is acceptable and when caring for a baby that is of risk of hypoglycemia, the target is for 3 consecutive blood sugars over this value, true or false?

Answer 14

true

(though I thought it was 2,7 ??)

Question 15

in TORCH, the H stands for?

Answer 15

Herpes

• Toxoplasma gondii
• Other (Parvovirus/Listeriosis/syphilis)
• Rubella
• Cytomegalovirus
• Herpes