Abnormal Day 2 Quiz - Midwives Revision

Welcome to your Abnormal Midwifery Day 2

2 January 2025

Attempt all 25 Questions

1. What is the definition of essential hypertension in pregnancy?

A. Blood pressure raised over 140/90mmHg after 20 weeks of pregnancy

B. Blood pressure raised over 140/90mmHg within the first 20 weeks of pregnancy

C. Blood pressure raised over 160/100mmHg at any point in pregnancy

D. Blood pressure raised over 130/80mmHg during labor

2. Which medication is considered the drug of choice for managing hypertension during pregnancy?

A. Nifedipine

B. Methyldopa

C. Phenytoin

D. Valium

3. What is the recommended management for a pregnant woman with severe hypertension and blood pressure above 150/100 mmHg?

A. Regular antenatal clinic visits

B. Admission to the hospital

C. Home monitoring

D. Increased physical activity

4. What is a common effect of hypertension during labor?

A. Increased risk of postpartum hemorrhage

B. Improved fetal growth

C. Reduced risk of eclampsia

D. Decreased likelihood of maternal complications

5. Why is vitamin K administered to infants born to mothers with essential hypertension?

A. To prevent neonatal hypoxia

B. To enhance fetal growth

C. To prevent neonatal hemorrhage

D. To reduce maternal blood pressure

6. A pregnant woman with essential hypertension is scheduled for labor induction at 38 weeks. Which of the following steps should be included in her labor management plan?

A. Allow the pregnancy to progress to 42 weeks.

B. Monitor BP every 2 hours and fetal heart rate every 30 minutes.

C. Avoid the use of any sedatives.

D. Discontinue all antihypertensive medications during labor.

7. Which type of diabetes is characterized by an autoimmune destruction of the insulin-producing β-cells?

A. Type 1 Diabetes Mellitus

B. Type 2 Diabetes Mellitus

C. Gestational Diabetes Mellitus

D. Secondary Diabetes Mellitus

8. Which of the following is NOT a cardinal clinical feature of diabetes mellitus?

A. Hyperglycemia

B. Glycosuria

C. Polyuria

D. Proteinuria

9. Which complication is NOT usually associated with diabetes mellitus in pregnancy?

A. Macrosomia

B. Congenital Malformations

C. Preterm Labor

D. Placenta Previa

10. What is the role of insulin in glucose metabolism?

A. It increases blood glucose levels

B. It helps incorporate glucose into cells for metabolism

C. It converts glucose to fat

D. It stimulates the liver to produce more glucose

11. A 28-year-old pregnant woman at 24 weeks gestation is diagnosed with gestational diabetes mellitus (GDM). She has been prescribed insulin therapy to manage her blood glucose levels. What should the midwife educate the patient about regarding insulin administration?

A. Insulin can be taken orally with meals.

B. Insulin should be injected subcutaneously before meals.

C. Insulin injections can be skipped if the blood sugar is normal.

D. Insulin should only be used if blood sugar levels exceed 200 mg/dl.

12. A woman with gestational diabetes at 32 weeks gestation experiences frequent urination, increased thirst, and blurred vision. What is the most likely explanation for her symptoms?

A. She is experiencing normal pregnancy changes.

B. Her blood sugar levels are poorly controlled.

C. She is not drinking enough water.

D. Her blood pressure is too low.

13. What is the primary risk of asthma flare-ups during pregnancy?

A. Increased risk of placental abruption

B. Decreased oxygen reaching the baby

C. Higher likelihood of gestational diabetes

D. Increased maternal blood pressure

14. Which hormone is responsible for tissue edema and capillary congestion in pregnancy that affects asthma?

A. Progesterone

B. Estrogen

C. Cortisol

D. Prostaglandin E2

15. Which of the following is a non-pharmacological management strategy for asthma during pregnancy?

A. Avoidance of triggers

B. Increased sodium intake

C. Daily use of short-acting beta-agonists

D. Immediate use of systemic corticosteroids

16. Which type of seizure is characterized by a sudden loss of muscle tone and falls in epilepsy?

A. Tonic-Clonic Seizures

B. Absence Seizures

C. Myoclonic Seizures

D. Atonic Seizures

17. What is the recommended management for a pregnant woman experiencing an acute asthma attack?

A. Administer bronchodilators and admit her in a supine position

B. Reassure her and monitor her at home

C. Administer oxygen and bronchodilators, and admit her in an upright position

D. Administer corticosteroids only

18. Which medication should be avoided during labor in pregnant women with asthma due to its bronchoconstrictor effects?

A. Oxytocin

B. Fentanyl

C. Ergometrine

D. Ketamine

19. A pregnant woman with epilepsy is at 36 weeks gestation and has been seizure-free throughout her pregnancy. She is concerned about labor and delivery. What advice should the midwife give her?

A. Discontinue all antiepileptic medications before labor

B. Plan for a cesarean section regardless of seizure control

C. Continue antiepileptic medications

D. Avoid discussing seizure risks to prevent anxiety

20. A pregnant woman with a history of asthma and epilepsy presents with a seizure at 32 weeks gestation. After ensuring her safety, what is the next priority intervention?

A. Administer IV benzodiazepines for seizure control

B. Monitor her vital signs without intervention

C. Wait for the seizure to stop on its own

D. Discharge her with a follow-up appointment