Abnormal Day 6 Quiz - Midwives Revision

Welcome to your Abnormal Midwifery Day 6 Quiz

14 March 2025

Attempt all 25 Questions

1. What is the definition of antepartum haemorrhage?

A. Bleeding from the genital tract after 28 weeks of pregnancy but before the birth of the baby.

B. Bleeding from the genital tract after 20 weeks of pregnancy but before the birth of the baby.

C. Bleeding during the first trimester of pregnancy.

D. Bleeding during the third stage of labor.

2. What is the most common cause of antepartum haemorrhage?

A. Cervical polyp

B. Placenta previa

C. Varicose vein

D. Trauma

3. Which of the following is NOT a characteristic symptom of placenta previa?

A. Painless bleeding

B. Recurrent bleeding

C. Bleeding associated with physical activity

D. Sudden onset

4. Which of the following should be avoided during the management of placenta previa outside the operating room?

A. Abdominal examination

B. Ultrasonography

C. Vaginal examination

D. Color Doppler flow study

5. What is a key feature differentiating bleeding due to placenta previa from abruptio placentae?

A. Presence of pain

B. Volume of bleeding

C. Timing of onset

D. Association with hypertension

6. What is the primary management approach for a stable patient with diagnosed placenta previa before 36 weeks of gestation?

A. Immediate cesarean delivery

B. Bed rest and close monitoring

C. Induction of labor

D. Emergency hysterectomy

7. What is Abruptio Placentae?

A. Premature separation of the placenta.

B. Normal separation of the placenta after birth.

C. Placenta covering the cervix.

D. Infection of the placenta.

8. Which type of abruptio placentae is most common?

A. Revealed

B. Concealed

C. Mixed

D. Marginal

9. Which uterine factor can lead to abruptio placentae?

A. High fetal birth weight

B. Uterine septum or submucous fibroids

C. Maternal hyperglycemia

D. Advanced paternal age

10. What is the most common cause of fetal death in cases of abruptio placentae?

A. Fetal anemia

B. Prematurity and anoxia

C. Fetal infection

D. Genetic abnormalities

11. Which of the following is an emergency measure for managing abruptio placentae in a hospital?

A. Immediate discharge

B. Oral hydration

C. Fluid resuscitation with a wide-bore cannula

D. Administering sedatives

12. What is a distinguishing feature of concealed abruptio placentae?

A. Visible external bleeding

B. Blood collects behind the placenta

C. Continuous labor pains

D. Bright red blood

13. Which of the following is a diagnostic criterion for preeclampsia?

A) Blood pressure ≥ 140/90 mmHg without proteinuria

B) Proteinuria with blood pressure < 140/90 mmHg

C) Blood pressure ≥ 140/90 mmHg with proteinuria after 20 weeks of pregnancy

D) Blood pressure ≥ 160/110 mmHg without proteinuria

14. What is considered significant proteinuria in a 24-hour urine sample?

A) ≥ 0.1 g

B) ≥ 0.3 g

C) ≥ 1.0 g

D) ≥ 5.0 g

15. Which type of edema is used to diagnose preeclampsia?

A) Physiological edema

B) Pitting edema after 12 hours of bed rest

C) Generalized edema unrelated to bed rest

D) Edema present before the 20th week of pregnancy

16. What is the role of magnesium sulfate in the management of preeclampsia?

A) To lower blood pressure

B) To prevent seizures

C) To manage edema

D) To increase urine output

17. Which of the following is a common complication of eclampsia?

A) Liver rupture

B) Acute renal failure

C) Pneumonia

D) Multiple sclerosis

18. What is the most definitive treatment for eclampsia?

A) Administration of magnesium sulfate

B) Continuous blood pressure monitoring

C) Delivery of the baby

D) Bed rest and hydration

19. What is the purpose of administering corticosteroids in preeclampsia?

A) To control blood pressure

B) To improve fetal lung maturity

C) To manage proteinuria

D) To reduce edema

20. What is the recommended treatment for persistent seizures in eclampsia if magnesium sulfate is not effective?

A) Sodium bicarbonate

B) Calcium gluconate

C) Midazolam

D) Ceftriaxone

21. Which stage of an eclamptic fit is characterized by rigid body spasm, cessation of breathing, and cyanosis?

22. What is the typical loading dose of magnesium sulfate in eclampsia is .............g?

23. What antidote should be administered if a patient shows signs of magnesium sulfate toxicity, such as respiratory depression or absent patellar reflexes?

24. The type of placenta previa that covers the internal os completely, even when fully dilated is ....................placenta previa.

25. Free mark?

Yes

Nah