Abnormal Day 8 Quiz - Midwives Revision

Welcome to your Abnormal Midwifery Day 8 Quiz

20 September 2024

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1. What is the primary distinction between cord presentation and cord prolapse?

A) The umbilical cord is in front of the presenting part of the fetus, and the membranes are ruptured.

B) The umbilical cord is in front of the presenting part of the fetus, but the membranes are intact.

C) The umbilical cord is not in front of the presenting part, but the membranes are ruptured.

D) The umbilical cord is behind the presenting part, and the membranes are intact.

2. Which of the following is a known cause of cord prolapse?

A) High head in a multiparous woman

B) Normal cephalic presentation

C) Term pregnancy with engaged fetal head

D) Adequate maternal pelvis

3. What is the preferred initial management for a woman with cord presentation in the maternity center?

A) Encourage immediate vaginal delivery.

B) Perform an episiotomy.

C) Place the woman in a chest-knee position.

D) Proceed with external cephalic version (ECV).

4. Which type of umbilical cord prolapse is characterized by the cord being visible at the vulva?

A) Occult prolapse

B) Overt prolapse

C) Cord presentation

D) High cord prolapse

5. Which of the following is a risk factor for breech presentation?

A) Normal cephalic presentation at term

B) Uterine abnormalities

C) Cephalic presentation with engaged head

D) Oligohydramnios

6. What is the most common type of breech presentation?

A) Frank breech

B) Complete breech

C) Footling breech

D) Knee presentation

7. Which of the following should be immediately confirmed if a cord prolapse is suspected?

A) Fetal heart rate

B) Cervical dilation

C) Presence of meconium

D) Maternal blood pressure

8. Which of the following is an essential assessment during the first stage of labor in a breech presentation?

A) Determining the type of anesthesia to be used

B) Assessing the fetal size

C) Choosing the method of placental delivery

D) Measuring the mother's hemoglobin level

9. What is the primary reason for encouraging bed rest in a woman with a breech presentation during the first stage of labor?

A) To prevent maternal exhaustion

B) To reduce the risk of uterine rupture

C) To prevent premature rupture of membranes

D) To allow better monitoring of uterine contractions

10. Which of the following is NOT recommended during the delivery of the buttocks in a breech presentation?

A) Performing an episiotomy if necessary

B) Encouraging the mother to push with each contraction

C) Pulling the baby’s legs to speed up delivery

D) Gently drawing down the loop of the umbilical cord

11. What is the purpose of the "hands-off" approach during the delivery of the breech?

A) To prevent tearing of the perineum

B) To avoid injury to the baby

C) To reduce the risk of maternal hemorrhage

D) To speed up the delivery process

12. Which maneuver is specifically used to deliver the head in a breech presentation when the head is extended?

A) Maurice-Mellis Veit Maneuver

B) Lousey Maneuver

C) Burns-Marshall Method

D) McRoberts Maneuver

13. What is the most likely presentation when the baby's forehead is at the pelvic brim?

A) Face presentation

B) Vertex presentation

C) Brow presentation

D) Breech presentation

14. What is the most appropriate management for a confirmed brow presentation during active labor?

A) Allow labor to progress naturally

B) Attempt forceps-assisted vaginal delivery

C) Prepare for Cesarean section

D) Perform external cephalic version

15. In face presentation, which position is most favorable for a successful vaginal delivery?

A) Mento-anterior position

B) Mento-posterior position

C) Left occipito-anterior position

D) Right occipito-posterior position

16. Which of the following can be palpated during a vaginal exam to differentiate face from breech presentation?

A) The anterior fontanelle

B) The chin

C) The buttocks

D) The sacrum

17. What management is most appropriate for transverse lie during labor?

A) Vaginal delivery

B) Forceps-assisted delivery

C) Immediate Cesarean section

D) External version during labor

18. Which of the following is a risk factor for an unstable lie?

A) Contracted pelvis

B) Lax uterine muscles

C) Placenta previa

D) Oligohydramnios

19. Which of the following is true regarding face-to-pubis presentation?

A) Vaginal delivery is impossible

B) It is a variant of brow presentation

C) The chin faces the mother's symphysis pubis

D) It requires immediate Cesarean section

20. During a vaginal examination in labor, a nurse palpates the anterior fontanelle on one side of the pelvis and the orbital ridges. What is the likely presentation?

a) Vertex Presentation

b) Face Presentation

c) Brow Presentation

d) Shoulder Presentation