Abnormal Midwifery Day 1 Quiz - Midwives Revision

Welcome to your Abnormal Midwifery Day 1

8 March 2025

Attempt all 25 Questions

1. What is the definition of anemia in pregnancy?

A) Haemoglobin concentration below 13 g/dL

B) Haemoglobin concentration below 11 g/dL

C) Haemoglobin concentration below 9 g/dL

D) Haemoglobin concentration below 7 g/dL

2. A midwife is counseling a pregnant woman with a history of anemia about the importance of early antenatal care. What key point should be emphasized to prevent anemia during pregnancy?

A) Avoiding all physical activities

B) Taking prescribed iron supplements regularly

C) Reducing protein intake

D) Limiting visits to the healthcare provider

3. Which condition is associated with repeated hemodilution during pregnancy?

A) Hyperemesis gravidarum

B) Multiple pregnancies

C) Preeclampsia

D) Frequent childbearing

4. What is a potential medical cause of anemia in pregnancy?

A) Excessive exercise

B) Hookworm infestation

C) High protein diet

D) Frequent urination

5. Which type of anemia is characterized by the premature destruction of RBCs?

A) Nutritional anemia

B) Hemorrhagic anemia

C) Hemolytic anemia

D) Pernicious anemia

6. A pregnant woman in her third trimester with moderate anemia is admitted for delivery. What specific management step should the midwife take during the first stage of labor?

A) Administer heavy sedation

B) Provide light analgesia and administer oxygen

C) Limit fluid intake

D) Avoid monitoring vital signs frequently

7. Which of the following can cause aplastic anemia?

A) Hookworm infestation

B) Frequent childbearing

C) Bone marrow failure

D) Excessive morning sickness

8. Which of the following laboratory tests is very necessary for diagnosing anemia in pregnancy?

A) Blood glucose level

B) Haemoglobin level

C) Cholesterol level

D) Liver function test

9. Which hemoglobin type is present in individuals with sickle cell trait?

A) HbSS

B) HbAS

C) HbA

D) HbS

10. Which of the following is NOT a typical symptom of a sickle cell crisis?

A) Severe pain

B) Jaundice

C) Frequent urination

D) Swelling of hands and feet

11. Which of the following is a common complication of sickle cell disease in children?

A) Type 1 diabetes

B) Hand-foot syndrome

C) Hypertension

D) Cataracts

12. What is the primary aim of hydroxyurea therapy in sickle cell disease?

A) Increase platelet count

B) Decrease white blood cell count

C) Increase fetal hemoglobin (HbF) levels

D) Increase iron absorption

13. What is the best treatment for an aplastic crisis in sickle cell disease?

A) Antibiotics

B) Blood transfusions

C) Hydration

D) Physical therapy

14. What does proteinuria indicate?

A) High blood glucose levels

B) Kidney damage or perforation

C) High blood pressure

D) Low blood protein levels

15. What is the daily urine volume output range that defines oliguria?

A) 1000 mL to 1500 mL

B) 500 mL to 1000 mL

C) 100 mL to 400 mL

D) 50 mL to 100 mL

16. What is the function of the hormone erythropoietin, produced by the kidneys?

A) Regulates blood pressure

B) Stimulates red blood cell production

C) Increases blood glucose levels

D) Reduces inflammation

17. What is pyelonephritis?

A) Inflammation of the bladder

B) Infection of the kidneys

C) Presence of pus in the urine

D) Kidney stones

18. Which of the following is the most common causative organism of pyelonephritis?

A) Klebsiella pneumoniae

B) Staphylococcus aureus

C) Escherichia coli

D) Pseudomonas aeruginosa

19. What characterizes chronic pyelonephritis?

A) Sudden onset of severe kidney pain

B) Hypertension and bacteriuria

C) Presence of blood in the urine

D) Increased urine output

20. What complication can arise from untreated pyelonephritis in pregnancy?

A) Increased fluid intake

B) Preterm labor

C) Decreased urine output

D) High blood glucose

21. Which hormone is produced by the kidneys to help regulate blood pressure?

22. What type of infection is characterized by the inflammation of the urinary bladder?

23. Which term describes the presence of sugar in the urine?

24. What type of anemia is caused by a deficiency in vitamin B12?

25. What is the most common trigger for a vaso-occlusive crisis in sickle cell disease?