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EBCOG Part 1-Management of Labour & Delivery

EBCOG Part 1-Management of Labour & Delivery

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  1. Question 1 of 10
    1. Question

    1.With regards to caesarean section:

    A The incidence of postoperative morbidity is increased following classical caesarean section compared to lower segment caesarean section (LSCS)

    B The risk of peripartum hysterectomy is quoted to be 1 in 500 with first caesarean section

    C Dissection of the bladder is always required while performing classical caesarean section

    D A subsequent trial of labour is allowed for women with previous classical caesarean section

    E The risk of uterine rupture with vaginal birth after caesarean (VBAC) is less than 1% in women with one previous LSCS

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  2. Question 2 of 10
    2. Question

    2.With regards to shoulder dystocia:

    A Fifty per cent of cases occur in babies weighing less than 4 kg

    B It occurs due to obstruction at the pelvic outlet

    C It resolves with simple manoeuvres (like McRoberts and suprapubic pressure) in more than 90% of cases

    D It is increased in women who receive pethidine for pain relief in labour

    E It is definitely a preventable condition

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  3. Question 3 of 10
    3. Question

    3.The following information should be given to women choosing epidural analgesia:

    A It is associated with prolonged second stage of labour

    B It is always associated with long-term backache

    C Its effectiveness is less than parenteral opioids

    D Epidural solutions containing opioids can cross the placenta and cause respiratory distress in the baby

    E It is associated with longer first stage of labour

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  4. Question 4 of 10
    4. Question
    1. The following are indications to switch to continuous electronic fetal monitoring (EFM) from intermittent auscultation in low-risk women:

    A Maternal pyrexia of 37.1°C on two occasions 2 hours apart

    B Oxytocin use for augmentation of labour

    C Maternal pyrexia of 38°C on two occasions

    D Abnormal fetal heart rate (FHR) detected on intermittent auscultation

    E The woman’s request

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  5. Question 5 of 10
    5. Question

    5.Concerning interventions to reduce perineal trauma during childbirth:

    A Perineal massage should be routinely performed in the second stage of labour

    B Episiotomy should be carried out for vaginal births

    C Episiotomy should be performed to assist instrumental deliveries if necessary

    D Unless fetal compromise is suspected, tested effective analgesia should be offered before undertaking episiotomy

    E Episiotomy should be routinely offered to women with previous history of third- and fourth-degree tear

    Correct
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  6. Question 6 of 10
    6. Question

    6.The third stage of labour is said to be:

    A Actively managed if the cord is clamped and cut early

    B Actively managed if the placenta is delivered by maternal effort

    C Actively managed in the absence of use of oxytocin

    D Actively managed if clamping of the cord is withheld until the pulsations cease

    E Prolonged if the placenta is not delivered 30 minutes after the birth of the baby with physiological management

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  7. Question 7 of 10
    7. Question
    1. With regards to perineal trauma:

    A Injury to the skin is classified as a first-degree tear

    B injury to the anal sphincter <50% thickness and anal mucosa is classified as 3B (third-degree tear)

    C Injury to the perineal muscles but not the perineal skin is classified as a first- degree tear

    D Injury to the perineal muscles but not the anal sphincter is classified as a second-degree tear

    E Injury to the perineal muscles and both external and internal sphincter is classified as 3B (third-degree tear)

    Correct
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  8. Question 8 of 10
    8. Question
    1. With regards to prelabour spontaneous rupture of membranes (SROM) at term:

    A Speculum examination should always be done irrespective of the history

    B Digital examination should be done to check cervical dilatation in the absence

    of contractions

    C Women should be informed that 90% will go into spontaneous labour within

    24 hours

    D Women should be informed that there is a 1% risk of serious neonatal infection

    E Lower vaginal swabs should be routinely done in women with SROM

    Correct
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  9. Question 9 of 10
    9. Question
    1. With regards to FHR trace on cardiotocograph (CTG):

    A It is said to be suspicious if two or more features are classified as non- reassuring

    B It is said to be suspicious if there is reduced variability for more than 40 minutes and three accelerations in the last 30 minutes

    C It is said to be suspicious if there is reduced variability for more than 90 minutes with baseline FHR of 165 bpm

    D It is said to be pathological if it shows recurrent late deceleration down to 60 bpm with slow recovery for 35 minutes

    E It is said to be suspicious if the CTG shows recurrent atypical variable decelerations for more than 30 minutes

    Correct
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  10. Question 10 of 10
    10. Question
    1. With regards to Sheehan syndrome:

    A The first sign may be failure of lactation in the puerperium

    B The onset may be late with loss of axillary and pubic hair and atrophic vaginal changes

    C It can present with hypothyroidism

    D It can present with oligomenorrhoea or amenorrhoea

    E Hormonal therapy may be used to achieve pregnancy in these women

    Correct
    Incorrect
monisha2021-03-29T05:54:18+00:00

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