Exam (elaborations)
obstetrics practice questions
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practice questions- systems based approach(obstetrics)
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Obstetrics1. Parameters of the Biophysical Profile 4. A 26 year-old female G1P0 at 28 weeks
(BPP) include each of the following GA presents to triage after feeling a gush
EXCEPT: of fluid that soaked her underpants. All of
a) Breathing the following are part of a work-up for
b) Head:Abdomen Ratio premature rupture of the membranes
c) Amniotic Fluid Volume (PROM) EXCEPT:
d) Tone a) Ferning of discharge under
e) Movement microscope
b) Speculum exam
2. A 28 year-old female G1P0 at 39 weeks c) Nitrazine swab
GA has been experiencing contractions d) Digital examination
for the past five hours, when she e) Ultrasound
presented to triage with confirmed rupture
of membranes. Over the past three hours 5. The patient most at risk for preterm
of observation, contractions have become labour (PTL) is which of the following:
shorter and weaker. On vaginal exam her a) A 20 year-old female G1P0 with a
cervix is 100% effaced, 5cm dilated, with pre-pregnancy trichomoniasis
suspected cephalic OA presentation. The infection
best management option is: b) A 27 year-old female G3P2 with a
a) Send her home and await onset of history of multiple PAP tests
labour c) A 32 year-old female G2P1 with a
b) Administer prostaglandin history of spontaneous PTL
c) Perform artificial rupture of d) A 22 year-old female G1P0 with a
membranes cervical length of 35mm
d) Start oxytocin to stimulate labour e) A 29 year-old female G4P3 with a
e) Order Ultrasound for BPP history of uneventful deliveries
3. A 32 year-old female G2P1 at 36 weeks
GA presents to triage with a subjective
decrease in fetal movements. When you
ask her about kick counting she
elaborates that in order to get to 10 kicks
she has to wait for over 3 hours. What
would be the next best step to
investigate:
a) Preform ultrasound to obtain
estimated fetal weight (EFW)
b) Rupture membranes and start
oxytocin
c) Reassure her and send her home
d) Obtain routine bloodwork and
TORCH Screen
e) Start a non-stress test (NST)
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