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MIDWIFERY NATIONAL MCQ'S -2 EXAM 2024/2025
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MIDWIFERY NATIONAL MCQ'S -2 EXAM 2024/2025
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MIDWIFERY NATIONAL MCQ'S -2 EXAM2024/2025
What you explain to women about GBS screening... - Precise
Answer ✔✔Transient micro-organism found in the vagina and
bowel.
Screening is RISK BASED approach...
o previous GBS-affected infant
o GBS bacteruria this pregnancy
o preterm (< 37 weeks) labour and imminent birth
o intrapartum fever > 380C
o membrane rupture > 18 hrs.
Via HVS/rectal/MSU ?36/40
Early-onset neonatal Group B Streptococcus (GBS) infection is
the leading cause of infectious disease in the newborn.
,What details you must discuss with women with GBS risk
factors... - Precise Answer ✔✔- risks & treatment
- involvement of AB's
- any Hx of penicillin allergy
GBS cases - management... - Precise Answer ✔✔• All newborn
babies showing signs of sepsis should undergo immediate
referral and assessment from a paediatrician. This will include a
full blood count and blood cultures. While waiting for culture
results antibiotic therapy is recommended for at least 48-hours.
• suspected chorioamnionitis - immediate assessment and
referral to a paediatrician. Antibiotic therapy is recommended
for babies showing signs of sepsis.
• Healthy-appearing babies born at > 35-weeks gestation to
women with GBS risk factors and who have received
appropriate antibiotics > 4-hours before birth require no
investigations or treatment, but should be observed closely for at
least 24 hours post-partum. This includes close observation at
home.
• Well-appearing babies born at > 35-weeks gestation to women
with GBS risks factors who have received either no or
inadequate (< 4-hours) antibiotics during labour should be
,observed closely for at least 24-hours. It is recommended that
this be in hospital and that referral may be considered.
• Well-appearing babies born at < 35-week gestation to women
without chorioamnionitis, who have not received antibiotics > 4
hours before birth need close observation for at least 48-hours. It
is recommended that this be in hospital and that referral may be
considered.
placenta previa - Precise Answer ✔✔• bleeding from an
abnormally located placenta
Which of the following are associated with placenta previa?
1. Prev C/S
2. Prev uterine curettage
3. Primips
4. Anaemia
5. Male fetus
6. Congentital abnormality
a. 1 and 3
b. 2, 4, 5
, c. 1, 2, 4, 5, 6
d. all of the above - Precise Answer ✔✔c. 1, 2, 4, 5, 6
- Prev C/S
- Prev placenta curettage
- abortion
- Endometriosis
- Multiparty
- Age
-Anaemia
- Smoking (enlarged placenta)
- Multiple preg
- congentital abnorm
- MALE fetus
- placental abnormality: Biparietal
What is the best practice if placenta previa/vasa previa is
diagnosed at or beyond 32/40?
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