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問題一覧
1
The word used in maternal notes to indicate the baby is in a head down presentation is which of the following options?
Cephalic
2
Why is it important to obtain the APGAR score in full term and preterm babies at 1 and 5 minutes?
To continually assess and monitor any changes
3
Oxygen and nutrients from the mother’s blood are transferred through the umbilical cord to the foetus across what?
Placenta
4
Pre-eclampsia can be classified according to the mother’s blood pressure (BP) into mild, moderate and severe hypertension. Please choose the correct range for each classification (select 3 options)
Mild hypertension is defined as a BP of 140-149mmhg systolic and a diastolic of 90-99mmhg, Moderate hypertension is defined as a BP of 150-159mmhg systolic and a diastolic of 100-109mmhg, Severe hypertension is defined as a BP of 160mmhg systolic or greater and a diastolic of 110mmhg or greater
5
Stage 3 expulsion of placenta can take how long in first pregnancy?
20-30 mins
6
During miscarriage when the products of conception are not completely passed through the cervix, they can become trapped. this is a potentially life-threatening emergency called:
Cervical shock
7
There is increased risk of inspiration in a heavily pregnant patient due to delayed gastric emptying. Why may this occur?
Displacement of lower oesophageal sphincter
8
Which of the following options describes ectopic pregnancy?
When the egg implants itself somewhere other than the uterus
9
Which is the definition of preterm baby?
24-37 weeks
10
Select the mask size required to support a Newborn resuscitation:
Size depends on gestation of baby; this will be an assessment made following delivery if baby requires resuscitation support
11
Select an anatomical differences of a pre-term baby compared to a full-term new-born:
Undeveloped lungs
12
Which is the correct definition for ‘Gynaecology’
The branch of physiology and medicine which deals with the functions and diseases specific to women and girls, especially those affecting the reproductive system
13
To correct compression of the inferior vena cava by a pregnant uterus over 20 weeks the patient should be elevated by:
15-30 degrees
14
Fertilisation is defined as taking place when?
When a sperm has penetrated the egg
15
Obstetrics is defined as which of the following?
Medicine associated with childbirth and midwifery
16
What symptom is associated with a hormone imbalance amongst women of menstrual age?
Heavy menstrual bleeding (menorrhagia)
17
Upon inspection and examination of the vulva area you are presented with a foetal arm from the vaginal opening. What is your management?
Blue light transfer to an obstetric unit as a caesarean section is required
18
Which option indicates risk factors for postpartum haemorrhage (PPH)?
Multiparity
19
Which of the following are NOT risk factors for ectopic pregnancy?
Trauma to the pelvic area
20
Which of the following does management of the preterm baby include?
Placing the baby straight into a food grade bag, with a hat, wrapped in a blanket
21
Which of the following is NOT a type of female genital mutilation (FGM):
Infiltration
22
What equipment may be needed to transfer a preterm baby to definitive care?
Paediatric BVM
23
Massive post- partum haemorrhage is best defined as:
Blood loss over 1000ml within three hours of birth
24
Which of the following are NOT types of gynaecological cancers?
Thymus
25
Management of vaginal bleeding would be in line with which JRCALC guidance?
A dynamic clinical assessment would determine which of the guidance would be used to support management
26
The need to assess a new-born within one minute of birth is to recognise and manage any concerns by using the APGAR score. What is this to check for?
Tone
27
Labour is considered normal after how many weeks of pregnancy?
After 37 weeks
28
You are presented with a patient who is expecting a first baby. On assessment you note there is a bulging perineum, an urge to push, waters have broken, with evidence of a mucous bloody show, contractions are 30 seconds apart. What are the correct recommendations?
Call control ask for extra resources, a midwife, prepare for birth and set up a resuscitation station
29
Placenta praevia is best described as:
A placenta that is partially or completely sited in the lower part of the uterus possibly covering the cervix
30
You assist with the safe delivery of a full-term baby to a 14-year-old mother who has concealed the pregnancy. How would the postnatal care be managed?
Call for midwife, transfer to hospital for assessment of baby, mother and placenta, safeguarding
31
Included in the key considerations for the assessment of a pregnant trauma patient are:
Any vaginal blood loss
32
Maternity complications, wherever possible, should always attend:
Consultant led maternity unit
33
Which of the following do NOT need to be considered when exposing and examining the vulval area?
Haemorrhoids
34
If birth is not imminent when dealing with a labouring patient who is expecting multiple births your management should include:
Rapid transfer to the nearest consultant led obstetric unit
35
Please choose the correct option relating to a common complication associated with medical abortion:
Retained products
36
Trauma to the abdomen can cause:
Ectopic pregnancy
37
The risks of NOT reporting FGM when identified may include:
The woman suffering complications from the procedure
38
Symptoms of a uterine prolapse include:
A feeling of heaviness around the lower tummy and genitals
39
You arrive to a woman in the second stage of labour and birth is imminent. What are your actions?
To ensure senior support is sought via EOC stating that birth is imminent and prepare for birth
40
Post-partum haemorrhage (PPH) is bleeding:
Within 24 hours of giving birth
41
After gaining consent and maintaining dignity, a visual assessment of the vulva reveals an obvious cord prolapse. Why is this is a serious time critical emergency?
It can cause compression of the cord by the baby’s body
42
Why is it important to obtain the APGAR score in full term and preterm babies at 1 and 5 minutes?
To continually assess and monitor for changes
43
The foetus is supplied oxygen and nutrients by:
Placenta
44
The umbilical cord on a full term and pre-term baby should be cut how long after birth?
At least 60 seconds ideally until it has stopped pulsating
45
What is one of the main challenges for pre-term infants?
Underdeveloped lungs
46
Pre-term delivery is a complication that can occur during a multiple birth. Select another option which may occur:
Postpartum haemorrhage
47
Management of vaginal bleeding would be in line with which JRCALC guidance?
A dynamic clinical assessment would determine which of the guidance would be used to support management
48
Terminology and abbreviations used in handheld notes for a second pregnancy with one live child may be documented as which of the following options?
G2P1
49
Which of the following are NOT pieces of equipment required to support a possible newborn resuscitation:
I-gel size 3
50
Select a risk factor for pre-eclampsia and eclampsia:
Diabetes
51
Which is the most appropriate action for a woman who had undergone a surgical abortion 10 days ago. presenting with a temp of 38.9, offensive vaginal loss and abdominal pain?
Infection risk, transport to ED for ongoing management
52
Which is the definition of a preterm baby?
24-37 weeks’ gestation
53
You arrive to a woman who is in the first stage of labour, what is your role in managing this presentation?
To ensure that the woman is provided with emotional support and that you seek advice from the maternity triage unit for advice to give to the woman and onward management
54
Trauma in pregnancy is usually caused by:
Trauma to the abdomen
55
What is one of the main causes of post -partum haemorrhage (PPH)?
Lack of tone
56
After being dried and stimulated after birth, the first assessment of a new-born's heart should hear a rate of:
Over 100 bpm
57
Select an option for the management of a uterine prolapse:
Surgical management
58
When assessing a new-born baby within the first minute of birth, what should be paid attention to?
Assessing APGAR
59
Which of the following are NOT stepwise approaches when completing an obstetric primary survey?
Bump size
60
What symptom is associated with a hormone imbalance amongst women of menstrual age?
Heavy menstrual bleeding (menorrhagia)
61
Due to the increase in blood volume in a pregnant female blood loss may be tolerated well. How many mls of blood can be lost before evidence of hypovolaemia?
1000ml
62
Select 1 of the main modifications to be made when managing a pregnant trauma patient:
Higher hand position for compressions
63
The branch of physiology and medicine which deals with the functions and diseases specific to women and girls’ reproductive system is known as:
Gynaecology
64
You are presented with a patient who is expecting a first baby. On assessment you note there is a bulging perineum, an urge to push, waters have broken, with evidence of a mucous bloody show, contractions are 30 seconds apart. What are the correct recommendations?
Call control ask for extra resources, a midwife, prepare for birth and set up a resuscitation station
65
Stage 3 expulsion of placenta can take how long in first pregnancy?
20-30 mins
66
When attending the intra hospital transfer of a 30-week preterm birth, who is being transported via ambulance to the nearest consultant led obstetric unit, the EMT1 should:
Leave the stretcher at the transferring hospital, transport the baby in the hospital incubator which locks into the NWAS vehicle locking mechanism.
67
During miscarriage when the products of conception are not completely passed through the cervix, they can become trapped. this is a potentially life-threatening emergency called:
Cervical shock
68
Included in the key considerations for the assessment of a pregnant trauma patient are:
Any vaginal blood loss
69
Normal labour consists of:
First, second and third stage of labour
70
Childbirth and midwifery are a branch of medicine known as which of the following?
Obstetrics
71
An EMT1 has a responsibility to report FGM when identified because:
Reporting FGM via official channels supports safeguarding process
72
Which signs and symptoms would suggest ruptured ectopic pregnancy?
Acute lower abdominal pain
73
A clitoridectomy is seen in which practice?
FGM
74
Which of the following options best describes antepartum haemorrhage (APH)?
Bleeding from the genital tract after the 24th week of pregnancy
75
Placenta praevia is best described as:
A placenta that is partially or completely sited in the lower part of the uterus possibly covering the cervix