MIDWIFERY MCQ PRACTICE SOLUTION
TEST BANK 2026 SOLVED QUESTIONS FULL
SOLUTION
● What details you must discuss with women with GBS risk factors...
Answer: - risks & treatment
- involvement of AB's
- any Hx of penicillin allergy
● GBS cases - management... 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 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 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?
, a. Consultation
b. USS at 36/40
c. Transfer of care
d. USS in 2 weeks time Answer: c. Transfer of care
Realistically..
can compromise shared care
● What should be your management plan if after a USS you find EFW
< 10th percentile on customised growth chart, or abdominal
circumference (AC) < 5th
percentile on ultrasound, or discordancy
of AC with other growth parameters with
normal liquor and normal umbilical doppler?
a. Transfer of care
b. Consultation with obstetrician
c. Consultation with paediatrician
d. Frequent growth scans Answer: b. Consultation with obstetrician
● If placenta previa is found at the dating scan, what is the best
management?
TEST BANK 2026 SOLVED QUESTIONS FULL
SOLUTION
● What details you must discuss with women with GBS risk factors...
Answer: - risks & treatment
- involvement of AB's
- any Hx of penicillin allergy
● GBS cases - management... 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 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 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?
, a. Consultation
b. USS at 36/40
c. Transfer of care
d. USS in 2 weeks time Answer: c. Transfer of care
Realistically..
can compromise shared care
● What should be your management plan if after a USS you find EFW
< 10th percentile on customised growth chart, or abdominal
circumference (AC) < 5th
percentile on ultrasound, or discordancy
of AC with other growth parameters with
normal liquor and normal umbilical doppler?
a. Transfer of care
b. Consultation with obstetrician
c. Consultation with paediatrician
d. Frequent growth scans Answer: b. Consultation with obstetrician
● If placenta previa is found at the dating scan, what is the best
management?
