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ALARM Course Questions and Correct Answers| Latest Update

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a comprehensive collection of updated exam questions and verified answers for the ALARM (Advances in Labour and Risk Management) Course. It covers essential obstetric topics including postpartum hemorrhage, hypertensive disorders of pregnancy, placenta previa, preterm labour, PROM, fetal surveillance, labour induction and augmentation, assisted vaginal birth, shoulder dystocia, and emergency intrapartum management. Additionally, the material reviews evidence-based clinical guidelines, obstetric risk management, fetal monitoring, operative delivery, oxytocin protocols, twin pregnancy, cesarean birth considerations, consultation and documentation principles, and the Modified Bishop Score. The question-and-answer format is designed to reinforce clinical decision-making, improve obstetric emergency management skills, and support effective preparation for ALARM certification and professional practice.

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ALARM Course Questions and Correct Answers|
Latest Update



Which of the following statements about immediate postpartum hemorrhage is
correct?
a) The most common cause is retained tissue.
b) Hysterectomy is never required.
c) Coagulation problems are commonly encountered.
d) Pregnant women compensate well for blood loss.
e) Postpartum hemorrhage is a rare cause of maternal morbidity and mortality.
d) Pregnant women compensate well for blood loss.




Which of the following statements regarding placenta previa is true:
a) The incidence is approximately 3% at term.
b) When assessing APH, a digital examination should not be done until placenta
previa has been ruled out.
c) Bleeding is usually accompanied by pain.
d) The fetal heart is often abnormal or absent.
e) Malpresentation is less common than in abruptio placenta.
b) When assessing APH, a digital examination should not be done until placenta
previa has been ruled out.

,Which of the following may indicate uterine rupture in a trial of labour after
cesarean birth?


a) Sudden elevation of the presenting part.
b) Scar pain.
c) Atypical / abnormal FHR patterns and/or cessation of contractions.
d) Ease of palpation of fetal parts.
e) All of the above.
e) All of the above.




Which of the following laboratory investigations are recommended in the initial
work-up of a woman presenting with gestational hypertension and proteinuria?
a) AST, ALT, LDH, platelets and a 24 hour urine collection for protein.
b) Serum ammonia, electrolytes, albumin and hemoglobin.
c) Serum bilirubin, amylase and blood glucose.
d) Electrolytes, serum magnesium and calcium levels.
e) None of the above.
a) AST, ALT, LDH, platelets and a 24 hour urine collection for protein.




Which of the following statements regarding pre-labour rupture of membranes
(PROM) is correct?

, a) The latent period is the interval between the rupture of the membranes and
delivery.
b) The incidence of preterm PROM is more frequent than term PROM.
c) Abruptio placenta is a major cause of PROM.
d) Sterile speculum examination assists with the diagnosis.
e) Digital exam assists with the diagnosis.
d) Sterile speculum examination assists with the diagnosis.




Which of the following situations is an indication for induction of labour?
a) Primigravida, 40+6 wks- cervix long and closed.
b) Primigravida, 40 wks, uterine height 39 cm, estimated fetal weight 4 kg, cervix 2
cm, effacement 50%.
c) Multigravida, 37 wks, uterine height 34cm, oligohydramnios, estimated fetal
weight on ultrasound 2.2 kg, cervix long and closed.
d) Multigravida, 36 wks, insulin-dependent diabetes, uterine height 39 cm,
estimated fetal weight on ultrasound 3.9kg.
e) Placenta previa with fetal demise.
c) Multigravida, 37 wks, uterine height 34cm, oligohydramnios, estimated fetal
weight on ultrasound 2.2 kg, cervix long and closed.




Which of the following descriptions would meet the criteria for the diagnosis of
gestational hypertension with proteinuria?

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