ALARM Course Exam Questions And Correct Answers
Which cof cthe cfollowing cstatements cabout cimmediate cpostpartum chemorrhage cis ccorrect?
a) cThe cmost ccommon ccause cis cretained ctissue.
b) cHysterectomy cis cnever crequired.
c) cCoagulation cproblems care ccommonly cencountered.
d) cPregnant cwomen ccompensate cwell cfor cblood closs.
e) cPostpartum chemorrhage cis ca crare ccause cof cmaternal cmorbidity cand cmortality. c- cCORRECT cANS✔✔d) cPregnant cwomen
ccompensate cwell cfor cblood closs.
Which cof cthe cfollowing cstatements cregarding cplacenta cprevia cis ctrue:
a) cThe cincidence cis capproximately c3% cat cterm.
b) cWhen cassessing cAPH, ca cdigital cexamination cshould cnot cbe cdone cuntil cplacenta cprevia chas cbeen cruled cout.
c) cBleeding cis cusually caccompanied cby cpain.
d) cThe cfetal cheart cis coften cabnormal cor cabsent.
e) cMalpresentation cis cless ccommon cthan cin cabruptio cplacenta. c- cCORRECT cANS✔✔b) cWhen cassessing cAPH, ca cdigital
cexamination cshould cnot cbe cdone cuntil cplacenta cprevia chas cbeen cruled cout.
Which cof cthe cfollowing cmay cindicate cuterine crupture cin ca ctrial cof clabour cafter ccesarean cbirth?
a) cSudden celevation cof cthe cpresenting cpart.
b) cScar cpain.
c) cAtypical c/ cabnormal cFHR cpatterns cand/or ccessation cof ccontractions.
d) cEase cof cpalpation cof cfetal cparts.
e) cAll cof cthe cabove. c- cCORRECT cANS✔✔e) cAll cof cthe cabove.
Which cof cthe cfollowing claboratory cinvestigations care crecommended cin cthe cinitial cwork-up cof ca cwoman cpresenting cwith
cgestational chypertension cand cproteinuria?
a) cAST, cALT, cLDH, cplatelets cand ca c24 chour curine ccollection cfor cprotein.
b) cSerum cammonia, celectrolytes, calbumin cand chemoglobin.
c) cSerum cbilirubin, camylase cand cblood cglucose.
d) cElectrolytes, cserum cmagnesium cand ccalcium clevels.
e) cNone cof cthe cabove. c- cCORRECT cANS✔✔a) cAST, cALT, cLDH, cplatelets cand ca c24 chour curine ccollection cfor cprotein.
Which cof cthe cfollowing cstatements cregarding cpre-labour crupture cof cmembranes c(PROM) cis ccorrect?
a) cThe clatent cperiod cis cthe cinterval cbetween cthe crupture cof cthe cmembranes cand cdelivery.
b) cThe cincidence cof cpreterm cPROM cis cmore cfrequent cthan cterm cPROM.
c) cAbruptio cplacenta cis ca cmajor ccause cof cPROM.
d) cSterile cspeculum cexamination cassists cwith cthe cdiagnosis.
e) cDigital cexam cassists cwith cthe cdiagnosis. c- cCORRECT cANS✔✔d) cSterile cspeculum cexamination cassists cwith cthe
cdiagnosis.
Which cof cthe cfollowing csituations cis can cindication cfor cinduction cof clabour?
a) cPrimigravida, c40+6 cwks- ccervix clong cand cclosed.
b) cPrimigravida, c40 cwks, cuterine cheight c39 ccm, cestimated cfetal cweight c4 ckg, ccervix c2 ccm, ceffacement c50%. c
c) cMultigravida, c37 cwks, cuterine cheight c34cm, coligohydramnios, cestimated cfetal cweight con cultrasound c2.2 ckg, ccervix clong
cand cclosed.
d) cMultigravida, c36 cwks, cinsulin-dependent cdiabetes, cuterine cheight c39 ccm, cestimated cfetal cweight con cultrasound c3.9kg.
, e) cPlacenta cprevia cwith cfetal cdemise. c- cCORRECT cANS✔✔c) cMultigravida, c37 cwks, cuterine cheight c34cm, coligohydramnios,
cestimated cfetal cweight con cultrasound c2.2 ckg, ccervix clong cand cclosed.
Which cof cthe cfollowing cdescriptions cwould cmeet cthe ccriteria cfor cthe cdiagnosis cof cgestational chypertension cwith cproteinuria?
a) cA cblood cpressure c(BP) cwith cdiastolic c≥100 cmm cHg, csustained cover c4 chour cand c24 chour curine cprotein c≥ c= c2300 cmg.
b) cA crise cin cmaternal cBP cof c≥30/15 cmm cHg cover cpatients's cknown cpre-pregancy
c) cA csystolic cblood cpressure c≥140 cmm cHg csustained cover c2 cor cmore chours cand curine cprotein c≥=2+ con cdipstick cor c≥=300
cmg con c24 chour curine ccollection.
d) cMaternal cheadache cand cdiastolic cblood cpressure c> c100 cmm cHg cmeasured cin cthe cleft clateral cposition.
e) cA cblood cpressure cwith cdiastolic c≥ c90 cmm cHg, csustained cover c4 chours cand c24 chour curine cprotein c≥ c300 cmg. c-
cCORRECT cANS✔✔a) cA cblood cpressure cwith c(BP) cdiastolic c≥100 cmm cHg, csustained cover c4 chours cwith cand c24 chour curine
cprotein c≥ c= c2300mg.
You chave cdone ca cfetal cscalp cpH cbecause cof catypical c/ cabnormal cfetal cheart cmonitoring. cWhat cvalue cwould crequire ca crepeat
cfetal cscalp cpH csampling cat c30 cminutes?
a) cpH c= c7.38.
b) cpH c= c7.12.
c) cpH c= c7.18.
d) cpH c= c7.23.
e) cpH c= c7.00. c- cCORRECT cANS✔✔d) cpH c= c7.23.
9. cYou care cworking cin ca cLevel cII cfacility. cSally cpresents cto cthe ctriage cunit. cIn cwhich cof cthe cfollowing csituations cwould cyou
cnot cconsider ctocolysis:
a) cGestational chypertension cwith cproteinuria cat c37 cweeks cgestation. c- cCORRECT cANS✔✔a) cGestational chypertension cwith
cproteinuria cat c37 cweeks cgestation.
10. cWhich cof cthe cfollowing cdelivery cmanoeuvers cshould cnot cbe cperformed cwith ca cvacuum?
c) cRotation. c- cCORRECT cANS✔✔c) cRotation.
11. cWhich cof cthe cfollowing care cindications cfor cGroup cB cStrep cchemoprophylaxis?
d) cAll cof cthe cabove. c- cCORRECT cANS✔✔d) cAll cof cthe cabove.
12. cWhich cof cthe cfollowing cis can cabsolute ccontraindication cto ca cplanned ctrial cof clabour cafter ccesarean cdelivery?
d) cInverted c"T" cincision cin cuterus. c- cCORRECT cANS✔✔d) cInverted c"T" cincision cin cuterus.
13. cWhich cdescription cbelow cmeets cthe ccriteria cto clink ccerebral cpalsy cto cintrapartum casphyxia cin ca cfetus cof c37 cweeks
cgestation?
b) cUmbilical carterial cpH cof c6.98 cand cbase cdeficit c= c12 cmmol/L, cneonatal cencephalopathy, ccerebral cpalsy cof cthe cspastic
cquadriplegic cor cdyskinetic ctype, cexclusion cof cother cetiologies. c- cCORRECT cANS✔✔b) cUmbilical carterial cpH cof c6.98 cand
cbase cdeficit c= c12 cmmol/L, cneonatal cencephalopathy, ccerebral cpalsy cof cthe cspastic cquadriplegic cor cdyskinetic ctype,
cexclusion cof cother cetiologies.
14. cIn cthe cactive cmanagement cof cthe cthird cstage cof clabour, cwhich cof cthe cfollowing cstatements cabout cprevention cof
cpostpartum chemorrhage c(PPH) cis ccorrect?
e) cProphylactic coxytocin cshould cbe coffered cat call cdeliveries. c- cCORRECT cANS✔✔e) cProphylactic coxytocin cshould cbe coffered
cat call cdeliveries.
15. cIn cthe cinitial cmanagement cof cthe cpatient cwith csignificant cantepartum chemorrhage cthe cfollowing cstatement cis cmost
caccurate:
a) cLarge cbore cIV caccess cis crecommended. c- cCORRECT cANS✔✔a) cLarge cbore cIV caccess cis crecommended.
16. cWhich cof cthe cfollowing cis cnot can cindication cfor cinduction cof clabour?
c) cSuspected cfetal cmacrosomia cwith cprevious clarge cbaby. c- cCORRECT cANS✔✔c) cSuspected cfetal cmacrosomia cwith
cprevious clarge cbaby.
17. cWhich cof cthe cfollowing cstatements cis ctrue cregarding cantenatal csteroids cto creduce cthe cincidence cof cRDS cin cthe
cneonate?
d) cOne cof cthe cpreferred cagents cis cBetamethasone c12 cmg cIM cq24h cx c2. c- cCORRECT cANS✔✔d) cOne cof cthe cpreferred
cagents cis cBetamethasone c12 cmg cIM cq24h cx c2.
18. cA cprimigravida cat c36 cwks cgestation cwhose cBP cis c150/95 cmm cHg, cwith c3+ curine cprotein, cis cadmitted cto chospital. cOver
cthe cnext c24 chours, cher cBP cremains c150/95 cmm cHg. cShe ccomplains cof ca cheadache cand cspots cin cfront cof cher ceyes cand
cher creflexes care c3+. cWhat cis cthe crecommended ctreatment?
Which cof cthe cfollowing cstatements cabout cimmediate cpostpartum chemorrhage cis ccorrect?
a) cThe cmost ccommon ccause cis cretained ctissue.
b) cHysterectomy cis cnever crequired.
c) cCoagulation cproblems care ccommonly cencountered.
d) cPregnant cwomen ccompensate cwell cfor cblood closs.
e) cPostpartum chemorrhage cis ca crare ccause cof cmaternal cmorbidity cand cmortality. c- cCORRECT cANS✔✔d) cPregnant cwomen
ccompensate cwell cfor cblood closs.
Which cof cthe cfollowing cstatements cregarding cplacenta cprevia cis ctrue:
a) cThe cincidence cis capproximately c3% cat cterm.
b) cWhen cassessing cAPH, ca cdigital cexamination cshould cnot cbe cdone cuntil cplacenta cprevia chas cbeen cruled cout.
c) cBleeding cis cusually caccompanied cby cpain.
d) cThe cfetal cheart cis coften cabnormal cor cabsent.
e) cMalpresentation cis cless ccommon cthan cin cabruptio cplacenta. c- cCORRECT cANS✔✔b) cWhen cassessing cAPH, ca cdigital
cexamination cshould cnot cbe cdone cuntil cplacenta cprevia chas cbeen cruled cout.
Which cof cthe cfollowing cmay cindicate cuterine crupture cin ca ctrial cof clabour cafter ccesarean cbirth?
a) cSudden celevation cof cthe cpresenting cpart.
b) cScar cpain.
c) cAtypical c/ cabnormal cFHR cpatterns cand/or ccessation cof ccontractions.
d) cEase cof cpalpation cof cfetal cparts.
e) cAll cof cthe cabove. c- cCORRECT cANS✔✔e) cAll cof cthe cabove.
Which cof cthe cfollowing claboratory cinvestigations care crecommended cin cthe cinitial cwork-up cof ca cwoman cpresenting cwith
cgestational chypertension cand cproteinuria?
a) cAST, cALT, cLDH, cplatelets cand ca c24 chour curine ccollection cfor cprotein.
b) cSerum cammonia, celectrolytes, calbumin cand chemoglobin.
c) cSerum cbilirubin, camylase cand cblood cglucose.
d) cElectrolytes, cserum cmagnesium cand ccalcium clevels.
e) cNone cof cthe cabove. c- cCORRECT cANS✔✔a) cAST, cALT, cLDH, cplatelets cand ca c24 chour curine ccollection cfor cprotein.
Which cof cthe cfollowing cstatements cregarding cpre-labour crupture cof cmembranes c(PROM) cis ccorrect?
a) cThe clatent cperiod cis cthe cinterval cbetween cthe crupture cof cthe cmembranes cand cdelivery.
b) cThe cincidence cof cpreterm cPROM cis cmore cfrequent cthan cterm cPROM.
c) cAbruptio cplacenta cis ca cmajor ccause cof cPROM.
d) cSterile cspeculum cexamination cassists cwith cthe cdiagnosis.
e) cDigital cexam cassists cwith cthe cdiagnosis. c- cCORRECT cANS✔✔d) cSterile cspeculum cexamination cassists cwith cthe
cdiagnosis.
Which cof cthe cfollowing csituations cis can cindication cfor cinduction cof clabour?
a) cPrimigravida, c40+6 cwks- ccervix clong cand cclosed.
b) cPrimigravida, c40 cwks, cuterine cheight c39 ccm, cestimated cfetal cweight c4 ckg, ccervix c2 ccm, ceffacement c50%. c
c) cMultigravida, c37 cwks, cuterine cheight c34cm, coligohydramnios, cestimated cfetal cweight con cultrasound c2.2 ckg, ccervix clong
cand cclosed.
d) cMultigravida, c36 cwks, cinsulin-dependent cdiabetes, cuterine cheight c39 ccm, cestimated cfetal cweight con cultrasound c3.9kg.
, e) cPlacenta cprevia cwith cfetal cdemise. c- cCORRECT cANS✔✔c) cMultigravida, c37 cwks, cuterine cheight c34cm, coligohydramnios,
cestimated cfetal cweight con cultrasound c2.2 ckg, ccervix clong cand cclosed.
Which cof cthe cfollowing cdescriptions cwould cmeet cthe ccriteria cfor cthe cdiagnosis cof cgestational chypertension cwith cproteinuria?
a) cA cblood cpressure c(BP) cwith cdiastolic c≥100 cmm cHg, csustained cover c4 chour cand c24 chour curine cprotein c≥ c= c2300 cmg.
b) cA crise cin cmaternal cBP cof c≥30/15 cmm cHg cover cpatients's cknown cpre-pregancy
c) cA csystolic cblood cpressure c≥140 cmm cHg csustained cover c2 cor cmore chours cand curine cprotein c≥=2+ con cdipstick cor c≥=300
cmg con c24 chour curine ccollection.
d) cMaternal cheadache cand cdiastolic cblood cpressure c> c100 cmm cHg cmeasured cin cthe cleft clateral cposition.
e) cA cblood cpressure cwith cdiastolic c≥ c90 cmm cHg, csustained cover c4 chours cand c24 chour curine cprotein c≥ c300 cmg. c-
cCORRECT cANS✔✔a) cA cblood cpressure cwith c(BP) cdiastolic c≥100 cmm cHg, csustained cover c4 chours cwith cand c24 chour curine
cprotein c≥ c= c2300mg.
You chave cdone ca cfetal cscalp cpH cbecause cof catypical c/ cabnormal cfetal cheart cmonitoring. cWhat cvalue cwould crequire ca crepeat
cfetal cscalp cpH csampling cat c30 cminutes?
a) cpH c= c7.38.
b) cpH c= c7.12.
c) cpH c= c7.18.
d) cpH c= c7.23.
e) cpH c= c7.00. c- cCORRECT cANS✔✔d) cpH c= c7.23.
9. cYou care cworking cin ca cLevel cII cfacility. cSally cpresents cto cthe ctriage cunit. cIn cwhich cof cthe cfollowing csituations cwould cyou
cnot cconsider ctocolysis:
a) cGestational chypertension cwith cproteinuria cat c37 cweeks cgestation. c- cCORRECT cANS✔✔a) cGestational chypertension cwith
cproteinuria cat c37 cweeks cgestation.
10. cWhich cof cthe cfollowing cdelivery cmanoeuvers cshould cnot cbe cperformed cwith ca cvacuum?
c) cRotation. c- cCORRECT cANS✔✔c) cRotation.
11. cWhich cof cthe cfollowing care cindications cfor cGroup cB cStrep cchemoprophylaxis?
d) cAll cof cthe cabove. c- cCORRECT cANS✔✔d) cAll cof cthe cabove.
12. cWhich cof cthe cfollowing cis can cabsolute ccontraindication cto ca cplanned ctrial cof clabour cafter ccesarean cdelivery?
d) cInverted c"T" cincision cin cuterus. c- cCORRECT cANS✔✔d) cInverted c"T" cincision cin cuterus.
13. cWhich cdescription cbelow cmeets cthe ccriteria cto clink ccerebral cpalsy cto cintrapartum casphyxia cin ca cfetus cof c37 cweeks
cgestation?
b) cUmbilical carterial cpH cof c6.98 cand cbase cdeficit c= c12 cmmol/L, cneonatal cencephalopathy, ccerebral cpalsy cof cthe cspastic
cquadriplegic cor cdyskinetic ctype, cexclusion cof cother cetiologies. c- cCORRECT cANS✔✔b) cUmbilical carterial cpH cof c6.98 cand
cbase cdeficit c= c12 cmmol/L, cneonatal cencephalopathy, ccerebral cpalsy cof cthe cspastic cquadriplegic cor cdyskinetic ctype,
cexclusion cof cother cetiologies.
14. cIn cthe cactive cmanagement cof cthe cthird cstage cof clabour, cwhich cof cthe cfollowing cstatements cabout cprevention cof
cpostpartum chemorrhage c(PPH) cis ccorrect?
e) cProphylactic coxytocin cshould cbe coffered cat call cdeliveries. c- cCORRECT cANS✔✔e) cProphylactic coxytocin cshould cbe coffered
cat call cdeliveries.
15. cIn cthe cinitial cmanagement cof cthe cpatient cwith csignificant cantepartum chemorrhage cthe cfollowing cstatement cis cmost
caccurate:
a) cLarge cbore cIV caccess cis crecommended. c- cCORRECT cANS✔✔a) cLarge cbore cIV caccess cis crecommended.
16. cWhich cof cthe cfollowing cis cnot can cindication cfor cinduction cof clabour?
c) cSuspected cfetal cmacrosomia cwith cprevious clarge cbaby. c- cCORRECT cANS✔✔c) cSuspected cfetal cmacrosomia cwith
cprevious clarge cbaby.
17. cWhich cof cthe cfollowing cstatements cis ctrue cregarding cantenatal csteroids cto creduce cthe cincidence cof cRDS cin cthe
cneonate?
d) cOne cof cthe cpreferred cagents cis cBetamethasone c12 cmg cIM cq24h cx c2. c- cCORRECT cANS✔✔d) cOne cof cthe cpreferred
cagents cis cBetamethasone c12 cmg cIM cq24h cx c2.
18. cA cprimigravida cat c36 cwks cgestation cwhose cBP cis c150/95 cmm cHg, cwith c3+ curine cprotein, cis cadmitted cto chospital. cOver
cthe cnext c24 chours, cher cBP cremains c150/95 cmm cHg. cShe ccomplains cof ca cheadache cand cspots cin cfront cof cher ceyes cand
cher creflexes care c3+. cWhat cis cthe crecommended ctreatment?
