ALARM Course verified questions with correct answers
A+ Grade 2026\2027
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.
- correct answer 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.
- correct answer 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.
- correct answer 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.
- correct answer 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.
- correct answer 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.
A+ Grade 2026\2027
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.
- correct answer 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.
- correct answer 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.
- correct answer 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.
- correct answer 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.
- correct answer 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.
