Midwifery National Exam Practice MCQ's -2 fully solved graded A+ 2023

Midwifery National Exam Practice MCQ's -2What you explain to women about GBS screening... - correct answer Transient micro-organism found in the vagina and bowel. Screening is RISK BASED approach... o previous GBS-affected infant o GBS bacteruria this pregnancy o preterm ( 37 weeks) labour and imminent birth o intrapartum fever 380C o membrane rupture 18 hrs. Via HVS/rectal/MSU ?36/40 Early-onset neonatal Group B Streptococcus (GBS) infection is the leading cause of infectious disease in the newborn. What details you must discuss with women with GBS risk factors... - correct answer - risks & treatment - involvement of AB's - any Hx of penicillin allergy GBS cases - management... - correct 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 - correct 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 - correct answer c. 1, 2, 4, 5, 6 - Prev C/S - Prev placenta curettage