Midwifery National Exam Practice MCQ's -2 Questions with 100%
Verified Answers Graded A+
What you explain to women about GBS hours before birth require no investigations or
screening... - ANSWERS - Transient micro- treatment, but should be observed closely for at
organism found in the vagina and bowel. least 24 hours post-partum. This includes close
observation at home.
Screening is RISK BASED approach...
• Well-appearing babies born at > 35-weeks
o previous GBS-affected infant gestation to women with GBS risks factors who
o GBS bacteruria this pregnancy have received either no or inadequate (< 4-hours)
o preterm (< 37 weeks) labour and imminent antibiotics during labour should be observed
birth closely for at least 24-hours. It is recommended
o intrapartum fever > 380C that this be in hospital and that referral may be
o membrane rupture > 18 hrs. considered.
Via HVS/rectal/MSU ?36/40 • Well-appearing babies born at < 35-week
gestation to women without chorioamnionitis,
Early-onset neonatal Group B Streptococcus who have not received antibiotics > 4 hours
(GBS) infection is the leading cause of infectious before birth need close observation for at least
disease in the newborn. 48-hours. It is recommended that this be in
hospital and that referral may be considered.
What details you must discuss with women with
GBS risk factors... - ANSWERS - - risks & placenta previa - ANSWERS - • bleeding
treatment from an abnormally located placenta
- involvement of AB's
- any Hx of penicillin allergy
Which of the following are associated with
placenta previa?
GBS cases - management... - ANSWERS -
• All newborn babies showing signs of sepsis 1. Prev C/S
should undergo immediate referral and 2. Prev uterine curettage
assessment from a paediatrician. This will 3. Primips
include a full blood count and blood cultures. 4. Anaemia
While waiting for culture results antibiotic therapy 5. Male fetus
is recommended for at least 48-hours. 6. Congentital abnormality
• suspected chorioamnionitis - immediate a. 1 and 3
assessment and referral to a paediatrician. b. 2, 4, 5
Antibiotic therapy is recommended for babies c. 1, 2, 4, 5, 6
showing signs of sepsis. d. all of the above - ANSWERS - c. 1, 2, 4,
5, 6
• Healthy-appearing babies born at > 35-weeks
gestation to women with GBS risk factors and - Prev C/S
who have received appropriate antibiotics > 4- - Prev placenta curettage
, Midwifery National Exam Practice MCQ's -2 Questions with 100%
Verified Answers Graded A+
- abortion If placenta previa is found at the dating scan,
- Endometriosis what is the best management?
- Multiparty
a. USS at 20/40 and 36/40
- Age b. USS at NT, 20/40 and 36/40
-Anaemia c. USS at 20/40, 32/40 and 34/40
- Smoking (enlarged placenta) d. USS at NT, 20/40 AND 32/40 and if persists
refer to specialist - ANSWERS - d. USS at
- Multiple preg NT, 20/40 AND 32/40 and if persists refer to
- congentital abnorm specialist
- MALE fetus
- placental abnormality: Biparietal
A unbooked woman turns up to the secondary
unit that you work at as a core midwife. Which of
What is the best practice if placenta previa/vasa the following signs may indicate placenta previa?
previa is diagnosed at or beyond 32/40?
1. High head
a. Consultation 2. Unstable lie
b. USS at 36/40 3. Transverse or oblique lie
c. Transfer of care 4. painless bleeding
d. USS in 2 weeks time - ANSWERS - c.
Transfer of care a. 4 only
b. 2, 3, 4
Realistically.. c. 2 and 4
can compromise shared care d. all of the above - ANSWERS - d. all of
the above
What should be your management plan if after a
USS you find EFW < 10th percentile on Which of the following are symptoms of acute
customised growth chart, or abdominal placenta previa?
circumference (AC) < 5th
percentile on ultrasound, or discordancy a. painless bleeding, hard abdomen, no history of
of AC with other growth parameters with trauma, unstable lie
normal liquor and normal umbilical doppler? b. painful bleeding, soft abdomen, no history of
trauma, stable lie
a. Transfer of care c. Painless bleeding, no hx of trauma, soft
b. Consultation with obstetrician abdomen, unstable lie
c. Consultation with paediatrician d. Painful bleeding, may have history of trauma,
d. Frequent growth scans - ANSWERS - b. hard abdomen, unstable lie - ANSWERS -
Consultation with obstetrician c. Painless bleeding, no hx of trauma, soft
abdomen, unstable lie
Verified Answers Graded A+
What you explain to women about GBS hours before birth require no investigations or
screening... - ANSWERS - Transient micro- treatment, but should be observed closely for at
organism found in the vagina and bowel. least 24 hours post-partum. This includes close
observation at home.
Screening is RISK BASED approach...
• Well-appearing babies born at > 35-weeks
o previous GBS-affected infant gestation to women with GBS risks factors who
o GBS bacteruria this pregnancy have received either no or inadequate (< 4-hours)
o preterm (< 37 weeks) labour and imminent antibiotics during labour should be observed
birth closely for at least 24-hours. It is recommended
o intrapartum fever > 380C that this be in hospital and that referral may be
o membrane rupture > 18 hrs. considered.
Via HVS/rectal/MSU ?36/40 • Well-appearing babies born at < 35-week
gestation to women without chorioamnionitis,
Early-onset neonatal Group B Streptococcus who have not received antibiotics > 4 hours
(GBS) infection is the leading cause of infectious before birth need close observation for at least
disease in the newborn. 48-hours. It is recommended that this be in
hospital and that referral may be considered.
What details you must discuss with women with
GBS risk factors... - ANSWERS - - risks & placenta previa - ANSWERS - • bleeding
treatment from an abnormally located placenta
- involvement of AB's
- any Hx of penicillin allergy
Which of the following are associated with
placenta previa?
GBS cases - management... - ANSWERS -
• All newborn babies showing signs of sepsis 1. Prev C/S
should undergo immediate referral and 2. Prev uterine curettage
assessment from a paediatrician. This will 3. Primips
include a full blood count and blood cultures. 4. Anaemia
While waiting for culture results antibiotic therapy 5. Male fetus
is recommended for at least 48-hours. 6. Congentital abnormality
• suspected chorioamnionitis - immediate a. 1 and 3
assessment and referral to a paediatrician. b. 2, 4, 5
Antibiotic therapy is recommended for babies c. 1, 2, 4, 5, 6
showing signs of sepsis. d. all of the above - ANSWERS - c. 1, 2, 4,
5, 6
• Healthy-appearing babies born at > 35-weeks
gestation to women with GBS risk factors and - Prev C/S
who have received appropriate antibiotics > 4- - Prev placenta curettage
, Midwifery National Exam Practice MCQ's -2 Questions with 100%
Verified Answers Graded A+
- abortion If placenta previa is found at the dating scan,
- Endometriosis what is the best management?
- Multiparty
a. USS at 20/40 and 36/40
- Age b. USS at NT, 20/40 and 36/40
-Anaemia c. USS at 20/40, 32/40 and 34/40
- Smoking (enlarged placenta) d. USS at NT, 20/40 AND 32/40 and if persists
refer to specialist - ANSWERS - d. USS at
- Multiple preg NT, 20/40 AND 32/40 and if persists refer to
- congentital abnorm specialist
- MALE fetus
- placental abnormality: Biparietal
A unbooked woman turns up to the secondary
unit that you work at as a core midwife. Which of
What is the best practice if placenta previa/vasa the following signs may indicate placenta previa?
previa is diagnosed at or beyond 32/40?
1. High head
a. Consultation 2. Unstable lie
b. USS at 36/40 3. Transverse or oblique lie
c. Transfer of care 4. painless bleeding
d. USS in 2 weeks time - ANSWERS - c.
Transfer of care a. 4 only
b. 2, 3, 4
Realistically.. c. 2 and 4
can compromise shared care d. all of the above - ANSWERS - d. all of
the above
What should be your management plan if after a
USS you find EFW < 10th percentile on Which of the following are symptoms of acute
customised growth chart, or abdominal placenta previa?
circumference (AC) < 5th
percentile on ultrasound, or discordancy a. painless bleeding, hard abdomen, no history of
of AC with other growth parameters with trauma, unstable lie
normal liquor and normal umbilical doppler? b. painful bleeding, soft abdomen, no history of
trauma, stable lie
a. Transfer of care c. Painless bleeding, no hx of trauma, soft
b. Consultation with obstetrician abdomen, unstable lie
c. Consultation with paediatrician d. Painful bleeding, may have history of trauma,
d. Frequent growth scans - ANSWERS - b. hard abdomen, unstable lie - ANSWERS -
Consultation with obstetrician c. Painless bleeding, no hx of trauma, soft
abdomen, unstable lie
