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Worksheetsmaternal near miss
Total questions: 38
Worksheet time: 29mins
Another name of maternal near miss
Maternal death
Severe Acute Maternal Moratlity
Perinatal Death
Obstetrical emergencies
Current maternal mortality rate is:
a) 99/10000
b) 113/100000
c) 125/100000
d) 150/100000
Which condition likely to fall in maternal near miss
A. Molar pregnancy
B. Postpartum hemorrhage
C. Hyperemesis gravidarum
D. Mild anemia
A condition of pregnancy causing high blood pressure, proteinuria and seizures is
Preeclampsia
Eclampsia
Headache
Disturbed vision
In which type of eclampsia, convulsion occur before the onset of labor.
Antepartum eclampsia
Intrapartum eclampsia
Postpartum eclampsia
Intercurrent eclampsia
In which stage of the eclampsia, twitching of facial, tongue, hand and feet and muscles occur
Premonitory stage
Tonic stage
Clonic stage
Stage of coma
In which type of eclampsia, Eclampsia occurring before 20th week of pregnancy or more than 48 hours
Intrapartum eclampsia
Postpartum eclampsia
Intercurrent eclampsia
Atypical eclampsia
which is the serious condition of the eclampsia in which repeated convulsions occur one after the other
Stage of coma
Status eclampticus
Tonic stage
Clonic stage
Eclampsia is a rare disease that can develop during pregnancy
True
False
Alarming symptoms of eclampsia are Except
Headache
Disturbed sleep
Diminished urine output
Abdominal pain
Drugs that are used to treat eclampsia are
Anticonvulsant agents
Antihypertensive drugs
Diuretics
Tocolytics
Drug of choice to treat convulsions associated with eclampsia is
a. MgSO4
b. Phenytoin
c. Diazepam
d. Levodopa
Loading dose of the MgSO4 according to Pritchard Regime is
a. 4g MgSO4 (20ml of a 20% solution) slowly IV (2-3 minutes)
b. 4g MgSO4 (20ml of a 20% solution) slowly IV (3-5 minutes)
c. 5g MgSO4 (20ml of a 20% solution) slowly IV (2-3 minutes)
d. 5g MgSO4 (20ml of a 20% solution) slowly IV (3-5 minutes)
Eclampsia is a severe complication of:
Preeclampsia
Gestational Diabetes
Thromboembolism
Gestational hypertension
Earliest sign of Magnesium toxicity is:
a. Deep tendon reflexe
b. Depresssion of patellar reflex
c. Respiratory Depression
d. Cardiac arrest
Respiratory depression occurs with serum level of
a. 10-12 mEq/L
b. 15-18 mEq/L
c. 22-27 mEq/L
d. 30-35 mEq/L
Dose of Calcium gluconate in case of Magnesium sulphate toxicity.
a. 1gm IV over 1 minutes
b. 1gm IV over 2 minutes
c. 1gm IV over 3 minutes
d. 1gm IV over 4minutes
Complication of the third stage of labour is:
a) Uterus rupture
b) Puerperal infection
c) Postpartum hemorrhage
d) Placenta previa
Primary PPH is
a) Hemorrhage occurs within 24 hours following the birth of the baby
b) Hemorrhage occurs beyond 24 hours and within puerperium
c) Bleeding occurs after 28 weeks but before the onset of labour pain
d) Bleeding occurs at any time during pregnancy
Most common cause of secondary PPH is
a) Infection
b) Retained products of conception
c) Coagulation defects
d) Estrogen therapy for lactation suppression
Which of the following condition can place a client at risk for development of postpartum hemorrhage:
a) Twin pregnancy
b) Breech pregnancy
c) Premature rupture of membrane
d) Caesarean delivery
FIGO recommended dose of misoprostol for PPH prevention is:
a) 600μg orally
b) 600μg sublingual
c) 800μg orally
d) 800μg rectally
As per WHO 2017 recommendation, the latest addition in prevention of PPH is
a) Late cord clamping is recommended for all birth
b) Inj. Ergometrine should be given IV
c) Inj. Oxytocin should be given only IV
d) Inj. tranexamic acid should be given IV
Inj. Carbetocin dose for PPH is
a) 100 microgram IM
b) 50 microgram IV
c) 150 microgram IV
d) 250 mcg IM
III step for management of atonic uterus Is
a) IV Calcium gluconate
b) Uterine massage and bimanual compression
c) Balloon tamponade
d) Per Rectal PGE1
The max dose of PGF2 alpha that can be used in PPH is
a) 0.25 mg
b) 2 mg
c) 20 mg
d) 200 mg
The capacity of balloon tamponade to arrest PPH is
a) 100-300 ml
b) 300-500 ml
c) 500-700 ml
d) 650-850 ml
The mechanical method of management of massive PPH is all except
a) Shivkar’s pack
b) uterine and ovarian artery ligation
c) Gunshella suture
d) Hysterectomy
Which solution is given first to a woman suffering from massive PPH?
a) Colloids
b) Crystalloids
c) Blood
d) Packed Cell
Identify the instrument used for prevention of PPH
a) Bakri balloon
b) intraamniotic saline instillation
c) Sengstaken Blakemore tube
d) condom catheter
Identify the suture used in the management of PPH
a) B-Lynch suture
b) Hayman suture
c) Cho square suture
d) Shirodkar’s suture
Expulsion or extraction, an embryo or fetus of 500 or less or 22 weeks of gestation or less is called _____________
a) IUD
b) IUGR
c) Still birth
d) Abortion
Type of abortion in which process of abortion has started, but not progressed to a state from which recovery is impossible is known as _______________
a) Inevitable abortion
b) Threatened abortion
c) Missed abortion
d) Septic abortion
Most common cause of first trimester abortion is:
a) Chromosomal abnormalities
b) Syphilis
c) Rhesus isoimmunization
d) Cervical incompetence
Successful regimen for medical termination of pregnancy in the first trimester is
a. Misoprostol
b. Mifepristone
c. RU 486
d. Misoprostol & Mifepristone
Ideal method for termination of pregnancy at 16 weeks is :
a) Suction curettage
b) Hysterotomy
c) Extra amniotic ethacridine
d) High vaginal insertion of Dinoprostone gel
Concept of MTP Act was put forward in ___________
a) 1970
b) 1971
c) 1972
d) 1973
Which blood group notifying has highest incidence of abortion:
a) Husband blood group A & wife blood group O
b) Husband blood group O & wife blood group A
c) Husband blood group A & wife blood group B
d) Husband blood group B & wife blood group A
