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OLSS MINOR HSNZ POST TEST

Total questions: 15

Worksheet time: 11mins

Name
Class
Date
1.

Which of the following are risk factors for cord prolapse?

a)

IUGR or preterm baby

b)

Abnormal lie and presentation

c)

Polyhydramnios

d)

All of the above

2.

How can cord prolapse be prevented?

a)

Routine ultrasound examination to identify cord presentation

b)

Using balloon catheter as a method of induction instead of prostaglandins

c)

Performing artificial membrane rupture if the presenting part if high

d)

Doing control artificial rupture of membrane if cases where the presenting part if high

3.

What should be your first action if there is a sudden unexplained fetal bradycardia in a lady after SROM?

a)

Vaginal examination

b)

Red alert initiation

c)

Elevate the patient’s buttocks on 2 pillows

d)

Push the patient for a category 1 caesarean section

4.

Following are the complications of shoulder dystocia except?

a)

Postpartum haemorrhage

b)

Bladder atony

c)

Psychological trauma

d)

Uterine rupture

5.

According to the Malaysian CPG, which risk factor for VTE scoring is true?

a)

High risk Thrombophilia score is 2

b)

Medical co-morbidities score is 2

c)

Previous thromboembolism score is 4

d)

Current stillbirth score is 2

6.

When performing CPR in a pregnant lady in third trimester, what steps should be taken?

a)

Perform CPR in left lateral position

b)

Manually displace the uterus to the patient’s right

c)

Manually displace the uterus to the patient’s left

d)

Manage exactly the same as any other patient in supine position

7.

All of the following are risk factors for DVT, EXCEPT?

a)

SVD

b)

LSCS

c)

Previous DVT in pregnancy

d)

PPH with massive blood transfussion

8.

A side effect of too rapid administration of MGSO4 is:

a)

Hypotension

b)

Cardiac arrest

c)

Respiratory depression

d)

All of these selection

9.

These are signs of uterine rupture except:

a)

Pain over the scar which persists between contractions

b)

Hypovolemic shock

c)

Fetal part easily palpable on abdominal palpation

d)

Meconium stained liquor

10.

The critical characteristics of high-quality CPR include which of the following?

a)

Minimize interruptions in chest compression (<10 seconds)

b)

Depth is 5cm to 6cm

c)

Compression rate 100-120bom compressions per minute

d)

All of the above

11.

In which of the following conditions, vaginal delivery is not absolutely contraindicated?

a)

Vasa previa

b)

Placenta previa Type IV

c)

Uterine rupture

d)

Abruptio placenta that is stable with normal fetal heart rate

12.

What is the range of acceptable fetal heart variability in a CTG?

a)

1-10

b)

5-25

c)

10-30

d)

>25

13.

What is a partogram?

a)

A chart for recording cervical dilatation only

b)

An observation chart to record the clinical findings during the antenatal period

c)

A machine to record the fetal heart rate

d)

A chart to record the progress of labour together with the maternal and fetal condition

14.

Which of the following is the most common type of episiotomy?

a)

Medio-lateral

b)

Mixed (both angled and midline)

c)

Median (midline)

d)

Transverse (across the perineum)

15.

In an out of hospital management of Eclampsia, what dose of IM Magnesium Sulphate (MgSO4) should be administrated?

a)

IM MgSO4 4g STAT

b)

IM MgSO4 8mls STAT

c)

IM MgSO4 10g STAT

d)

IM MgSO4 5g STAT