Chapter 14- Specific obstetric emergencies

Which of the following is most characteristic of placenta praevia?
A. severe abdo pain
B. intrauterine fetal death
C. DIC
D. small bleed at the time of rupture of membranes
E. painless vaginal bleed

Which of the following should not be part of the inital assessment of a pt w antepartum haemorrhage?
a. abdo palpation
b. VE
c. US
d. coagulation studies
e. CTG

Which of the following is true of primary PPH?
a. blood loss postpartum is usually overestimated
b. primary PPH is a rare obstetric event
c. primary PPH is still a major cause of maternal mortality
d. Primary PPH doesn't occur w c-section
e. primary PPH can occur anytime in the first 6/52 postpartum

Which of the following is true of primary postpartum haemorrhage?
A. risk reduction can be achieved by routine use of prophylactic oxytocic agents
B. Primary PPH is alwasy characterised by hypotension and tachycardia
C. Primary PPH cannot be prevented.
D. Primary PPH doesn't occur as long as the uterus is well contracted
E. Primary PPH is most effectively prevented by the expectant Mx of the third stage of labour

The Mx of established primary PPH:
A. ideally involves colloid solutions for the correction of hypovolaemia
B. consist of initial assessment and Rx folowed by more directed interventions
C. always involves blood transfusion and the use of other blood products
D. is not considered an obstetric emergency
E. doesn't involve inspection fo the lower genital tract

Which of the following is true of shoulder dystocia?
a. from the time of deliery of the fetal head to delivery of the fetal body, 15mins can elapse before the fetus becomes hypoxic
b. shoulder dystocia is more common in mothers w diabetes mellitus
c. shoulder dystocia is more common w N delivery
d. shoulder dystocia doen't occur w a N-sized baby
e. fundal pressure helps to deliver the baby

Which of the following is true of a malpresentation?
A. it is assoc w a higher risk of cord prolapse
B. a breech presentation means the fetus cannot be delivered vaginally
C. it decr the chance of c-section
D. a transverse presentation meant the fetus can be delivered vaginally
E. a malbresentation means that the fetal face is presenting