QUESTION BANK

Question 1

Which of these is an indication for induction of labour?

a) bishops = 7
b) previous induced labour
c) uncomplicated pre. at 41w gestation
d) prev. c-sect
e) foetal distress

Answer 1

C

Question 2

34yo pregnant female due to have an induction of labour at 38w dt gestational DM. She has a bishops score of 3. Most appropriate next step?

a) amniotomy
b) c sect
c) iv oxytocin
d) reassess in 12 hr
e) vaginal prostaglandin or intracervical balloon

Answer 2

e) vaginal prostaglandin or intracervical balloon

bishops of less than 5 requires induction!

Question 3

24yo primagravida woman @ 36w in spontaneous labour.
5cm dilated, CTG = fetal HR 140bpm w/ variability of >5bpm.

Pregnancy uncomplicated, nil underlying health conditions.

Late decelerations on the CTG trace.

Next step?

a) Induction of labour
b) urgent c-sect
c) continue CTG monitoring
d) fetal blood sampling

Answer 3

d) fetal blood sampling

decelerations normal in labour indicative of dilatation

Question 4

Significance of late decelerations

Answer 4

They are caused by decreased blood flow to the placenta and can signify an impending fetal acidemia. Typically, late decelerations are shallow, with slow onset and gradual return to normal baseline. The usual cause of the late deceleration is uteroplacental insufficiency.

Question 5

Acute fetal brady has been noted on CTG. Conservative measures have not led to an improvement in fetal HR. What is the most appropriate mgmt?

a) C-sect I
b) C-sect II
c) c-sect III
d) c-sect IV
e) induction of labour

Answer 5

a) category I dt significant fetal compromise

C-sect I (LT)
C-sect II
c-sect III
c-sect IV (elective)