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1. During a breech delivery of a normal size fetus which one is the correct management for a nuchal arm?
A It is best to deliver in the Mc Roberts position.
B If discovered a Caesarean section is always indicated
C One option is to rotate the fetus for a left nuchal arm anti-clockwise
D One option is to rotate the fetus for a left nuchal arm clockwise
E If a nuchal arm persists vaginal delivery is still possible.
2. In a Twin delivery which one is the correct statement?
A PPH is relatively uncommon
B Locked twins are possible if the first twin is cephalic
C If appropriate ECV is possible on twin 2 following delivery of twin 1.
D Internal podalic version is a possible manoeuvre on twin 1.
E In theory there are 20 possible combinations of twin presentations
3. Which of one the following has been linked to the cause of a miscarriage?
A Genetic abnormalities.
D Rising maternal age.
E All of the above.
4. With regard to premature rupture of membranes which one of the following is correct?
A It is defined as rupture of maternal membranes 20 minutes prior to the onset of labour.
B The incidence is approximately 35%
C Preterm premature rupture of membranes is defined as occurring before 34 weeks.
D The incidence of preterm premature rupture of membranes is approximately 2%
E Proven risk factors include vaginal examinations.
5. With regard to tocolytic therapy which one of the following is correct?
A Magnesium sulphate is effective in preventing preterm labour.
B Indomethacin dilates the fetal ductus arteriosus.
C Nifedipine is a beta blocker
D Prolonging pregnancy with tocolytic agents has been shown to greatly Improve all neonatal outcomes.
E None of the above.
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