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1. With regard to CTGs which one of the following is FALSE?
A Accelerations are defined as an increase in the fetal heart rate of 15 beats per minute lasting 15 seconds or more
B An early deceleration by definition may drop by up to 60 beats per minute
C Variable decelerations occur in up to 80% of second stage labours.
D Variable decelerations occur in up to 80% of second stage labours.
E Shallow late decelerations are usually clinically insignificant.
2. 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.
3. With regard to placenta praevia which one of the following is correct?
A It occurs in 1 in 500 pregnancies
B Of those who have placenta praevia diagnosed at 20 weeks, 90% will have resolved by 30 weeks.
C Smoking is not a risk factor.
D High parity is not a risk factor.
E Advanced maternal age is not a risk factor.
4. With regard to the presentation of uterine rupture which one of the following is correct?
A Less than 5 % occur out of hospital.
B It can be associated with severe variable decelerations on the CTG.
C It can cause recession of the fetal head vaginally.
D It can be associated with hyperstimulation.
E All of the above.
5. 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.
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