Nokea
Based on vaginal examination findings, indicators of abnormal labor are
- A. Bandl’s ring and oedematous vulva
- B. Oedematous cervix and fetal hypoxia
- C. Hot, dry vagina and arrest in descent
- D. Maternal distress and severe moulding
Correct Answer: C
Rationale: A hot, dry vagina and lack of descent suggest abnormal labor patterns.
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Among the major predisposing factors of cardiac disease prenatally are
- A. Rheumatic heart disease and leukaemia
- B. Ischaemic heart disease and dehydration
- C. Uncontrolled hypertension and obesity
- D. Smoking and peptic ulcer disease
Correct Answer: C
Rationale: Uncontrolled hypertension and obesity are major predisposing factors for cardiac disease.
The appropriate time to perform external cephalic version in a breech presentation is at
- A. 36 gestational weeks
- B. 38 gestational weeks
- C. 40 gestational weeks
- D. 42 gestational weeks
Correct Answer: A
Rationale: External cephalic version is most successful when performed between 36 and 37 weeks.
Complications of unrepaired cleft lip and palate include
- A. Pneumonia and retarded growth
- B. Mental retardation and blindness
- C. Failure to thrive and deafness
- D. Impaired speech and convulsions
Correct Answer: D
Rationale: Failure to thrive and impaired speech are common complications due to feeding and developmental issues with cleft lip and palate.
Congenital malformations are common in monozygotic twinning. Dichorionicity occurs only in dizygotic twinning.
- A. TRUE
- B. FALSE
- C. Rare
- D. Always True
Correct Answer: B
Rationale: Monozygotic twins typically have a single chorion, not two.
Predisposing factors to vitamin K deficiency bleeding include
- A. Postdatism, prematurity
- B. Asphyxia, congenital abnormalities
- C. Prematurity, hypoxia
- D. Hypoxia, congenital abnormalities
Correct Answer: A
Rationale: Postdatism and prematurity are significant risk factors for vitamin K deficiency bleeding.