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A correct statement about an acute small for gestational age neonate is
- A. Entire body is proportionately reduced for gestational age
- B. Head is disproportionately larger than the rest of the body
- C. The body is disproportionately larger than the baby’s head
- D. The neonate appears plumpy with a scaphoid shaped abdomen
Correct Answer: A
Rationale: The correct answer is A because an acute small for gestational age neonate will have all body parts proportionately reduced in size compared to a normal gestational age baby. This is due to intrauterine growth restriction. Choice B is incorrect because the head is not disproportionately larger. Choice C is incorrect as it states the body is larger than the head, which is not the case in SGA babies. Choice D is incorrect as SGA babies typically appear thin with a scaphoid abdomen, not plumpy.
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The type of cord prolapse characterized by presence of the fetal umbilical cord alongside the presenting part is
- A. Occult umbilical cord prolapse
- B. Overt umbilical cord prolapse
- C. Funic cord prolapse
- D. Complete cord prolapse
Correct Answer: C
Rationale: The correct answer is C: Funic cord prolapse. Funic cord prolapse is characterized by the fetal umbilical cord being alongside the presenting part. This type of cord prolapse is a more specific term used to describe the exact position of the cord in relation to the presenting part.
The other choices are incorrect because:
- A: Occult umbilical cord prolapse refers to a hidden or concealed cord prolapse, where the cord is not visible externally.
- B: Overt umbilical cord prolapse is when the cord is visible externally before the presenting part.
- D: Complete cord prolapse implies that the entire cord has descended through the cervix before the presenting part, not just alongside it.
Therefore, the correct choice is C as it accurately describes the specific positioning of the umbilical cord in relation to the presenting part during cord prolapse.
Psychosocial adversities are among the predisposing factors of puerperal psychosis.
- A. TRUE
- B. FALSE
- C. -
- D. -
Correct Answer: T
Rationale: Step-by-step rationale:
1. Puerperal psychosis is a severe mental health condition occurring postpartum.
2. Psychosocial adversities, such as stress or lack of social support, can trigger or exacerbate mental health issues.
3. Therefore, psychosocial adversities can be predisposing factors for puerperal psychosis.
4. Option A (TRUE) is correct as it aligns with the established relationship between psychosocial factors and mental health.
Summary: Option A is correct because psychosocial adversities can indeed contribute to the development of puerperal psychosis, making it a relevant predisposing factor. Options B, C, and D are incorrect as they do not provide any rationale or evidence to support their validity.
Complete uterine rupture: b) Define complete uterine rupture
- A. Rupture involving only the serosa
- B. Rupture involving the entire uterine layers
- C. A tear without uterine contractions
- D. None of the above
Correct Answer: B
Rationale: Complete uterine rupture involves a full-thickness disruption of all uterine layers, including the serosa, myometrium, and endometrium. This leads to a complete separation of the uterine wall, potentially resulting in severe bleeding and fetal distress. Choice A is incorrect as it only involves the outermost layer of the uterus. Choice C is incorrect as uterine contractions are usually present during uterine rupture. Choice D is incorrect as the correct definition of complete uterine rupture involves the entire uterine layers being affected.
In mild preeclampsia, the mother has no complaints.
- A. TRUE
- B. FALSE
- C. -
- D. -
Correct Answer: B
Rationale: The correct answer is B: FALSE. In mild preeclampsia, the mother may have symptoms such as mild hypertension, proteinuria, and sometimes mild edema. This indicates that the mother does have complaints, albeit they may be mild. The other choices (A, C, D) are incorrect because in mild preeclampsia, the mother does have complaints, so option A is not true. Options C and D are not applicable as they do not provide any information.
Vaginal delivery is possible in
- A. Brow presentation
- B. Face presentation
- C. Shoulder presentation
- D. Unstable lie
Correct Answer: B
Rationale: The correct answer is B: Face presentation. Vaginal delivery is possible in face presentation as the baby's head is extended, allowing for descent through the birth canal. Brow presentation (A) and shoulder presentation (C) may require cesarean delivery due to the atypical presentation of the baby. Unstable lie (D) refers to the baby being in a transverse position, which also necessitates a cesarean section. Face presentation is the only option where vaginal delivery may be possible due to the extended position of the baby's head.