The presenting diameter in face presentation is
- A. Submento-vertical
- B. Mento-vertical
- C. Suboccipito-bregmatic
- D. Submento-bregmatic
Correct Answer: A
Rationale: In face presentation, the presenting diameter is submento-vertical.
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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.
How does a water birth benefit labor?
- A. Reduces labor pain
- B. Lowers risk of tearing
- C. Enhances relaxation
- D. All of the above
Correct Answer: D
Rationale: Water birth can reduce pain, lower tearing risks, and improve relaxation during labor.
Justin F. is seen in the emergency department with an 8-cm jagged laceration on the dorsal surface of his right forearm. He says he was working with his brother-in-law yesterday morning building a deck on the back of his home. A pile of wooden planks fell on top of him, and he sustained a variety of cuts and superficial injuries. He cleaned the wound with soap and water but didnt want to go to the emergency room because he didnt want to risk being in the waiting room for hours. He wrapped up his arm and went back to work, and then took a normal shower and went to bed last night. This morning the cut on his arm was still flapping open, and he realized he needed sutures. The appropriate management of this patient includes
- A. Proper cleansing and covering of the laceration, along with antibiotic therapy
- B. Local anesthesia, cleansing, and wound exploration for foreign bodies
- C. Local anesthesia, cleansing, and suture repair
- D. Cleansing, covering, antibiotic therapy, and tetanus prophylaxis
Correct Answer: D
Rationale: In this scenario, the patient presents with a jagged laceration on his forearm that is still open and requires sutures. The appropriate management for this patient involves local anesthesia to reduce pain, thorough cleansing of the wound to prevent infection, and wound exploration to assess for any foreign bodies that may be present. Suturing the wound is necessary to promote proper healing and reduce the risk of complications. Antibiotic therapy may be indicated if signs of infection are present, but it is not mentioned in the scenario as a primary management step. Tetanus prophylaxis should also be considered given the mechanism of injury involving a dirty object.
Occipito-posterior position: b) Define occipito-posterior position
- A. Fetus faces the mother's spine with head down
- B. Fetal head facing the mother's back
- C. Head facing the mother's pelvis, facing the back
- D. Both B and C
Correct Answer: B
Rationale: Occipito-posterior position occurs when the baby faces the mother's back with the head down.
Acute inflammatory mastitis can be prevented postnatally by encouraging breastfeeding mothers to
- A. Use prophylactic antibiotics
- B. Use bras of the right size
- C. Wash the breasts thoroughly before breastfeeding
- D. Empty the breast completely after breastfeeding
Correct Answer: D
Rationale: Emptying the breast completely when breastfeeding prevents mastitis by ensuring proper drainage of milk.