Mastering Pregnancy Complications Management: A Comprehensive Guide for Midwives

Question 1

Which of the following is a contraindication for vaginal delivery in a woman with gestational hypertension?

Accepted Answer

Severe hypertension (systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥110 mmHg)

Answer

Proteinuria of ≥0.3 grams in 24 hours

Answer

Reduced fetal growth

Answer

Nulliparity

Question 2

What is the purpose of a Bishop score?

Accepted Answer

To assess the likelihood of successful induction of labour

Answer

To assess fetal well-being

Answer

To determine the gestational age of the fetus

Answer

To diagnose pre-eclampsia

Question 3

Which of the following is a key aspect of providing evidence-based care to a woman with a pregnancy complication?

Accepted Answer

Using research findings as a basis for clinical decision-making

Answer

Consulting with a specialist

Answer

Following traditional practices

Answer

Relying solely on personal experience

Question 4

What is the most important consideration when managing a woman with a pregnancy complication?

Accepted Answer

Ensuring the safety and well-being of the mother and baby

Answer

Minimizing discomfort and pain

Answer

Reducing the risk of future complications

Answer

Following hospital protocols

Question 5

What is the first-line treatment for severe pre-eclampsia?

Accepted Answer

Magnesium sulfate

Answer

Antihypertensive medications

Answer

Immediate delivery of the baby

Answer

Bed rest

Question 6

What is the primary goal of managing premature rupture of membranes (PROM)?

Accepted Answer

Preventing infection in the mother and baby

Answer

Inducing labour to deliver the baby

Answer

Administering antibiotics to prevent infection

Answer

Closely monitoring fetal well-being

Question 7

What is the most prevalent cause of postpartum haemorrhage?

Accepted Answer

Uterine atony (failure of the uterus to contract effectively)

Answer

Retained placenta

Answer

Lacerations of the birth canal

Answer

Disseminated intravascular coagulation (a rare but serious bleeding disorder)

Question 8

In managing pregnancy complications that pose potential risks to the mother or baby, which ethical principles should guide the decision-making process regarding withholding treatment?

Accepted Answer

Autonomy, beneficence, non-maleficence, and justice

Answer

Prioritizing the baby's well-being above all else

Answer

Relying solely on established medical guidelines for decision-making

Question 9

What is the primary cause of nausea and vomiting during the early stages of pregnancy?

Accepted Answer

Elevated progesterone levels

Answer

Reduced estrogen levels

Answer

Low blood sugar levels

Answer

Dehydration

Question 10

What is the recommended gestational age range for performing a cervical stitch to prevent preterm birth?

Accepted Answer

20-22 weeks

Answer

12-14 weeks

Answer

16-18 weeks

Answer

24-26 weeks

Question 11

A pregnant woman presents to the antenatal clinic with high blood pressure and protein in her urine. Which test is most suitable to confirm the diagnosis of pre-eclampsia?

Accepted Answer

24-hour urine collection for protein

Answer

Complete blood count

Answer

Ultrasound

Answer

Liver function tests

Question 12

Identify the symptom that is NOT typically associated with pre-eclampsia?

Accepted Answer

Decreased urine output (oliguria)

Answer

Protein in the urine (proteinuria)

Answer

Elevated blood pressure (hypertension)

Answer

Swelling (edema)

Question 13

In managing gestational diabetes, which approach is typically recommended as the first-line treatment?

Accepted Answer

Implementing lifestyle modifications, such as diet and exercise

Answer

Administering insulin injections

Answer

Prescribing oral hypoglycemic medications

Answer

Using Metformin, a medication that improves insulin sensitivity

Question 14

When educating a pregnant woman about urinary tract infections (UTIs), which aspect is most important to highlight?

Accepted Answer

The necessity of seeking medical attention promptly for UTI symptoms

Answer

The importance of limiting caffeine and alcohol consumption

Answer

The benefits of drinking cranberry juice

Answer

The significance of maintaining good hygiene practices

Question 15

Identify the primary sign and symptom of preeclampsia prevalent during pregnancy?

Accepted Answer

Elevated blood pressure

Answer

Reduced protein levels in urine

Answer

Absence of edema in extremities

Answer

Lowered blood pressure

Question 16

Which diagnostic test is typically utilized to confirm a diagnosis of gestational diabetes?

Accepted Answer

Glucose tolerance test

Answer

Ultrasound examination

Answer

Non-stress test

Answer

Cervical examination

Question 17

Identify a potential risk factor associated with the development of intrauterine growth restriction (IUGR) during pregnancy?

Accepted Answer

Maternal hypertension

Answer

Absence of fetal anomalies

Answer

Advanced paternal age

Answer

Optimal maternal weight gain

Question 18

In managing placental abruption, what is the primary therapeutic objective?

Accepted Answer

Control and prevention of excessive bleeding

Answer

Immediate delivery of the infant

Answer

Administration of antibiotics

Answer

Continuous fetal heart rate monitoring

Question 19

Which characteristic is distinctive to HELLP syndrome during pregnancy?

Accepted Answer

Hemolysis, elevated liver enzymes, low platelets

Answer

Chorioamnionitis, fever, uterine tenderness

Answer

Vaginal bleeding, abdominal pain, fetal distress

Answer

Hypertension, proteinuria, edema

Question 20

Which screening test is recommended during pregnancy to assess the risk of Down syndrome in the fetus?

Accepted Answer

Nuchal translucency scan

Answer

Amniocentesis

Answer

Non-stress test

Answer

Chorionic villus sampling

Question 21

In the management of chorioamnionitis, which therapeutic approach is considered the first line of treatment?

Accepted Answer

Antibiotic administration

Answer

Tocolytic administration

Answer

Steroid administration

Question 22

Which potential complication is associated with a cesarean section procedure?

Accepted Answer

Hemorrhage

Answer

Preeclampsia

Answer

Gestational diabetes

Answer

Intrauterine growth restriction

Question 23

What is the primary goal of administering antenatal corticosteroids during pregnancy?

Accepted Answer

Enhance fetal lung maturity

Answer

Minimize the risk of intrauterine growth restriction

Answer

Prevent development of preeclampsia

Answer

Treat chorioamnionitis