Quiz
Bleeding In Late Pregnancy
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Questions in this quiz (43)
1Bleeding in late pregnancy is considered as bleeding any time after [blank_start]24 weeks[blank_end]
- A24 weeks
- B20 weeks
- C28 weeks
2Bleeding before 24 weeks is a potential sign of [blank_start]miscarriage[blank_end]
- Amiscarriage
- Bfoetal malformation
- Cplacental abruption
- Dbreech presentation
- Eearly labour
3The placenta is completely formed and the sole source of foetal nutrition as of [blank_start]6 weeks[blank_end] gestation
- A6 weeks
- B10 weeks
- C14 weeks
4Bleeding from the genital tract after 24 weeks gestation and before the end of the second stage of labour is known as [blank_start]antepartum[blank_end] haemorrhage
- Aantepartum
5A Major antepartum haemorrhage is considered as anything from [blank_start]50[blank_end]-1000ml of blood loss
Anything more than 1000ml is a Massive antepartum haemorrhage- A50
- B100
- C200
- D500
6Premature separation of a normally implanted placenta from the uterine wall is known as placental [blank_start]abruption[blank_end]
- Aabruption
7Which 3 of the following are the main defining symptoms of placental abruption?
- AIntermittent abdominal pain
- BContinuous abdominal pain
- CBleeding
- DHeadache
- ENausea & Vomiting
- FOliguria
- GDysuria
- HPreterm Labour
8A 'woody hard' uterus upon abdominal examination would suggest what is occurring?
- APlacental abruption
- BPlacenta praevia
- CPlacenta accreta
- DVasa praevia
9A woman is diagnosed with having a placental abruption. She has been highly distressed for the past 30 minutes and has just become unresponsive. You feel for a foetal pulse and feel one present. Which two of the following things should be done next?
- AResuscitation of Mother
- BDelivery of Baby via Caesarean section
- CManual removal of foetus via vagina
- DInduction of labour to promote natural birth
10During a placental abruption, the foetal heart should be assessed using which means of investigation?
- ACardiotocography (CTG)
- BDoppler Ultrasound
- CPinard Stethoscope
11After a placental abruption has occurred and been managed appropriately, which of the following is most likely to occur next?
- AHypovolaemic shock
- BAnaemia
- CRenal failure
- DPostpartum haemorrhage (PPH)
- EThromboembolism
12The treatment plan for antiphospholipid syndrome when looking to conceive consists of [blank_start]LMWH + Low Dose Aspirin[blank_end]
- ALMWH + Low Dose Aspirin
- BLMWH alone
- CLMWH + Warfarin
- DWarfarin + Low Dose Aspirin
- ELow Dose Aspirin alone
13Which condition is characterised by implantation of the placenta in the lower uterus, sometimes covering the cervix?
[blank_start]Placenta Praevia[blank_end]- APlacenta Praevia
14Placenta praevia typically becomes problematic when it lies over the [blank_start]internal os[blank_end]
- Ainternal os
- Bexternal os
- Centrance to the fallopian tubes
15The lower segment of the uterus is [blank_start]thinner[blank_end] and contains [blank_start]less[blank_end] muscle fibres than the upper segment. It also does not [blank_start]contract[blank_end] during labour.
- Acontract
- Bdilate
- Cthinner
- Dthicker
- Eless
- Fmore
16Caesarean delivery is associated with an increased risk of placenta praevia in subsequent pregnancies.
- ATrue
- BFalse
17In terms of a method of delivery, LSCS stands for [blank_start]lower segment caesarean section[blank_end]
- Alower segment caesarean section
18Which mode of delivery leaves a woman at most risk of developing placenta praevia in subsequent pregnancies?
- ASpontaneous Vaginal Delivery
- BCaesarian Section
- CInduced Labour
19Placenta Praevia is typically found upon which method of scanning?
- AUterine Venography
- BUltrasound (12 and 20 weeks)
- CMaternal blood testing at 16 weeks
20Placenta praevia typically presents as [blank_start]painless[blank_end] bleeding after the [blank_start]24th[blank_end] week. The amount of blood is typically proportional to the severity of the patient's condition.
- Apainless
- Bpainful
- C24th
- D20th
- E28th
21The uterus typically feels [blank_start]soft[blank_end] in placenta praevia
- Asoft
- Bhard
22CTG is usually normal in a case of placenta praevia
- ATrue
- BFalse
23Vaginal examination should not be performed until placenta praevia is excluded due to risk of damage to the placenta/foetus.
- ATrue
- BFalse
24Patients with placenta praevia are not advised to abstain from sexual intercourse
- ATrue
- BFalse
25For a woman going to give birth preterm, which drugs should be given for ...
Neuroprotection - [blank_start]Magnesium Sulphate[blank_end]
Encouraging Pulmonary Surfactant production in foetus - [blank_start]Steroids[blank_end]- AMagnesium Sulphate
- BSteroids
26A woman with an uncomplicated placenta praevia should have her baby delivered around ...
- A36-37 weeks (pre-term)
- B40 weeks (term)
- C42 week (post-term)
27In women with placenta praevia:
If the placenta is >2cm from the internal os - [blank_start]vaginal birth[blank_end] is encouraged
If the placenta lies directly over the internal os - [blank_start]caesarean section[blank_end] is encouraged- Avaginal birth
- Bcaesarean section
- Ccaesarean section
- Dvaginal birth
28Name the condition whereby the placenta is deeply rooted into the uterine wall and doesn't detach naturally, leading to major bleeding.
[blank_start]Placenta Accreta[blank_end]- APlacenta Accreta
29Most women who have a placenta accreta end up having a c-section w/ hysterectomy, leaving them infertile.
- ATrue
- BFalse
30In which condition of pregnancy does a full-thickness tear occur in the uterus?
Uterine [blank_start]rupture[blank_end]- Arupture
31As well as the severe abdominal pain, the pain from a uterine rupture typically refers to the ...
- ACentral back
- BFlank
- CShoulder Tip
- DEpigastric region
32Unprotected foetal vessels overlying the internal os of the uterus is known as [blank_start]vasa praevia[blank_end]
- Avasa praevia
33Mortality of Vasa Praevia is fairly low at around 15%
- ATrue
- BFalse
34How is Vasa Praevia typically managed?
- ADelivery via caesarean section
- BIntrauterine band ligation of blood vessels
- CTermination of pregnancy due to high risk of maternal mortality
35Vasa Praevia patients should be given steroids early (around 32 weeks) to prepare for elective preterm caesarean section delivery
- ATrue
- BFalse
36Postpartum haemorrhage is defined as a blood loss of greater than [blank_start]500ml[blank_end] following the birth of the baby
- A500ml
- B250ml
- C100ml
- D1000ml
37Primary PPH = Within [blank_start]24 hours[blank_end] of delivery
Secondary = [blank_start]24hr - 6 weeks[blank_end] post delivery- A24 hours
- B3 days
- C12 hours
- D24hr - 6 weeks
- E12hr to 1 week
- F3 days - 6 weeks
38A major PPH is defined as a blood loss of greater than [blank_start]1000ml[blank_end]
- A1000ml
- B500ml
- C750ml
39Which of the following is the main cause of PPH?
- AUterine Atony
- BTrauma
- CRetained/abnormal placentation
- DClotting factor abnormality
40Jehovah's Witnesses are typically more difficult to treat in cases of late bleeding in pregnancy.
- ATrue
- BFalse
41Injection of a synthetic version of which human hormone is typically used to stop the bleeding in PPH?
[blank_start]Oxytocin[blank_end]- AOxytocin
42Ergometrine can be used induce contractions in cases of PPH, thus helping to stop the bleeding. It is however contraindicated in women with ...
- ADiabetes
- BAsthma
- CHypertension
43The laboratory test used to determine how much Anti-D a Rhesus negative woman requires to prevent isoimmunisation is called the [blank_start]Kleihauer[blank_end] test
- AKleihauer
- BKlaustein
- CKinnel's
- DKerstiell
Information
- Description
- Bleeding in Late Pregnancy lecture given on the Thursday morning of Week 4
- Author
- Matthew Coulson
- Language
- English
- Views
- 70
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