MSFinals-3557
A 35-year-old woman who is 28 weeks pregnant is brought to the maternity ward due to excessive vaginal bleeding. She has a negative Rhesus factor. What is the best course of action for preventing Rhesus sensitization?
Med Student Finals Category: Obstetrics
MSFinals-3542
A 35-year-old woman is seen in the epilepsy clinic. She has been effectively managing her epilepsy with carbamazepine 400 mg twice daily. She is expecting a baby girl soon and is eager to breastfeed. What guidance should be provided to the patient?
MSFinals-3558
A 29-year-old woman who is 20-weeks pregnant comes to the emergency department after noticing a vesicular rash on her torso this morning. Upon further questioning, you discover that her 5-year-old daughter developed chickenpox last week and the patient cannot recall if she has had the condition before. She seems at ease while resting.
Serological testing for varicella zoster virus reveals the following results:
Varicella IgM Positive
Varicella IgG Negative
What is the most suitable course of action?
MSFinals-3543
A 32-year-old para 1 woman has just given birth to a large baby boy (4.2kg). The delivery was vaginal but complicated by shoulder dystocia, which was resolved with McRoberts’ manoeuvre and suprapubic pressure. Although the baby is healthy, the mother is experiencing significant pain and bleeding due to a tear. Upon examination, the midwife discovers a midline tear that extends to a small portion of the external anal sphincter. However, the internal sphincter remains intact. The patient’s vital signs are normal, and she is otherwise in good health. What is the most appropriate course of action for this patient?
MSFinals-3559
Sarah, a 29-year-old pregnant woman (gravidity 1, parity 0) currently 33+0, visits her obstetrician with a new rash. Sarah attended her 6-year-old nephew’s birthday party 2 weeks ago. Today, she woke up feeling unwell with malaise and a loss of appetite. She also noticed a new itchy rash on her back and abdomen. Upon calling her sister, she found out that one of her nephew’s friends at the party was recently diagnosed with chickenpox. Sarah has never had chickenpox before. During the examination, Sarah has red papules on her back and abdomen. She is not running a fever. What is the most appropriate course of action?
MSFinals-3544
A 30-year-old woman 25 weeks into her first pregnancy comes in with vaginal bleeding. What distinguishing characteristic would suggest a diagnosis of placenta praevia instead of placenta abruption?
MSFinals-3560
A 25 year old woman presents to her GP with breast pain. She gave birth 3 weeks ago and is exclusively breastfeeding. She reports a 4 day history of increasing pain in her left breast, which has not improved with continued feeding and expressing. During examination, she appears healthy, but her temperature is 38.5ºC. There is a small area of redness above the left nipple, which is sensitive to touch. She has no known allergies.
What is the best course of action for management?
MSFinals-3545
A 29-year-old woman, who is 12 weeks pregnant, visits her midwife for a check-up. She has a BMI of 33 kg/m² and no other medical conditions. The patient is anxious about gestational diabetes, which she believes is common in larger women. She has one child previously, a boy, who was born after a complicated and prolonged delivery. He weighed 4.6kg at birth and required no additional post-natal care. There is no family history of any pregnancy-related issues. What is the most appropriate test to address her concerns and medical history?
MSFinals-3546
A 35-year-old woman who has never given birth is in labour at 37 weeks gestation. During examination, the cervix is found to be dilated at 7 cm, the head is in direct Occipito-Anterior position, the foetal station is at -1, and the head is palpable at 2/5 ths per abdomen. The cardiotocogram reveals late decelerations and a foetal heart rate of 100 beats/min, which persist for 15 minutes. What is the appropriate course of action in this scenario?
MSFinals-3547
A woman gives birth via normal vaginal delivery. The midwife notices the baby has an umbilical hernia, a large, protruding tongue, flattened face, and low muscle tone. What is the most probable outcome of this woman’s combined screening test at 13-weeks-pregnant with this child?