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Exam (elaborations)

MIDWIFERY NATIONAL EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED

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  • Course
  • MIDWIFERY NATIONAL
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  • MIDWIFERY NATIONAL

What you explain to women about GBS screening... - ACCURATE ANSWERTransient micro-organism found in the vagina and bowel. Screening is RISK BASED approach... o previous GBS-affected infant o GBS bacteruria this pregnancy o preterm (< 37 weeks) labour and imminent birth o intrapartum fe...

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  • August 20, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MIDWIFERY NATIONAL
  • MIDWIFERY NATIONAL
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GRADEUNITS
MIDWIFERY NATIONAL EXAM
MIDWIFERY NATIONAL EXAM WITH GUARANTEED ACCURATE ANSWERS |
VERIFIED




What you explain to women about GBS screening... - ACCURATE
ANSWER✅✅Transient micro-organism found in the vagina and
bowel.


Screening is RISK BASED approach...


o previous GBS-affected infant
o GBS bacteruria this pregnancy
o preterm (< 37 weeks) labour and imminent birth
o intrapartum fever > 380C
o membrane rupture > 18 hrs.

,Via HVS/rectal/MSU ?36/40


Early-onset neonatal Group B Streptococcus (GBS) infection is the
leading cause of infectious disease in the newborn.


What details you must discuss with women with GBS risk factors... -
ACCURATE ANSWER✅✅- risks & treatment
- involvement of AB's
- any Hx of penicillin allergy


GBS cases - management... - ACCURATE ANSWER✅✅• All
newborn babies showing signs of sepsis should undergo immediate
referral and assessment from a paediatrician. This will include a full
blood count and blood cultures. While waiting for culture results
antibiotic therapy is recommended for at least 48-hours.


• suspected chorioamnionitis - immediate assessment and referral to a
paediatrician. Antibiotic therapy is recommended for babies showing
signs of sepsis.


• Healthy-appearing babies born at > 35-weeks gestation to women with
GBS risk factors and who have received appropriate antibiotics > 4-
hours before birth require no investigations or treatment, but should be
observed closely for at least 24 hours post-partum. This includes close
observation at home.

,• Well-appearing babies born at > 35-weeks gestation to women with
GBS risks factors who have received either no or inadequate (< 4-hours)
antibiotics during labour should be observed closely for at least 24-
hours. It is recommended that this be in hospital and that referral may be
considered.


• Well-appearing babies born at < 35-week gestation to women without
chorioamnionitis, who have not received antibiotics > 4 hours before
birth need close observation for at least 48-hours. It is recommended that
this be in hospital and that referral may be considered.


placenta previa - ACCURATE ANSWER✅✅• bleeding from an
abnormally located placenta


Which of the following are associated with placenta previa?


1. Prev C/S
2. Prev uterine curettage
3. Primips
4. Anaemia
5. Male fetus
6. Congentital abnormality


a. 1 and 3
b. 2, 4, 5

, c. 1, 2, 4, 5, 6
d. all of the above - ACCURATE ANSWER✅✅c. 1, 2, 4, 5, 6


- Prev C/S
- Prev placenta curettage
- abortion
- Endometriosis
- Multiparty


- Age
-Anaemia
- Smoking (enlarged placenta)


- Multiple preg
- congentital abnorm
- MALE fetus
- placental abnormality: Biparietal


What is the best practice if placenta previa/vasa previa is diagnosed at or
beyond 32/40?


a. Consultation
b. USS at 36/40

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