PLAB 1 (GMC, international medical graduates) · Obstetrics and gynaecology
Labour, delivery and postpartum
6 practice questions, each with the answer and an explanation.
Practise Labour, delivery and postpartum now
Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.
All 6 questions
- A woman gives birth vaginally and loses 800 mL of blood in the first hour with a boggy, soft uterus. She is tachycardic. What is the first action?
- During delivery, the fetal head delivers but then retracts against the perineum (turtle sign) and the shoulders do not follow. What is the first manoeuvre?
- A woman in labour has a cord palpable in the vagina after her membranes ruptured. The fetal heart shows bradycardia. What is the most appropriate immediate management?
- A woman delivers and bleeds heavily. Her placenta has not been delivered after 45 minutes despite active management. What is the likely diagnosis and action?
- A woman 5 days after delivery is agitated, confused, has delusions about her baby and has not slept for two nights. What is the likely diagnosis and action?
- A breastfeeding woman has a red, painful, wedge-shaped area on her breast, fever and malaise. There is no abscess. What does the advice include?
Keep practising
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