55. You have been called to the delivery of a 30-year-old primigravida who is pushing. The baby is in the breech position. The midwife is conducting the breech delivery and the head of the baby is trapped behind the cervix, which is only 8 cm dilated. What action will you take to deliver the head? A. Apply a forceps B. Apply Burns-Marshall technique C. Apply Mauriceau -Smellie-Veit manoeuvre D. Incise the cervix at 3 and 70' clock positions 56.You have counselled a 30-year-old primigravida at 35 weeks of gestation with a breech presentation, and she agrees to an external cephalic version. You have scheduled this procedure at 36 weeks of gestation. What success rate will you give this woman? A 30% -37% B 38% -45% C 46% -55% D 56% -64% 57. In the conduct of a breech vaginal delivery, what manoeuvre should be used in delivering the arms? A. Bracht manoeuvre B. Burns-Marshall technique C. Gentle traction on the arms D. Lovset's manoevre 58. A woman died from genital sepsis that occurred at 30 weeks of gestation. What is the most common site of infection associated with septic shock in pregnancy? A. Ascending genital tract B. Gastrointestinal C. Pharyngeal D. Urinary tract

Question

55. You have been called to the delivery of a 30-year-old primigravida who is pushing. The baby is in the breech position. The midwife is conducting the breech delivery and the head of the baby is trapped behind the cervix, which is only 8 cm dilated. What action will you take to deliver the head? A. Apply a forceps B. Apply Burns-Marshall technique C. Apply Mauriceau -Smellie-Veit manoeuvre D. Incise the cervix at 3 and 70' clock positions 56.You have counselled a 30-year-old primigravida at 35 weeks of gestation with a breech presentation, and she agrees to an external cephalic version. You have scheduled this procedure at 36 weeks of gestation. What success rate will you give this woman? A 30% -37% B 38% -45% C 46% -55% D 56% -64% 57. In the conduct of a breech vaginal delivery, what manoeuvre should be used in delivering the arms? A. Bracht manoeuvre B. Burns-Marshall technique C. Gentle traction on the arms D. Lovset's manoevre 58. A woman died from genital sepsis that occurred at 30 weeks of gestation. What is the most common site of infection associated with septic shock in pregnancy? A. Ascending genital tract B. Gastrointestinal C. Pharyngeal D. Urinary tract

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55. **C. Apply Mauriceau -Smellie-Veit manoeuvre**Explanation: In this scenario, the Mauriceau-Smellie-Veit maneuver is the appropriate technique to use. This maneuver involves rotating the baby's shoulders to allow the head to pass through the birth canal. It is specifically designed for breech deliveries where the head is trapped behind the cervix.56. **B. 38% - 45%**Explanation: The success rate for external cephalic version (ECV) typically ranges between 38% and 45%. ECV is a procedure where the healthcare provider manually rotates the fetus from a breech position to a head-down position. While it can be successful, it is not guaranteed, and the success rate can vary based on factors such as the skill of the practitioner and the cooperation of the mother.57. **A. Bracht manoeuvre**Explanation: The Bracht maneuver is used in breech vaginal deliveries to assist in delivering the arms. This maneuver involves rotating the baby's shoulders to allow the arms to be delivered safely.58. **A. Ascending genital tract**Explanation: The ascending genital tract is the most common site of infection associated with septic shock in pregnancy. Infections in this area can lead to sepsis, which is a serious and potentially life-threatening condition. Prompt recognition and treatment of such infections are crucial to prevent complications.

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