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 associatec 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 associatec with septic shock in pregnancy? A. Ascending genital tract B. Gastrointestinal C. Pharyngeal D. Urinary tract

Answer 1

55. **C. Apply Mauriceau -Smellie-Veit manoeuvre**Explanation: The Mauriceau-Smellie-Veit maneuver is a technique used to deliver the head of the baby during breech delivery when the head is trapped behind the cervix. This maneuver involves rotating the baby's shoulders to release the head.56. **B. 38% - 45%**Explanation: The success rate for external cephalic version (ECV) is generally reported to be between 38% and 45%. This procedure involves manually turning the baby from a breech position to a head-down position before delivery.57. **A. Bracht manoeuvre**Explanation: The Bracht maneuver is used in breech vaginal deliveries to assist in delivering the arms. It involves rotating the shoulders of the baby to allow the arms to be delivered.58. **A. Ascending genital tract**Explanation: The ascending genital tract is the most common site of infection associated with septic shock in pregnancy. Infections can ascend from the vagina and cervix to the uterus and placenta, leading to sepsis.

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