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51. An elective caesarean section is being performed on a 30-year-old Rhesus D negative pregnant woman at 37 weeks of gestation for placenta praevia (major). Arrangements were made and she is receiving intraoperative cell salvage (ICS)transfusion. What would be the plan with regard to Rhesus D prophylaxis in this woman assuming the baby's blood group is unknown? A. Administer 500 IU anti-D Ig and then take a sample of materna blood 30-45 min after intraoperative cell salvage (ICS) infusion B. Administer 750 IU anti-D Ig and then take a sample of maternal blood 30-45 min after ICS C. Administer 1500 IU anti -D Ig and then take a sample of materna blood 30-45 min after ICS infusion D. Administer 2000 IU anti-D Ig and then take a sample of maternal blood 30-45 min after ICS infusion 52.What is the recommended regimen for anti-D prophylaxis for a 26-year-old Rhesus D negative woman who is not sensitized? A. 500 IU Ig at 28 weeks of gestation B. 500 IU lg anti-D at 34 weeks of gestation C. 1000 IU lg anti-D at 28 weeks gestation D. 1500 IU Ig anti-D at 28 weeks gestation 53. A 20-year-old RhD negative woman presents with bleeding at 11 weeks of gestation. When will you consider administering anti-D lg prophylaxis to this woman? A. She goes on to have a complete miscarriage B. The bleeding is heavy but is stopping C. The bleeding is repetitive or associated with pain D. The bleeding is small and painless

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

52.What is the recommended regimen for anti-D prophylaxis for a 26-year-old Rhesus D negative woman who is not sensitized? A. 500 IU Ig at 28 weeks of gestation B. 500 IU lg anti-D at 34 weeks of gestation C. 1000 IU Ig anti-D at 28 weeks gestation D. 1500 IU Ig anti-D at 28 weeks gestation

52.What is the recommended regimen for anti-D prophylaxis for a 26-year-old Rhesus D negative woman who is not sensitized? A. 500 IU Ig at 28 weeks of gestation B. 500 IU lg anti-D at 34 weeks of gestation C. 1000 IU Ig anti-D at 28 weeks gestation D. 1500 IU Ig anti-D at 28 weeks gestation 53. A 20-year-old RhD negative woman presents with bleeding at 11 weeks of gestation. When will you consider administering anti-D lg prophylaxis to this woman? A. She goes on to have a complete miscarriage B. The bleeding is heavy but is stopping C. The bleeding is repetitive or associated with pain D. The bleeding is small and painless 54. A 28-year -old primigravida was admitted with an undiagnosed breech and opted to try for a vaginal delivery after counselling. What is the best indication that a cephalic-pelvic disproportion is unlikely to happen? A. A clinically adequate pelvis B. An estimated fetal weight that is less than 3800 g C. A frank breech presentation D.Simultaneous easy passage of the fetal thighs and trunk through the pelvis

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