Free Obstetric Emergencies MCQs with Answers

• A. Placental abruption
• B. Placenta previa
• C. Uterine atony
• D. Amniotic fluid embolism

Explanation: Placental abruption causes painful bleeding, uterine tenderness or rigidity, and fetal compromise.

• A. Checking maternal vital signs
• B. Applying external fetal monitoring
• C. Performing a digital vaginal examination
• D. Preparing intravenous access

Explanation: A digital vaginal examination can disrupt a placenta lying over or near the cervical opening and cause massive haemorrhage.

• A. Calling for additional help
• B. Applying suprapubic pressure
• C. Using fundal pressure
• D. Preparing for neonatal resuscitation

Explanation: Fundal pressure can worsen impaction of the shoulders and increase the risk of injury.

• A. Calcium gluconate
• B. Sodium bicarbonate
• C. Naloxone
• D. Protamine sulfate

Explanation: Calcium gluconate antagonizes the neuromuscular and respiratory effects of magnesium toxicity.

• A. Tranexamic acid
• B. Magnesium sulfate
• C. Methylergometrine
• D. Calcium gluconate

Explanation: Tranexamic acid helps stabilize formed clots by reducing fibrinolysis and is used early in postpartum haemorrhage as part of comprehensive…

• A. Previous caesarean birth with a uterine scar
• B. Previous uncomplicated vaginal birth
• C. Mild iron-deficiency anaemia
• D. A treated urinary infection

Explanation: A previous caesarean birth may leave a scar that can separate during labour, especially with excessive uterine stress.

• A. Prepare for urgent birth
• B. Continue routine fetal monitoring
• C. Offer oral fluids to the mother
• D. Wait for spontaneous recovery

Explanation: Persistent severe bradycardia despite corrective measures indicates continuing fetal compromise and requires preparation for urgent birth.

• A. Oxygen and airway equipment
• B. A urine dipstick and specimen cup
• C. A fetal scalp electrode
• D. A warm blanket and feeding tray

Explanation: Sudden respiratory and circulatory collapse threatens airway and breathing first, so oxygen and airway equipment are immediately required.

• A. Arrange urgent referral with continued monitoring
• B. Discharge her when the seizure stops
• C. Delay referral until blood pressure is normal
• D. Send her alone with written instructions

Explanation: Eclampsia requires urgent referral for definitive obstetric assessment and possible birth, even when the seizure has stopped.

• A. A rising maternal pulse rate
• B. A mild increase in urine output
• C. A warm flushed maternal skin
• D. A regular respiratory rate

Explanation: Tachycardia is often an early compensatory response to blood loss, before hypotension appears.

• A. Intravenous hydralazine
• B. Intramuscular oxytocin
• C. Oral ferrous sulfate
• D. Intravenous calcium gluconate

Explanation: Hydralazine is an antihypertensive used to reduce dangerously high blood pressure in severe pregnancy-related hypertension.

• A. To prevent recurrent seizures
• B. To produce cervical dilatation
• C. To increase uterine contractions
• D. To correct severe anaemia

Explanation: Magnesium sulfate acts as an anticonvulsant and reduces the risk of further eclamptic seizures.

• A. A well-engaged vertex
• B. An unengaged presenting part
• C. A low fetal station
• D. A fully dilated cervix with descent

Explanation: When the presenting part is high or unengaged, the cord can slip below it when the membranes rupture.

• A. Brachial plexus injury
• B. Congenital hip dislocation
• C. Facial nerve palsy
• D. Tibial nerve injury

Explanation: Shoulder dystocia can stretch the brachial plexus, causing weakness or paralysis of the affected arm.

• A. An isotonic crystalloid solution
• B. A concentrated glucose solution
• C. A hypotonic saline solution
• D. Sterile water for injection

Explanation: Isotonic crystalloids such as normal saline or Ringer lactate expand the intravascular space during initial resuscitation.

• A. Maternal vital signs, blood loss, and treatment given
• B. The woman's preferred room colour and meal choice
• C. The number of relatives waiting outside
• D. The date of her previous dental examination

Explanation: The receiving team needs the current clinical condition, estimated blood loss, treatments, response, and important obstetric details to…

• A. A concealed genital tract haematoma
• B. A completely contracted uterus
• C. Normal postpartum lochia
• D. Mild bladder distension

Explanation: A genital tract haematoma can collect blood internally, causing severe pain, pressure, tachycardia, and little visible vaginal bleeding…

• A. Call the neonatal resuscitation team
• B. Delay birth until the liquor clears
• C. Begin routine uterine massage
• D. Give the newborn oral fluids immediately

Explanation: Thick meconium with abnormal fetal heart findings increases the risk that the newborn will need immediate respiratory support.

• A. HELLP syndrome
• B. Mild iron deficiency
• C. Uncomplicated gestational oedema
• D. Physiological haemodilution

Explanation: HELLP syndrome involves haemolysis, elevated liver enzymes, and low platelets, and right upper abdominal pain may indicate liver…

• A. 90 beats per minute
• B. 125 beats per minute
• C. 175 beats per minute
• D. 205 beats per minute

Explanation: A usual baseline fetal heart rate is 110 to 160 beats per minute, so 125 is within the expected range.