A No additional intervention at this stage B Deliver by caesarean section
C Increase dose of oxytocin D Lovset?s manoeuvre
E Decrease dose of oxytocin F Fetal blood sampling
G Forceps delivery H Delivery of the posterior arm
I Episiotomy J Inhaled salbutamol
K McRobert?s manoeuvre L Administer maternal facial oxygen
Instructions: For each of the case histories described below, choose the single most appropriate management from the above list. Each option may be used once, more than once, or not at all.
Question 28 A 23 year old woman with two previous vaginal deliveries is admitted for induction of labour at 42 weeks gestation. The pregnancy has been uncomplicated and the fetal head is three fifths palpable. The cervix is 1cm long, central, 2cm dilated with bulging membranes and the fetal head is 2cm above the ischial spines. Your answer: A
Correct answer: D
Question 29 A 23 year old woman with two previous vaginal deliveries is admitted for induction of labour at 42 weeks gestation. The pregnancy has been uncomplicated and the fetal head is three fifths palpable. The cervix is 1cm long, central, 2cm dilated with bulging membranes and the fetal head is 2cm above the ischial spines. Your answer: A
