FCOG-1190
A 27-year-old woman at her 37 weeks of gestation is diagnosed with primary genital herpetic lesions at multiple sites in the genital area.
What is the most appropriate management in this case?
Archives: FCOG Part 1
FCOG-1182
A 25-year-old Aboriginal lady presents to antenatal clinic at 19 weeks of her gestation.
This is considered as the best time for which one of the following?
FCOG-1173
A 24-year-old woman is planning to conceive and comes for your advice. She has a history of juvenile myoclonic epilepsy and has been stable on sodium valproate. Despite your full explanations about the risks of the teratogenicity of antiepileptic drugs, she insists she wants to be a mother and asks you to guide her.
Among the following which would be the most appropriate advice to give this patient?
FCOG-1166
A 27-year-old female G1P1 presents with her husband because she has not been breastfeeding her baby 24 hours though she had previously stated she intended exclusive breastfeeding for the first 3 months. She feels sad most of the time and her mood has been very low for the past 2 weeks, she has trouble sleeping at night and feels tired all day. She complains that her husband doesn’t seem to know how to help. For the past 24 hours she feels like she is not fit to be a mother and doesn’t want to feed the baby anymore. She has been frightened by thoughts to harm herself and the baby. Her baby is 7 weeks old.
In addition to antidepressant medication, which of the following treatment is most appropriate for this patient?
FCOG-1174
A 25-year old Asian woman comes to your clinic at 36 weeks of gestation. She was diagnosed with breech at 32 weeks. She is not in labor and a manual examination of the uterus is suggestive of breech position.
Which one of the following would be the next best step in management of this patient?
FCOG-1172
A 30-year-old G2P1 woman presented to the maternity unit, in labour at 38 weeks gestation. During her previous pregnancy she delivered a healthy baby through caesarean section. The current pregnancy had been uneventful without any remarkable problems in antenatal visits except for the first trimester nausea and vomiting.
On arrival, she had a cervical dilation of 4 cm and the fetal head was at -1 station. After 5 hours, the cervical length and fetal head station are still the same despite regular uterine contractions. Suddenly, there is a sudden gush of blood, which is approximately 1000 ml and the fetal heart rate have dropped to 80 bpm on CTG.
Which of the following could be the most likely cause for this presentation?
FCOG-1165
A 26-year-old female G2P1 is in labour at the 38th week of gestation. Her membranes ruptured about 8 hours ago. At the moment, she is having contractions lasting 60 seconds every 4 minutes and is 8 cm dilated. The fetal heart tone baseline is currently 80/min with absent variability. The pregnancy was uneventful and she had regular prenatal check-ups.
Which of the following is the most appropriate next step in management?
FCOG-1170
An 18-year-old pregnant woman presents to the clinic for a routine check-up. She is at the 5th week of gestation. Except for morning nausea, she denies any problems with her pregnancy so far. The patient is allergic to penicillin. Physical exam is unremarkable and appropriate for gestational age. Routine screening lab tests were ordered. VDRL screening returned positive and was confirmed by the FTA-ABS test.
Which of the following is considered the best management of this patient?
FCOG-1171
In developed countries, Group B streptococcus is the leading cause of early-onset neonatal sepsis. The risk of early onset neonatal Group B Streptococcus sepsis can be reduced by screening for Group B streptococcus status and by the use of intrapartum antibiotics.
From the below given statements, which is false regarding Group B streptococcus screening and intrapartum antibiotics prophylaxis?
FCOG-1164
A 34 year old white primigravida in her first trimester had established moderate hypertension before becoming pregnant. She currently has a blood pressure of 168/108 mm Hg. You are considering how to best manage her hypertension during the pregnancy. Which one of the following is associated with the greatest risk of fetal growth retardation if used for hypertension throughout pregnancy?