DHA Maternal, Newborn & Women's Health

Question 1

A primigravida at 38 weeks gestation presents with blood pressure 158/104 mmHg, proteinuria 2+, and headache. Which condition does this most likely represent?

Accepted Answer

Preeclampsia with severe features

Answer

BP ≥160/110 mmHg with proteinuria and a severe symptom (headache) meets criteria for preeclampsia with severe features. Gestational hypertension has no proteinuria; chronic hypertension predates 20 weeks; HELLP requires hemolysis, elevated liver enzymes, and low platelets.

Question 2

A newborn's APGAR score is assessed at 1 minute. The baby has a heart rate of 90 bpm, weak cry, some flexion of limbs, grimaces to stimulation, and is blue peripherally but pink centrally. What is the APGAR score?

Accepted Answer

6

Answer

HR 90 bpm = 1 (below 100), weak cry = 1, some flexion = 1, grimace = 1, blue peripherally/pink centrally (acrocyanosis) = 1. Total = 6. Each of 5 criteria scores 0–2.

Question 3

Which of the following is the FIRST-LINE management for postpartum hemorrhage caused by uterine atony?

Accepted Answer

Uterine massage and oxytocin administration

Answer

Oxytocin is the first-line uterotonic agent for atonic PPH; uterine fundal massage is initiated simultaneously. Surgical options and misoprostol are escalation steps if oxytocin fails.

Question 4

At which cervical dilation does the active phase of the first stage of labor begin, according to contemporary obstetric guidelines?

Accepted Answer

6 cm

Answer

Current ACOG/WHO guidelines (revised from older 4 cm threshold) define the onset of active labor at 6 cm dilation, with regular contractions and progressive cervical change.

Question 5

A breastfeeding mother asks how to recognize correct infant latch. Which finding indicates a PROPER latch?

Accepted Answer

Most of the areola is inside the infant's mouth with lips flanged outward

Answer

A correct latch involves the infant taking most of the areola (not just the nipple) into the mouth, with lips flanged outward. Nipple-only latch causes pain and poor milk transfer; clicking indicates a suction break.

DHA - Dubai Health Authority Practice Test

DHA - Dubai Health Authority Practice Test

DHA Maternal, Newborn & Women's Health