RFM.

The history must include

Comprehensive stillbirth risk FACTOR evaluation
such as
1.multiple consultations for RFM T/F
2.known FGR,T/F
3. hypotension T/F
4.diabetesT/F
5.,extremes of maternal ageT/F
6.Multiparty T/F,
7.smoking,T/F
8.placental insufficiency T/F
9.,congenital infection,T/F
10.obesity T/F
11.,racial/religious factors TF
12,poor past obstetric history (e.g.FGR and stillbirth),TF
13.Immune factors TF
14. issue with quality of care TF
KEY#TTFTTFTTFTFTFT

T/F
1...Fetal presentation has effect on perception of movements
2.... Fetal position has effect on perception of movements

KEY#FT

Modified biophysical profile

A)AFI AND GROSS BODY MOVEMENTS

B)AFI AND NON STRESS TEST
C)AFI AND TONE
D)AFI AND BREATHING MOVEMENTS
E)AFI AND FLEXION AND EXTENSION MOVEMENT

KEY#B
Fetal movements are usually absent during fetalsleepcycles,which occur regularly
throughout the day and night and usually last for 1030 minutes.T/F
KEY#F(20-40)

Women should report to maternity ynits after 28wks if they lie on left side and no
movements are felt upto
A.one hr
Btwo hrs
C.half hr
KEY#B

A pg at 24wks complains of inability to perceive fetal mo ements wat shud be done

A.auscultation with hand held device
B.usg
C.doppler
D.auscultation and rwferral to specialist fetal medicine centre
KEY#A

women are unsure whether movements are reduced after 28+0 weeks of gestation, they
should be
advised to lie on their left side and focus on fetal movements for 2 hours. If they do not feel
10 or more

discrete movements in 2 hours, they should contact their midwife or maternity unit
immediately...T/F
KEY#T

There is no evidence to recommend the routine use of CTG surveillance in this

group.
1.24-28 weeks
2. After 28 weeks
KEY#1
Fetal movements are influenced by all these factors except
A) MATERNALposition
B)fetal position
C)sedating drugs
D)fetal major anomalies
E)fetal presentation
KEY#E

Fetal presentation has no effect on perception of mo vement ...t/f

Fetal postion esp if spine is anterior is perceived as reduced fetal movement .t/f

KEY#TT

The majority of women who perceive rfm have a normal outcome in

A.60%

B.70%
C.80%
Of pregnancies
KEY# B(70%)

Following number of women experienced reduced fetal movement prior to diagnosis of still
birth
A.40%
B.50%
C.55%
D.69%

KEY#C
By term,the average number of generalised movements per hour is 21 (range 16
35)T/F
with the longest period between movements ranging from 50 to 75 minutesT/F
KEY#FT(16-45)
The guideline recommended that ctg and usg be
1.performed within 1 hours if women reported no fetal movements T/F
2.within 12 hours if theyreported RFM.T/F
KEY#FT-(2Hrs)

In high risk pregnancies biophysical profile has high negative predictive value and fetal
death is rare in presence of normal bpp...
KEY#T

If a woman experiences second episode of rfm she should be referred to hosp and following
onv shud be done
A.ctg
B.usg
C.ctg and usg
D. Doppler
KEY#B

The fetal movement tend to plateau at

A.3o wks
B.32wks
C.28wks
D.34wks
KEY#B
There is poor perinatal outcome with recurrent rfm
...t/f--------------------T
Sleep cycles of fetuses rarely exceed
A.30min
B.40min
C.90min
D.120min
KEY#B( 90min)