Intrapartum care: amniotomy: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Intrapartum care: amniotomy

Sample item

Which complication should be considered before performing amniotomy when the presenting part is high and unengaged?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Umbilical cord prolapse

If membranes are ruptured with an unengaged presenting part, the umbilical cord can slip below the fetus and become compressed. Engagement and presentation should be assessed before amniotomy.

Option by option

  • A. Postpartum depression

    Depression is not an immediate mechanical amniotomy complication.

  • B. Endometrial cancer

    Endometrial cancer is unrelated to labor procedures.

  • C. Umbilical cord prolapse (correct)

    Correct. A high presenting part increases cord-prolapse risk after rupture.

  • D. Mastitis

    Mastitis occurs postpartum in lactation.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Umbilical cord prolapse. If membranes are ruptured with an unengaged presenting part, the umbilical cord can slip below the fetus and become compressed.

Why is "Postpartum depression" not the answer?

Depression is not an immediate mechanical amniotomy complication.

Why is "Endometrial cancer" not the answer?

Endometrial cancer is unrelated to labor procedures.

Why is "Mastitis" not the answer?

Mastitis occurs postpartum in lactation.

What concept does this question test?

It tests Intrapartum care: amniotomy in OBG. Engagement and presentation should be assessed before amniotomy.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Intrapartum care: amniotomy?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.