Labour and delivery: amnioinfusion: 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 · Labour and delivery: amnioinfusion

Sample item

A woman in labour with oligohydramnios develops repetitive variable decelerations with normal baseline rate and variability. Which intervention may relieve cord compression?

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

The answer and the reasoning

A. Transcervical amnioinfusion with warmed isotonic saline

Variable decelerations in oligohydramnios are due to cord compression. Replacing fluid with warmed normal saline through an intrauterine catheter cushions the cord and often relieves the decelerations. Maternal position change and stopping oxytocin are first steps.

Option by option

  • A. Transcervical amnioinfusion with warmed isotonic saline (correct)

    Correct. Replacing liquor cushions the cord and reduces compression.

  • B. Fundal pressure during contractions

    Fundal pressure increases uterine pressure on the cord and is harmful.

  • C. Restriction of oral and intravenous fluids

    Restricting fluids would not increase the liquor volume around the cord.

  • D. Intravenous magnesium sulphate

    Magnesium sulphate has no role in relieving cord compression.

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 A, Transcervical amnioinfusion with warmed isotonic saline. Variable decelerations in oligohydramnios are due to cord compression.

Why is "Fundal pressure during contractions" not the answer?

Fundal pressure increases uterine pressure on the cord and is harmful.

Why is "Restriction of oral and intravenous fluids" not the answer?

Restricting fluids would not increase the liquor volume around the cord.

Why is "Intravenous magnesium sulphate" not the answer?

Magnesium sulphate has no role in relieving cord compression.

What concept does this question test?

It tests Labour and delivery: amnioinfusion in OBG. Replacing fluid with warmed normal saline through an intrauterine catheter cushions the cord and often relieves the decelerations. Maternal position change and stopping oxytocin are first steps.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Labour and delivery: amnioinfusion?

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.