Hypertensive disorders: mode of delivery in eclampsia: 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 · Hypertensive disorders: mode of delivery in eclampsia

Sample item

A woman with eclampsia at 38 weeks is stable after magnesium sulphate and blood pressure control, and the cervix is favourable. Which statement about delivery is correct?

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

The answer and the reasoning

D. Induction and vaginal delivery is acceptable, with caesarean for obstetric indications

Eclampsia is not an automatic indication for caesarean. After stabilisation, induction is reasonable if the cervix is favourable and the fetus is well, and the second stage may be shortened with assistance. Caesarean is done for the usual obstetric indications or failed induction.

Option by option

  • A. Instrumental delivery is contraindicated

    Instrumental delivery is permissible if standard conditions are met.

  • B. Caesarean section is mandatory in every case

    Mandatory caesarean is not required and surgery carries higher risk in a sick woman.

  • C. Delivery can wait until spontaneous labour begins

    Waiting for spontaneous labour delays delivery in a woman with active disease.

  • D. Induction and vaginal delivery is acceptable, with caesarean for obstetric indications (correct)

    Correct. Stable women with a favourable cervix can be induced.

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.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Induction and vaginal delivery is acceptable, with caesarean for obstetric indications. Eclampsia is not an automatic indication for caesarean.

Why is "Instrumental delivery is contraindicated" not the answer?

Instrumental delivery is permissible if standard conditions are met.

Why is "Caesarean section is mandatory in every case" not the answer?

Mandatory caesarean is not required and surgery carries higher risk in a sick woman.

Why is "Delivery can wait until spontaneous labour begins" not the answer?

Waiting for spontaneous labour delays delivery in a woman with active disease.

What concept does this question test?

It tests Hypertensive disorders: mode of delivery in eclampsia in OBG. After stabilisation, induction is reasonable if the cervix is favourable and the fetus is well, and the second stage may be shortened with assistance. Caesarean is done for the usual obstetric indications or failed induction.

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 Hypertensive disorders: mode of delivery in eclampsia?

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.