Labour: external cephalic version: 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: external cephalic version

Sample item

Which of the following is an absolute contraindication to external cephalic version for breech presentation?

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

The answer and the reasoning

A. Placenta praevia

ECV is offered from 36 to 37 weeks for breech with reassuring fetal status. Contraindications include placenta praevia, previous classical scar, multiple pregnancy (except after the first twin), ruptured membranes, fetal compromise, and any condition needing caesarean delivery. Tocolysis improves success.

Option by option

  • A. Placenta praevia (correct)

    Correct. Praevia carries risk of haemorrhage.

  • B. Primigravida status

    Nulliparity lowers success but is not a contraindication.

  • C. Gestation of 37 weeks

    37 weeks is a suitable gestation for ECV.

  • D. Frank breech

    A frank breech is the most favourable type for ECV.

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, Placenta praevia. ECV is offered from 36 to 37 weeks for breech with reassuring fetal status.

Why is "Primigravida status" not the answer?

Nulliparity lowers success but is not a contraindication.

Why is "Gestation of 37 weeks" not the answer?

37 weeks is a suitable gestation for ECV.

Why is "Frank breech" not the answer?

A frank breech is the most favourable type for ECV.

What concept does this question test?

It tests Labour: external cephalic version in OBG. Contraindications include placenta praevia, previous classical scar, multiple pregnancy (except after the first twin), ruptured membranes, fetal compromise, and any condition needing caesarean delivery. Tocolysis improves success.

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 Labour: external cephalic version?

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.