F.T.F!
9.9.9!
C.T.G !
W.T.H!
O.M.G!
100

“You are the only midwife in the room. A woman is 6cm and says she needs to push.
👉 What do you do first, and why? What are you worried about?”

  • Check cervix to confirm dilation and rule out premature urge to push
  • Concern: pushing too early risks cervical swelling or trauma
  • Escalate if unsure or if cervix not fully dilated 
100

“A woman becomes suddenly breathless and tachycardic postnatally.
👉 What are you thinking, and what do you do next?”

  • Consider pulmonary embolism or other cardio-respiratory causes
  • Call for emergency help
  • Provide oxygen, monitor vital signs
  • Prepare for transfer or advanced interventions
100

What Equipment should be used to intermittently auscultate the fetal heart rate? (1 answer)

·         Pinnard and handheld Sonicaid doppler

100

100
“A woman reports reduced fetal movements near term.
👉 What do you do and why is delay dangerous?”

  • Immediate assessment required—delays increase risk of stillbirth
  • Perform fetal heart rate monitoring, ultrasound if indicated
100

“A woman is anxious and her partner is panicking.
👉 What are you doing as the midwife in charge?”

  • Reassure and communicate clearly
  • Assess situation calmly and involve partner appropriately 
200

200
“Baby is born floppy and not crying.
👉 Talk me through your first 3 actions and your reasoning.”

  • Dry and stimulate baby immediately
  • Assess airway and breathing, provide warmth
  • Prepare for ventilation if no improvement
200

“Shoulder dystocia is declared.
👉 What is your immediate action, and why?”

  • Immediate McRoberts manoeuvre to flex mother’s legs and widen pelvis
  • Apply suprapubic pressure if needed
  • Call for help early, prepare for possible further manoeuvres or emergency delivery
200

When carrying out Intermittent Auscultation on a Low Risk labouring woman - When should you Listen and Why? (1 answer)

·         With informed consent, put your hand on the fundus and auscultate as soon as you feel the contraction end

 

200

“Placenta not delivered after 30 minutes.
👉 What are your options and what guides your decision?”

  • Consider controlled cord traction if no contraindications
  • Prepare for manual removal if needed
  • Call for help early 
200

“You are unsure what is happening clinically.
👉 What is the safest approach?”

  • Escalate early to more experienced staff
  • Prioritize safety and clear communication
300

300
“Heavy bleeding starts immediately after birth.
👉 What are your first actions, and what are you assessing at the same time?”

  • Call for help immediately
  • Perform uterine massage to stimulate contraction
  • Assess uterine tone (most common cause = atony)
  • Monitor vital signs and prepare for further management
300

“A woman is fitting.
👉 What is your priority management and rationale?”

  • Protect woman from injury during seizure
  • Call emergency help
  • Administer magnesium sulphate if eclampsia suspected
  • Monitor airway and breathing, prepare for emergency delivery
300

According to trust guidance, what gestation do we perform a CTG from? (1 answer)

    26+0

300

“Baby is breathing but heart rate is 90 bpm.
👉 What do you do and why might people get this wrong?”

  • Provide ventilation rather than chest compressions first
  • Mistake often made: compressions too early without adequate ventilation
300

“You cannot immediately get hold of senior support.
 👉 What do you do next?” 

  • Continue monitoring and escalating through available channels
  • Document clearly and prepare for emergencies 
400

“Cord prolapse is suspected.
👉 What are you doing immediately, and why does each step matter?”

  • Call emergency help urgently
  • Elevate presenting part (e.g., with fingers or position woman) to relieve pressure on cord
  • Prepare for emergency delivery, monitor fetal heart rate closely
400

“Bleeding continues but the uterus feels firm.
👉 What does this suggest and what is your plan?”

  • Suggests trauma (e.g., vaginal/cervical tear) rather than atony
  • Inspect for lacerations, suture if trained
  • Call for help and consider surgical intervention if bleeding persists
400

STV value is ONLY valid after 60 mins of CTG?

      True

400

“A woman is fully dilated but has no urge to push.
👉 What do you do and what’s the risk of doing the wrong thing?”

  • Avoid forced pushing to prevent maternal and fetal trauma
  • Support and monitor, consider analgesia or reassessment
400

“You have multiple concerns at once.
👉 How do you prioritise?”

  • Prioritize ABC—airway, breathing, circulation
  • Delegate tasks and communicate with team
500

“A woman collapses postnatally and you don’t yet know why.
👉 Talk me through your first minute of management.”

  • Follow ABC approach (Airway, Breathing, Circulation) immediately
  • Call emergency team
  • Consider causes like pulmonary embolism, haemorrhage, sepsis
  • Monitor observations and prepare for transfer if needed
500

“You are managing an emergency but things are not improving.
👉 When do you escalate and how far do you go?”

  • Escalate urgently to senior staff or transfer to higher level care
  • Continue monitoring and supportive measures
  • Document all interventions and communicate clearly with team
500

In Hypoxic stress the fetus first attempts to protect its myocardium above everything else. It cannot rapidly increase its oxygen levels through increasing its respiratory rate, therefore it reduces its myocardial workload through...(1 answer)

        Decelerations 

500

“Observations are normal but you feel something isn’t right.
👉 What do you do? Defend it.”

  • Escalate based on clinical judgment
  • Trust intuition, repeat assessments and advocate for woman
500

“You feel out of your depth as a newly qualified midwife.
👉 What makes your next actions safe vs unsafe?”

  • Call for help early, escalate concerns without hesitation
  • Follow protocols and guidelines strictly
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