1. Choose from the list the single most appropriate management option. Each option may be used once, more than once or not at all.

Possible Answers

For each of the questions below, select the answer which is most appropriate. Each option can be used once, more than once or not at all.

a.) One twin of a monochorionic twin pregnancy has severe IUGR at 34 weeks.

Choose from one of the following answersA Bed restB AmniocentesisC Delivery by caesarean sectionD Selective termination of pregnancyE External cephalic versionF Doppler ultrasound of the umbilical arteryG Laser ablation of placental anastomosesH Induction of labour

b.) A woman with a dichorionic twin pregnancy at 22 weeks ruptures her membranes and has a high fever, tender uterus and a tachycardia.

Choose from one of the following answersA Bed restB AmniocentesisC Delivery by caesarean sectionD Selective termination of pregnancyE External cephalic versionF Doppler ultrasound of the umbilical arteryG Laser ablation of placental anastomosesH Induction of labour

c.) A woman with an MCDA twin pregnancy at 18 weeks complains of abdominal distension. Ultrasound shows polyhydramnios and cardiac failure of one of the twins.

Choose from one of the following answersA Bed restB AmniocentesisC Delivery by caesarean sectionD Selective termination of pregnancyE External cephalic versionF Doppler ultrasound of the umbilical arteryG Laser ablation of placental anastomosesH Induction of labour

d.) A woman at 37 weeks with a dichorionic twin pregnancy has both babies presenting as breeches.

Choose from one of the following answersA Bed restB AmniocentesisC Delivery by caesarean sectionD Selective termination of pregnancyE External cephalic versionF Doppler ultrasound of the umbilical arteryG Laser ablation of placental anastomosesH Induction of labour

e.) A woman who has been taking clomiphene is found to have octuplets at her 13-week scan.

Choose from one of the following answersA Bed restB AmniocentesisC Delivery by caesarean sectionD Selective termination of pregnancyE External cephalic versionF Doppler ultrasound of the umbilical arteryG Laser ablation of placental anastomosesH Induction of labour