Gynaecology & Obstetrics

20 learning units • 100 chapter sections • 200 explained questions. Assess pregnancy and reproductive health, recognise emergencies and plan respectful treatment, referral and follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 08 / 20

Preterm Labour & Rupture of Membranes

Assess threatened early birth and membrane rupture while recognising infection and fetal risk.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Preterm labour occurs before which point? A. 37 completed weeksB. 40 completed weeksC. 42 completed weeksD. Any time before the due date

Question 02. Do contractions alone prove established preterm labour? A. Yes, regardless of other findingsB. Only at nightC. No, clinical assessment is neededD. Only after a scan

Question 03. Which history supports possible membrane rupture? A. Isolated ankle itchB. One episode of sneezingC. A stable old scarD. A gush or continuing watery leakage

Question 04. Why avoid repeated unnecessary digital examinations after rupture? A. They can increase infection riskB. They improve every diagnostic resultC. They always stop labourD. They replace fetal assessment

Question 05. Fever and uterine tenderness after membrane rupture raise concern for what? A. Intrauterine infectionB. Normal membrane healingC. Guaranteed fetal maturityD. Uncomplicated reflux

Question 06. Can one normal inflammatory marker exclude intrauterine infection? A. YesB. Only after midnightC. Only in twinsD. No

Question 07. What is the purpose of antenatal corticosteroids in selected threatened preterm birth? A. Permanently prevent every preterm deliveryB. Improve neonatal outcomes when appropriately indicatedC. Treat every maternal infectionD. Replace neonatal care

Question 08. What is a potential purpose of selected tocolysis? A. Gain time for beneficial treatment or safe transferB. Delay all births regardless of infectionC. Cure membrane ruptureD. Replace maternal monitoring

Question 09. Why involve neonatal staff when very early birth is likely? A. To remove all uncertaintyB. To plan appropriate care and counsellingC. To replace obstetric assessmentD. To guarantee no complications

Question 10. Should urgent indicated delivery always wait for a full steroid course? A. Yes, regardless of maternal conditionB. NoC. Only if fever is presentD. Always after membranes rupture

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG25 — Preterm labour and birth

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.