Preamble
In this written assessment, you will be presented with a case and expected to answer five questions.  
 
Case details
You are dispatched to a pregnant 31-year-old female named Michelle, with imminent delivery of her baby. The information you have is that the patient is a 31-year-old female who is of Asian descent, Gravidity 1: Parity 0 (G1: P0) and currently 41 weeks gestation. Michelle said her membranes ruptured three hours ago at home. The contractions are painful, regular and started 30 minutes ago. The patient has an antenatal history of well-controlled gestational diabetes and has had regular check-ups with both her GP and midwife. On the advice from the maternity ward at the local hospital, Michelle was advised to present to the hospital to deliver the baby vaginally. This drive is normally 45 minutes from home. Michelle is unable to move herself into the car between contractions as she has developed a sudden and overwhelming urge to push. Her husband called 000 for assistance. Your response time is 13 minutes, back-up is 15 minutes away, and dispatched at the same time.  
 
On arrival, you find the patient, Michelle, leaning against her car actively pushing and the presenting part appears to be the baby's buttock. Her husband, Kev, is relieved to see you. You only have time to place your bags down when the buttocks and feet are partially delivered with Michelle's next push. 
  
On the next contraction you recognise: 

• The patient is presenting in complete breech 
• Michelle continues to push with significant pain 

Please answer the following questions: 
1) Provide a definition and overview of the obstetric condition the patient is presenting with? (400 words)  
2a) Briefly discuss two risk factors associated with this obstetric condition. (200 words) 
2b) Briefly discuss two known complications associated with the obstetric condition? (200 words) 
 3) Select one manoeuvre (Lovesets manoeuvre 1, Lovesets manoeuvre 2, Lovesets manoeuvre 3 or Adapted Mauriceau-Smellie-Viet (MSV) manoeuvre) and provide a pathophysiological rationale for your selected manoeuvre? (400 words) 
 
Once the application of the manoeuvres is complete, the baby is delivered safely with an Appearance, Pulse, Grimace, Activity and Respiration (APGAR) score of eight.  
 
Appearance = 1 (extremities blue)  
Pulse = 2 (130 beats per minute)  
Grimace = 1 (weak cry)  
Activity = 2 (Active movement)  
Respiration = 2 (Strong cry)  
 
You have gained verbal consent and administered oxytocin intramuscularly. After five minutes, you gained the second APGAR score of ten. After a further 15 minutes, Michelle is now holding the baby skin to skin on her chest when she states that she doesn’t feel well. Upon visual assessment, you notice considerable vaginal blood loss after the placenta delivers with obvious external vaginal tears. The volume of fresh flow of frank red blood is approximately 600mL and you feel Michelle's abdomen at this point, and it feels soft and boggy. 

Please answer the following questions:
4) What is your concern at this point, and outline and discuss the likely potential cause of this substantial blood loss? (400 words) 
5) Describe the pathophysiology behind two of the immediate non-pharmacological interventions that could be implemented in this case. (400 words)  

Please refer to the Generative AI Permission document available on your Moodle site for guidelines on the acceptable and unacceptable use of generative AI in this unit.

The expected word count for your written assessment is 2000 words (+/- 10%), excluding references. Use APA 7th edition referencing format. The assessment will be marked in accordance with the rubric provided on the unit Moodle page. Criteria include:

Overall presentation: 

• General presentation
• Content
• Referencing

Content:

• Provides a definition and overview of the obstetric condition the patient is presenting with.
• Briefly discuss two risk factors associated with this obstetric condition, and briefly discuss two known complications associated with the obstetric condition.
• Selects one manoeuvre and provides a pathophysiological rationale for the selected manoeuvre.
• Identifies appropriate concerns and outlines and discusses the likely potential cause(s) of the substantial blood loss.
• Describes the pathophysiology behind two of the immediate non-pharmacological interventions that could be implemented in this case. 

 
Academic writing:

• Organisation of responses.
• Writing mechanics (grammar, spelling and sentence structure).
• Adherance to word count.  

Referencing:  

• Appropriately referenced using the APA 7th Edition format throughout answers.
• Reference list utilising peer-reviewed articles published after 2013. 

Extra information:  
Please save/upload your file in PDF. 

In this online quiz, you will be required to complete a single online quiz on Moodle comprising 60 questions within 60 minutes.

The quiz is designed to assess your knowledge and understanding of content delivered during Weeks 1 to 7, inclusive, and includes both obstetric and paediatric questions. There will be a strong focus on the pathophysiology, growth and development of these patients through the stages of obstetric and paediatric development. The quiz does not involve drug calculations, however, it will involve questions about the key conditions that have been covered during the allocated weeks. 

This quiz will be a combination of multiple-choice, true/false and short-answer questions. The quiz is open-book, so the use of Clinical Practice Guidelines, book chapters, journal articles or resources on Moodle is allowed. Please take note that this is an individual assessment, with no collaboration allowed. Generative AI is not allowed to be utilised during the quiz. 

This single quiz is worth 20% of the total mark for the unit. Marks are awarded if a question is answered correctly, and the total marks are tallied after the quiz has been attempted. Non-attempts will score a zero mark. The quiz will have a time limit of 60 minutes. When the time for the quiz expires, any open attempts are automatically submitted. You must therefore commence the quiz allowing the appropriate amount of time to complete the attempt.  

In the absence of an approved extension, there will be no opportunity to complete the task after the due date, and there will be no opportunity to apply a late penalty of five percent per day. This quiz may not be re-attempted. 

In this online quiz, you will be required to complete a single online quiz on Moodle comprising 30 questions within 90 minutes.

The quiz is designed to assess your knowledge and understanding of content delivered during Weeks 1 to 11, inclusive, and includes both obstetric and paediatric questions. It will primarily cover the assessment and management of obstetric and paediatric and involve case studies that will require drug calculations.

This quiz will be a combination of multiple-choice, true/false and short-answer questions. The quiz is open-book, so the use of Clinical Practice Guidelines, book chapters, journal articles or resources on Moodle is allowed. Please take note that this is an individual assessment, with no collaboration allowed. Generative AI is not allowed to be utilised during the quiz.

This single quiz is worth 40% of the total mark for the unit. Marks are awarded if a question is answered correctly, and the total marks are tallied after the quiz has been attempted. Non-attempts will score a zero mark. The quiz will have a time limit of 90 minutes. When the time for the quiz expires, any open attempts are automatically submitted. You must therefore commence the quiz allowing the appropriate amount of time to complete the attempt.  

In the absence of an approved extension, there will be no opportunity to complete the task after the due date, and there will be no opportunity to apply a late penalty of five percent per day. This quiz may not be re-attempted. 

This assessment has two instruments. 

1) Short case Objective Structured Clinical Examination (OSCE), designed to assess your knowledge and practical skills acquired during this unit. You will be allocated 15 minutes to complete the assessment. The short case OSCE will be delivered in the format of a structured scenario, looking at the patient assessment and history taking, evidence gathering and patient treatment, implementation of interventions, procedures, pharmacology and skills, and overall patient and scene management. 

And 

2) Long case Objective Structured Clinical Examination (OSCE), designed to assess your knowledge and practical skills acquired during this unit. You will be allocated 20 minutes to complete the assessment. The long case OSCE will be delivered in the format of a structured scenario, looking at the patient assessment and history taking, evidence gathering and patient treatment, implementation of interventions, procedures, pharmacology and skills, and overall patient and scene management. 

This is a Pass/Fail assessment task. You will need to pass both instruments (short-case OSCE and long-case OSCE).

Both the short-case and long-case OSCE's will be marked according to the rubrics provided on the unit Moodle page, covering areas such as assessment, scene management, diagnosis, clinical management, and professionalism.
 
There will be an opportunity for a single re-sit if you are unsuccessful in either one of the short-case or long-case OSCE's.