Labour: forceps prerequisites: 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: forceps prerequisites

Sample item

Which of the following is NOT a prerequisite for forceps delivery?

AEmpty bladder and adequate analgesiaBIntact membranesCFully dilated cervixDEngaged head with known position

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

The answer and the reasoning

B. Intact membranes

Forceps require a fully dilated cervix, ruptured membranes, engaged head with known position, no cephalopelvic disproportion, an empty bladder, adequate analgesia and an experienced operator. Intact membranes mean the criteria are not met.

Option by option

A. Empty bladder and adequate analgesia
An empty bladder and analgesia are required.
B. Intact membranes (correct)
Correct. Membranes must be ruptured before application.
C. Fully dilated cervix
Full dilatation is mandatory.
D. Engaged head with known position
Engagement and known position are required.

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.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Intact membranes. Forceps require a fully dilated cervix, ruptured membranes, engaged head with known position, no cephalopelvic disproportion, an empty bladder, adequate analgesia and an experienced operator.

Why is "Empty bladder and adequate analgesia" not the answer?

An empty bladder and analgesia are required.

Why is "Fully dilated cervix" not the answer?

Full dilatation is mandatory.

Why is "Engaged head with known position" not the answer?

Engagement and known position are required.

What concept does this question test?

It tests Labour: forceps prerequisites in OBG. Intact membranes mean the criteria are not met.

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: forceps prerequisites?

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.