60. Which of the following medications should be avoided for tocolysis due to potential side effects like fetal renal issues?
A. Terbutaline
B. Magnesium sulfate
C. Indomethacin
D. Nifedipine

61. What is a common complication of preterm birth that occurs due to the immaturity of the fetus?
A. Jaundice
B. Respiratory distress syndrome (RDS)
C. Hypertension
D. Hemolysis

62. What is the role of antibiotics in the treatment of preterm labor?
A. To prevent infection and delay labor
B. To reduce maternal blood pressure
C. To improve uterine contractions
D. To treat high blood sugar

63. What is a typical intervention when preterm labor is detected and fetal distress is absent?
A. Immediate cesarean section
B. Administration of tocolytic therapy
C. Inducing labor to prevent infection
D. No intervention is needed

64. If a woman is in preterm labor and the cervix is dilated more than 4 cm, what is the likely outcome?
A. Labor will stop on its own
B. Labor will likely progress despite intervention
C. Immediate cesarean section will be performed
D. Delivery can be safely postponed

65. What is the major consideration when administering oxytocin during labor in preterm labor cases?
A. To encourage contractions
B. To enhance cervical effacement
C. To reduce fetal movement
D. To avoid inducing premature labor

66. What does a blue color on Nitrazine paper during a vaginal speculum examination indicate?
A. Amniotic fluid
B. Urine
C. Vaginal discharge
D. Blood

67. When should artificial rupture of the membranes be avoided in preterm labor?
A. Before cervical dilation reaches 5 cm
B. When the fetal head is not engaged
C. If fetal heart rate is elevated
D. When membranes rupture spontaneously

68. What should be monitored closely in a woman receiving intravenous tocolytics?
A. Blood glucose levels
B. Fetal heart rate
C. Maternal blood pressure
D. All of the above

69. Which of the following is a sign that a woman may be in preterm labor?
A. Severe abdominal pain without contractions
B. Vaginal bleeding and no pain
C. Persistent low backache and cramping
D. Increased appetite and reduced fetal movement

70. When is it appropriate to administer corticosteroids for fetal lung maturity in preterm labor?
A. As soon as the woman is admitted to the hospital
B. When the cervix is dilated more than 3 cm
C. If the fetal membranes are ruptured
D. Only if fetal heart rate is abnormal

71. What is the primary goal of tocolytic therapy?
A. To speed up labor
B. To halt labor and delay delivery
C. To reduce maternal discomfort
D. To induce cervical dilation

72. What is the most important consideration when using magnesium sulfate in preterm labor?
A. Monitor for signs of magnesium toxicity
B. Ensure the woman is well-hydrated
C. Administer in high doses
D. Use it in combination with oxytocin

73. Which drug is commonly used to prevent early preterm birth due to its tocolytic properties?
A. Betamethasone
B. Nifedipine
C. Prostaglandin E2
D. Terbutaline

74. If a woman is diagnosed with preterm labor and the cervix is not dilated more than 4 cm, what is the first line of treatment?
A. Administer antibiotics
B. Immediate induction of labor
C. Bed rest and hydration
D. Delivery via cesarean section

75. What is the most common cause of preterm labor in women?
A. Dehydration
B. Urinary tract infections
C. Unknown reasons
D. Previous preterm births

76. What should a woman in preterm labor do if she notices reduced fetal movement?
A. Wait 24 hours before checking again
B. Increase fluid intake and monitor for 1 hour
C. Contact her healthcare provider immediately
D. Rest and try again later

77. What condition increases the risk of preterm labor in women with multiple pregnancies?
A. Pre-eclampsia
B. Gestational diabetes
C. Increased uterine volume and pressure
D. Placenta previa

78. What is a key consideration when caring for a woman who has preterm labor and intact membranes?
A. Close monitoring of fetal heart rate
B. Continuous administration of magnesium sulfate
C. Immediate cesarean delivery
D. Avoiding any fetal manipulation

79. How can a woman with preterm labor reduce her risk of progressing to full labor at home?
A. Engage in light exercise
B. Monitor fetal movements and stay hydrated
C. Work from home to avoid stress
D. Avoid consuming large meals

80. Which of the following would indicate that preterm labor is progressing despite therapy?
A. Increased maternal comfort
B. Decreased fetal movements
C. Cervical dilation greater than 4 cm
D. A sudden decrease in contractions