Labor and Delivery Multiple Choice Questions & True/False PDF

## Labor and Delivery: Multiple Choice Questions & True/False ### Multiple Choice 1. Premonitory signs of labor include the following **Except**: - Lightening - Engagement of the head - True labor pain - Increase vaginal discharge 2. In normal delivery, crowing occurs **before**...

## Labor and Delivery: Multiple Choice Questions & True/False ### Multiple Choice 1. Premonitory signs of labor include the following **Except**: - Lightening - Engagement of the head - True labor pain - Increase vaginal discharge 2. In normal delivery, crowing occurs **before** the extension of the head. 3. In normal labor, head is born by which mechanism of the following? - Extension - Flexion - Both flexion & extension - Reflection 4. Which assessment finding is most indicative for the presence of fetal distress? - Decrease in amount of bloody show - Passage of meconium in cephalic presentation - Increase in amount of bloody show - FHR of 140beats /min 5. The period between the start of one contraction and its end is called. - Duration - Interval - Intensity - Frequency 6. When placenta separates first at its center, then at its edges, it is called: - Schultz's placental separation - Duncan's placental separation - Premature separation of the placenta - Abnormal separation of the placenta 7. _-----_ is falling forwards of the uterine fundus making the upper abdomen to look like a shelf during standing position. - Shelfing - Engagement - Effacement - Uterine contractions 8. Three phases of uterine contraction are termed - increment, acme & decrement - Increment, intensity & duration - Frequency, duration, & Intensity - Onset, intensity, & decrement 9. Irregular uterine contraction, and short duration, *consider one of the true labor pain* 10. To assess the intensity of labor women uterine contraction, the nurse must: - Observing the mothers facial expression. - Palpating the uterine funds - Auscultating with a doppler ultrasound - Measuring cervical dilation 11. _-----_ is the power or strength of the uterine contraction. - Frequency of contractions - Interval of contraction - Duration of contraction - Intensity of the contractions 12. _-----_ begins with the complete delivery of the baby to the complete delivery of the placenta. - Second stage of labor - Fourth stage of labor - Third stage of labor - First stage of labor 13. In normal labor, head is born by which mechanism of the following? - Extension - Flexion - Both flexion & extension - Reflection 14. Premonitory signs of labor include the following *Except*: - Lightening - Engagement of the head - True labor pain - Increase vaginal discharge 15. The period between the start of one contraction and its end is called. - Duration - Interval - Intensity - Frequency 16. The secondary powers during labour are _-----_. - Contraction and relaxation - Contraction and retraction - Abdominal muscles and diaphragm - dilatation and effacement 17. Passengers are one of the main factors affecting normal labour which include: - Dilatation anf effacement of cervix - Fetus, placenta and amniotic fluid - Bony pelvis & soft tissues - Power of uterus 18. _-----_ is falling forwards of the uterine fundus making the upper abdomen to look like a shelf during standing position. - Uterine contraction - Shelfing - Engagement - Effacement 19. False labour pain is one of the _-----_. - dangerous signs of labour - signs of maternal distress. - Sure signs of labour - prodormal signs of labour 20. *Duration of uterine contraction is the period between the start of one contraction to the start of the next.* ### True/False 1. An active phase starts from 0-3 cm cervical dilation with a duration of 8 hrs. & short contraction. 2. Expulsive uterine contraction is considered one of the important signs of the first stage of labor. 3. Intramural fibroids grow into the uterine **_-----_**. 4. Primary powers include abdominal muscles and diaphragm in the form of bearing down. 5. In primigravida, the duration of 1st stage of normal labor is 6-8 hours. 6. Crowing is the permanent distension of the vulval ring by the fetal head, *like a crown of the head*. 7. Uterine contractions and retractions are the primary powers of labour. 8. During labor formation of physiological ring is defined as _-----_. - It is taking up of the cervix. - It is an imaginary line between upper & lower uterine segment - It is a visible subrapubic ring due to abnormal position. - It is a neuromuscular harmony between upper & lower uterine segment. 9. Duncan's placental separation starts its separation from the center of the placenta, then from its edges. 10. Fetal deceleration is one of the signs of fetal distress. 11. One of the main physiological changes in the 2nd stage of normal labour is _-----_. 12. Expulsive uterine contraction is considered one of the important signs of the first stage of labor. 13. Duncans placental separation starts its separation from the center of the placenta, then from its edges. 14. Primary powers include abdominal muscles and diaphragm in the form of bearing down. 15. In primigravida, the duration of 1st stage of normal labor is 6-8 hours. 16. Uterine hypoplasia means disturbed polarity of the uterus 17. During the fourth stage of labor, the client should be assessed carefully for: - Uterine a tony - Complete cervical dilation - Placental expulsion - Umbilical cord prolapse 18. A 32-year-old multipara is admitted to the birthing room after her initial examination reveals her cervix to be at 8 cm, completely effaced (100%), and at 0 station. What phase of labor is she in? - Active phase - Latent phase - Expulsive phase - Transitional phase 19. The first stage of labor ends with the: - Appearance of show - Rupture of the bag of waters - Complete dilatation of the cervix - Birth of the baby 20. Which of the following observations would suggest that placental separation is occurring? - Uterus stops contracting altogether. - Maternal pulse drops. - Uterine shape changes from *discord* to globular. - Maternal blood pressure drops. 21. Suboccipito- bregmatic diameter *consider as* - Transverse diameter - Anterioposterior diameters - Posterior diameters 22. Bearing down should be encouraged during 1st stage of labor 23. True labor pain is differentiated from false labor pain by absence of show with true pains 24. Latent phase is a false labor pain. 25. Define the following: - Effacement - Polarity