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(AY21/22 Updated) Normal Labour and
Puerperium
1. The partogram charts all of the following EXCEPT:
Status of membrane
Blood pressure
Accelerations
Fetal heart rate
Cervical dilation
2.
After the head is born, there is a slight pause in the action of labor. During this
pause, the baby must rotate so that his/her face moves from facedown to facing
either of the mother's inner thighs. This movement is known as:
Expulsion
Flexion
Extension
Engagement
Restitution
3. Syntocinon used in labour may be associated with ALL EXCEPT:
Uterine rupture
Fetal distress
Post-partum haemorrhage
Headaches
Neonatal jaundice
4. A 28-year-old nulliparous woman at 35 weeks' gestation comes to the labor and
delivery ward complaining of contractions, a headache, and flashes of light in front
of her eyes. Her pregnancy has been uncomplicated and she has no medical
problems. Her temperature is 37°C, blood pressure is 170/110 mm Hg, pulse is
90/minute, and respirations are 12/minute. Examination of cervix was 2 cm dilated
and 75% effaced, and contractions at 2 minutes interval. Urinalysis shows 3+
proteinuria. Blood results are as follows: Leukocytes 9,400/mm3, Haematocrit
35%, Platelets 101,000/mm3, Aspartate aminotransferase (AST) is 200 U/L, and
ALT 300 U/L. Which of the following is the most appropriate next step in
management?
Start magnesium sulfate.
Encourage ambulation.
Start terbutaline.
Discharge the patient.
Administer oxytocin.
5. Complete the following: Powers, ___________, Passenger
Parturition
Pelvis
Parity
Passage
Pressure
6. Regarding second stage of labour all are true EXCEPT:
Contraction occurs at 2-5 minute intervals and last for 60-90 seconds.
Fetal head descends deeply into the pelvis.
Fetal head is behind the mother's symphysis pubis.
Normally the fetal head rotates internally and the fetus is facing the mother's symphysis pubis.
After the fetal head is born restitution occurs followed by external rotation.
7. A 23-year-old primigravida at 39 weeks of pregnancy is admitted to labour ward in
established labour. Her cardiotocogram (CTG) findings are: baseline heart rate
162 beats/min; variability 5 beats/min; 3 episodes of short lasting early
deceleration and only one acceleration is noted in the past 40 minutes. Her trace
is:
Suspicious
Terminal
Non-reassuring
Pathological
Reassuring
8. In majority of labours, the process by which the fetal head descends into the pelvis
with the fetal occiput facing the maternal left is called:
External rotation.
Descent.
Extension.
Internal rotation.
Engagement.
9. A 28-year-old nulliparous woman at 39 weeks' gestation presents to the delivery
ward. She has been experiencing regular painful contractions since she noticed a
stream of fluid down her legs 3 hours ago. On examination, the fetus was in
breech position, cervical dilatation of 5 cm and ruptured membranes. A cesarean
delivery was decided. Which of the following represents the appropriate procedure
for antibiotic administration?
Administer intravenous antibiotics in OT prior to the procedure.
Administer intravenous antibiotics immediately after the procedure.
Administer intravenous antibiotics if she has fever
Administer oral antibiotics for 24 hours after the procedure.
Administer oral antibiotics for 1 week following the procedure.
10. All are a cardinal movement of labour EXCEPT:
Engagement.
Effacement.
Expulsion.
Flexion.
Extension.
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