10 Multiple Choice Questions on Labor Diagnosis

10 Multiple Choice Questions on Labor Diagnosis

Question 410: During the expulsion stage of labor, fetal heart rate should be monitored:

A. Once every 30 minutes.

B. Once every 15 minutes.

C. Once every 5 minutes.

D. After each pushing effort.

Answer: D

Question 411: Which of the following situations is most likely to occur: When gestation is > 38 weeks, the pregnant woman notices pink mucus discharge, this could indicate:

A. A sign of low-lying placenta previa.

B. A sign of labor.

C. A sign of placental abruption.

D. A sign of fetal demise.

Answer: B

Question 412: The amniotic sac is formed at:

A. From the 36th week of pregnancy.

B. From the 38th week of pregnancy.

C. During prelabor.

D. At the beginning of labor.

Answer: D

Question 413: Select the INCORRECT statement about Stage 1a of labor:

A. Stage 1a begins when labor starts until the cervix dilates to 3 cm.

B. Fetal position may not progress during this stage.

C. The rate of cervical dilation in this stage is typically 1 cm/hour.

D. This stage can last for several hours.

Answer: C

Question 414: The mucus present in the vagina during labor is secreted from:

A. The squamous epithelium of the vagina.

B. The squamous epithelium of the cervix.

C. The glandular epithelium of the cervical canal.

D. The outer layer of the uterus.

Answer: C

Question 415: The best time to examine for ruptured membranes is:

A. When the cervix is already dilated.

B. During a uterine contraction.

C. Between uterine contractions.

D. When amniotic fluid is observed flowing out.

Answer: B

Question 416: When fetal heart rate is above 160 bpm or below 110 bpm for more than 10 minutes:

A. The fetus may be severely hypoxic.

B. The fetus is at risk of metabolic acidosis.

C. The fetus may be dead.

D. The fetus does not show signs of distress.

Answer: B

Question 417: A 28-year-old pregnant woman, Para 1.0.2.1 (vaginal delivery of a 3000g healthy baby), is currently in her 39th week of gestation and presents to the hospital for lower abdominal pain. Examination reveals normal general condition, uterine contractions on monitoring are about 1 contraction every 10 minutes, fetal heart rate is 150 bpm, cervix is still long, partially dilated, internal os is closed, estimated fetal weight is 3100g – 3200g. Her prenatal check-up records from 3 days ago show similar findings. She feels uncomfortable and wants to give birth immediately. What is your diagnosis?

A. Labor is progressing well.

B. Prolonged labor.

C. Labor is uncertain.

D. Stage 1 of labor.

Answer: C

Question 418: The average duration of labor for a primiparous woman is approximately:

A. 8 – 12 hours

B. 12 – 16 hours

C. 16 – 20 hours

D. 16 – 24 hours

Answer: D