A. STRENGTHENING OF UTERINE CONTRACTIONS WITH WALKING

OB Questions with Answers

• True labor can be differentiated from prodromal or false labor in that in true labor there is

a

A. STRENGTHENING OF UTERINE CONTRACTIONS WITH WALKING

• Failure of presenting part to descend
• Lack of cervical dilation
• Cessation of uterine contractions with walking
• Which of the following statement best describe the characteristic of true contraction?
• True contractions begin in the lower abdomen
• True contractions are difficult to determine because they come and go

C. TRUE CONTRACTIONS HAVE A REGULARITY AND BECOME MORE INTENSE OVER TIME

• True contractions decrease with activity
• The nurse is assessing between false and true labor. What does she ask the patient to do?
• Bear down

B. WALK AROUND

• Time the contractions
• Do breathing exercise

4. The birth hazard unassociated with breech delivery is:

• Intracranial hemorrhage

B. CEPHALHEMATOMA

• Compression of the cord
• Separation of placenta prior to delivery of the head
• Assessment findings indicate that patient is 3 cm dilated, and contractions every 6 minutes

lasting 40 seconds. The nurse should monitor the FHT

• Every 15 minutes
• Every 30 minutes

C. EVERY 60 MINUTES

• Every 90 minutes
• When a patient is admitted to the unit in active labor. What is the initial action the nurse

should take?A. Assess for ruptured membranes

B. TAKE V/S AND CHECK FHT

• Perform the Leopold’s maneuvers
• Catheterize for urine specimen
• Which of the following statement best describe a normal female pelvis

A. SACRUM WELL HOLLOWED, COCCYX MOVABLE, SPINES NOT PROMINENT, WIDE

PUBIC ARCH

• Flat sacrum, movable coccyx, prominent spines, wide pubic arch 1 / 3

• Sacrum deeply hollowed, immovable coccyx, narrow pubic arch, spines not prominent
• Flat sacrum, movable coccyx, prominent spines, wide pubic arch
• The most effective method of determining if the pelvis is adequate to allow the passage of

the fetus vaginally is: A. Pelvimetry

B. X-RAY EXAMINATION

• Assessment of characteristics of contractions
• Duration of labor
• What does it mean during labor when the nurse assesses the fetal presenting part at “plus

one”?A. One inch above ischial spines

• One inch below ischial spines

C. ONE CM ABOVE ISCHIAL SPINES

• One cm below ischial spine

10.The nurse should be aware that which of the following variations in FHT may be considered normal

• Decrease in rate during the second stage of labor

B. DECREASE IN RATE DURING THE MIDPORTION OF CONTRACTION

• Increase in rate following the rupture of membranes
• Increase in rate when engagement begins
• The nursing assessment of a woman in labor reveals contractions lasting 60 seconds and
• minutes apart; cervix is 6 cm and dilated. The woman is in what phase of the first stage

of labor?

• Latent phase

B. ACTIVE PHASE

• Transition phase D. Early phase I
• Nursing assessment reveals active labor, breech presentation, ruptured membranes and

passage of meconium stained amniotic fluid. The nurse valuates this as:

• A fetus in distress

B. A NORMAL ASSESSMENT

• A sign of labor is progressing
• Indicative of CS
• The bag of water is ruptured artificially when the fetal head is engaged in order to
• Enable the bag of water to rupture spontaneously if possible, thus avoiding difficult

and painful instrumentation

• Prevent prolapse of the umbilical cord during the forceful expulsion of amniotic fluid

from the sac

• Ensure that small amount of amniotic fluid would be left in the upper portion of the

amniotic sac

• Have the amniotic sac in a dependent position that could be reached without difficulty 2 / 3

14. The cervix is considered completely dilated when the diameter of the os is:

• 6 cm
• 8 cm

C. 10 CM

• 12 cm
• In timing the contraction the nurse should notify the physician if she detects a

contraction lasting longer thanA. 30 seconds

B. 60 SECONDS

• 90 seconds
• 120 seconds
• The mechanics of the second stage of labor differ from the first stage in that during the

second stage

• The lower uterine segment contracts more than the fundus

B. THE ABDOMINAL MUSCLES ASSIST IN THE EXPULSION OF THE FETUS

• The joint of the pelvis are stretched and dislocated
• All muscles involved in fetal propulsion undergo Tetany
• The fetal head is engaged when
• The vertex of the skull is level with the symphysis pubis

B. THE BIPARIETAL DIAMETER HAS PASSED THE PELVIC INLET

• The head rotates from the transverse to the AP position
• The head has descended beyond the external os
• To determine the fetal position during labor the nurse should assess which of the following
• First body part of the fetus felt by the nurse upon vaginal examination

B. RELATIONSHIP OF A FIXED POINT OF THE FETUS TO THE QUADRANTS OF THE

MATERNAL PELVIS

• Relationship of the furthermost fetal part to the ischial spines of the maternal pelvis
• Relationship of the long axis to the mother’s body
• During the early second stage of labor FHT should be taken at least every
• 2-4 minutes
• 5 to 10 minutes

C. 10 TO 20 MINUTES

• 20 to 30 minutes
• The changes in shape of the infant’s head that occur owing to pressure from the walls of

birth canal are called

A. MOLDING

• Cephalhematoma
• Microcephaly
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