Goboy, Louise Germaine U.

BSN 210

Self-Assessment Questions:

Multiple Choice:

You are the nurse assigned in the Delivery room. You are going to take care a woman who is
about to deliver her baby.

1. Ms. Del Rosario, 17 years old G1P0 is already experiencing severe abdominal pain,
ruptured bag of water. She is probably in the 1st Stage of labor. What other sign/s or
symptom/s will confirm that she is in this condition to add what is listed above?
A. IE of 1cm cervical dilatation
B. The appearance of show
C. IE of 3cm cervical dilatation and 50 % effaced
D. The pain is lessened when she changes her position, and IE of 1 cm cervical dilatation

ANSWER: C

2. The physician asks you to monitor the progress of labor. What will you do as the nurse on
duty?
A. Check the BP, perform the laboratory tests
B. Check the O2 inhalation if she is getting the correct amount.
C. Check the intravenous fluids and check for its rate and duration
D. Check the intensity, interval and duration of labor contractions

ANSWER: D

3. What sign/s or symptom/s would alarm you that the patient is entering the 2nd stage of labor?
A. Pain scale of 5 out of 10; 50% cervical effacement
B. Pain scale of 7 out of 10; 80% cervical effacement
C. Crowning; 80-90% cervical effacement
D. Actual birth of the baby

ANSWER: C

4. Transition period of the labor process in a nulliparous woman is characterized by;

A. Cervical dilatation between 4 to 7 cms.
B. Cervical dilatation between 7 to 10 cms
C. Fully effaced cervix and cervical dilatation between 7 to 10 cms.
D. Fully effaced cervix and cervical dilatation between 8 to 10 cms.

ANSWER: D
 5. Hypotonic uterine contraction is described as the following except:
A. Painless
B. Occurs in the active phase
C. 2 to 3 uterine contractions for 10 minutes
D. 2 to 4 uterine contractions for 15 minutes

ANSWER: D

6. Hypertonic uterine contraction is described as the following except:

A. Painless
B. Occurs in the latent phase
C. 3 to 5 uterine contractions for 10 minutes
D. average 3 to 5 uterine contractions for 30 minutes

ANSWER: A

7. Prolonged latent phase in a nulliparous woman is

A. > 20 hours
B. > 14 hours
C. = 20 hours
D. < 25 hours

ANSWER: A

8. The length for second stage of labor for a multiparous woman who had analgesia will last
for:
A. 4 hours
B. 3 hours
C. 5 hours
D. 1 hour

ANSWER: D

True/False

9. False. The conditions of performing induced labor are the following no CPD, transverse
lie and ripe cervix.

10. True. Outlet forceps extraction delivery is indicated for poor uterine contraction.

List the methods of treatment in preventing dysfunctional labor.

11. Maintain a serum glucose level
12. Reduce psychological stress
13. Provide measures to reduce pain
14. Maintain a side lying position
15. Keeping the bladder empty