MCQS TEST UNIT- 8 ABNORMAL LABOUR

STUDENT`S NAME
FATHER NAME
DATE TIME
1. The placenta remains inside the uterus for longer than 30 minutes after delivery of the baby,
usually due to one or more of the following:

Thrombin, Retained Placenta, Tissue, Other, Tone, Trauma

 Pre-eclampsia
 Placental abruption Other  Asian athinacity
 Pyrexia in labour  anemia
Thrombin  Bleeding dis order  induction BMI>35
 Hemophilia  prolonged labour
 Anticoagulation nonwibourned diseases  age
 Placenta previa,Other dieses of uterus  Caesarean section
Tone, multiple pregnancy , Polyhydrominas Trauma  Episiotomy
 Macrosomia  Macrosomia (>4kg)
 Uterine relaxants
 Previous PPH
Tissue Retained  Placenta undelivered after
 Retained placenta Placenta, 30 minutes
 Placenta accrete
 Retained products of conception (RPOCS)

2. Excessive bleeding loss of more than 500 ml of blood following delivery of the baby
a) PPH
b) APH
c) Separation placenta
d) Episiotomy
3. In less than one minute after the delivery of the baby, and after clamping and cutting the
umbilical cord, give the mother one of the following:Dosages of uterotonic drugs are
a) Augmentin, Amoxilin and Ceftriaxone
b) Misoprostol, Ergometrine and Oxytocin
c) Panadol, Brufen and Nospa
d) None of above
4. The labor dysfunctional labor, which simply means difficult labor or childbirth, may be referred
to as?
a) Normal labor
b) Abnormal labor
c) Shoulder dystocia
d) Cephalopelvic disproportion
5. an intervention that increases the rate of the progress of spontaneous labour is known as
a) Augmentation
b) Cervical ripening:
PREPARED BY YASODHA DANOMAL MAHARAJ BSCM, RN,RM SON JPMC KARACHI
 c) Induction of labour (IOL
d) None of above
6. The process of IOL employed when the cervix is unfavorable in order to facilitate dilation as
labour is established is
a) Augmentation
b) Cervical ripening:
c) Induction of labour (IOL
d) None of above

7. an intervention designed to artificially initiate cervical ripening and uterine contractions resulting
in progressive effacement and dilation of the cervix and birth of the baby is
a) Augmentation
b) Cervical ripening:
c) Induction of labour (IOL
d) None of above
8. It is a pelvis in which one or more of its diameters are reduced so that it interferes with the normal
mechanism of labour
a) Contracted pelvis
b) Contracted uterus
c) Contracted veins
d) Contracted pupils
9. What is the leading indication for primary cesarean delivery?
a) Age over 40 years
b) Dystocia
c) Preeclampsia
d) Hypertension
10. With what estimated fetal weight does the risk of dystocia increase?
a) >3000 to 3500 g
b) >3500 to 4000 g
c) >4000 to 4500 g
d) >5000 to 4500 g
11. Rapid labor. is characterized by labor that can last as little as 3 hours and is typically less than 5
hours.
a) precipitous labor
b) abnormal labour
c) normal labour
d) none of above
12. Arrest disorders can occur during which phase of labor?
a) Latent phase
b) Active phase
c) Either latent or active phase
d) Third stage
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PREPARED BY YASODHA DANOMAL MAHARAJ BSCM, RN,RM SON JPMC KARACHI
 13. Label the fetal lie

14. False contraptions characteristics (Braxton Hicks) all true except

a) Occur At Irregular Intervals
b) Pain primarily in lower abdomen
c) Pain usually relieved with sedation
a)_____________________b)____________________c_____________________
d) E-Cervix dilate
15. Cervical dilation by vaginal examination fill in the blanks

a) ___________ b)____________________ c) _____________ d)___________________

16. A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history of C-section and
complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates
tetanic contractions, the client again complains of severe pain. After the client vomits, she states
that the pain is better and then passes out. Which is the probable cause of her signs and
symptoms?
a) Hysteria compounded by the flu
b) Placental abruption
c) Uterine rupture
d) Dysfunctional labor
17. The nurse should realize that the most common and potentially harmful maternal complication of
epidural anesthesia would be:
a) Severe postpartum headache
b) Limited perception of bladder fullness
c) Increase in respiratory rate
d) Hypotension
18. A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant
following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to
monitor the client for which of the following risks associated with placenta previa?
a) Disseminated intravascular coagulation
b) Chronic hypertension
c) Infection
d) Hemorrhage
19. A client arrives at the hospital in the second stage of labor. The fetus’ head is crowning, the client
is bearing down, and the birth appears imminent. The nurse should:
a) Transfer her immediately by stretcher to the birthing unit
b) Tell her to breathe through her mouth and not to bear down
c) Instruct the client to pant during contractions and to breathe through her mouth
d) Support the perineum with the hand to prevent tearing and tell the client to pant
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PREPARED BY YASODHA DANOMAL MAHARAJ BSCM, RN,RM SON JPMC KARACHI
 20. A laboring client has external electronic fetal monitoring in place. Which of the following
assessment data can be determined by examining the fetal heart rate strip produced by the
external electronic fetal monitor?
a) Gender of the fetus
b) Fetal position
c) Labor progress
d) Oxygenation
21. A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the
maternity unit with a suspected diagnosis of abruptio placentae. Which of the following
assessment findings would the nurse expect to note if this condition is present?
a) Absence of abdominal pain
b) A soft abdomen
c) Uterine tenderness/pain
d) Painless, bright red vaginal bleeding
22. A nurse in a labor room is assisting with the vaginal delivery of a newborn infant. The nurse
would monitor the client closely for the risk of uterine rupture if which of the following occurred?
a) Hypotonic contractions
b) Forceps delivery
c) Schultz delivery
d) Weak bearing down efforts

23. A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of a slowing
labor. The nurse is reviewing the physician’s orders and would expect to note which of the
following prescribed treatments for this condition?
a) Medication that will provide sedation
b) Increased hydration
c) Oxytocin (Pitocin) infusion
d) Administration of a tocolytic medication
24. Nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine
contractions. Which assessment finding would indicate to the nurse that the infusion needs to be
discontinued?
a) Three contractions occurring within a 10-minute period
b) A fetal heart rate of 90 beats per minute
c) Adequate resting tone of the uterus palpated between contractions
d) Increased urinary output
25. Suitable cases for trial of labour:
a) Young primigravida of good health.
b) Vertex presentation.
c) Average sized baby.
d) all of above

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PREPARED BY YASODHA DANOMAL MAHARAJ BSCM, RN,RM SON JPMC KARACHI
 26. This refers to a situation where labor, for whatever reason, is not progressing. One of the major
reasons why some woman’s labor cannot progress is due to CPD.
a) Prolonged first stage of labor
b) Prolonged third stage of labour
c) Prolonged labor and delivery
d) Prolonged labor cord
27. 35 years old woman who is now in her 5th pregnancy with 4 alive children presented in the
antenatal clinic and in diagnosed as a case of anemia. Cause of anemia in her case is:
a) Foliate deficiency.
b) Sickle cell anemia.
c) Iron deficiency.
d) Pernicious anemia.
28. 30 years old G5P4 is admitted in labor room with H/O 32 week’s gestation, mild vaginal bleeding
and abdominal pain. O/E her blood pressure 140/100 mm Hg, abdomen is tense, tender and
hard. Fetal heart sounds are not audible. What is the most likely diagnosis:
a) Placenta praevia.
b) Abruptio placenta.
c) Preterm labour.
d) Vasa praevia.
29. A G2P1 with previous cesarean section due to obstructed labour comes for first antenatal visit at
34 weeks of gestation. She is seeking advice for home delivery this time. What will be the most
dangerous complication in her case if we allow her to deliver at home by untrained birth
attendent:
a) Prolonged latent phase.
b) Arrest in second stage of labour.
c) Rupture uterus.
d) Placental retention.
30. The role of placenta is
a) To convey nerve impulses
b) To act as storage organ
c) To protect embryo from shock
d) To provide nutrition for developing embryo

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PREPARED BY YASODHA DANOMAL MAHARAJ BSCM, RN,RM SON JPMC KARACHI