Intrapartum Care Quiz

The ultimate priority in intrapartum care is:

• Minimize maternal pain during contractions

• Prevent postpartum hemorrhage at any stage

• Safeguard both maternal and fetal well-being throughout labor

• Ensure labor progresses within a strict timeframe

The second stage of labor is defined as:

• Onset of regular contractions to full cervical dilation

• Full cervical dilation to delivery of the newborn

• Delivery of the newborn to delivery of the placenta

• From the latent phase to the active phase

Which maternal vital sign most clearly signals a potential intrapartum complication?

• BP 135/85 mmHg, mild headache

• HR 102 bpm, mild anxiety

• Temp 38.5°C, chills

• RR 20/min, O₂ sat 98%

The most reliable indicator of fetal well-being during labor is:

• Maternal perception of fetal movements

• Nonstress test results only

• Continuous or intermittent fetal heart rate monitoring

• Amniotic fluid volume measurement

Severe back labor pain in a primigravida is most effectively addressed by:

• Encouraging ambulation only

• Administering analgesics per protocol

• Applying cold compresses exclusively

• Positioning supine with legs elevated

During the latent phase, the nurse should primarily:

• Encourage active pushing and frequent bearing down

• Monitor for cervical dilation and provide emotional support

• Administer oxytocin immediately

• Prepare for immediate operative delivery

True labor can be distinguished from false labor because:

• Contractions diminish with rest and hydration

• Contractions intensify, become regular, and cause cervical change

• Lower abdominal discomfort is constant but mild

• Contractions are irregular and painless

The primary purpose of monitoring uterine contractions is to:

• Assess maternal hydration

• Determine fetal well-being and labor progress

• Predict maternal blood loss postpartum

• Evaluate maternal nutrition

Upon noticing meconium-stained amniotic fluid, the nurse's first priority is to:

• Notify the NICU and prepare for potential neonatal resuscitation

• Encourage maternal ambulation to hasten labor

• Assess maternal temperature

• Initiate IV hydration

Which maternal position is optimal for promoting fetal descent?

• Supine with pillow under knees

• Lithotomy with flat back

• Upright, walking, or squatting positions

• Left lateral with legs extended