WorksheetsM101 examination
Total questions: 100
Worksheet time: 1hrs 11mins
What hormone indicates that the woman is pregnant?
Estrogen
Progesterone
Luteinizing hormone
Human chorionic gonadotrophin
What part of the uterus that a midwife will directly assess for dilatation in a laboring client?
Cervix
Isthmus
Fundus
Vagina
Which pelvic shape has the poorest prognosis for vaginal delivery?
Gynecoid
Anthropoid
Android
Platypelloid
During the mother’s class on prenatal care she asked the lecturer if what is the correct term for the first movement of the baby inside the mother’s womb. The lecturer answered her;
Ballotment
Quickening
Hegar’s
Goodell’s
The signs and symptoms of pregnancy and or changes that can be observe by an examiner:
Probable
Presumptive
Negative
Positive
6.Which of the following is more common in late pregnancy than in early pregnancy?
Heartburn
Fatigue
Missed menses
Backache
In cephalic presentation, when the eyes, mouth, nose is the presenting part it is ____ presentation;
Brow
Face
Vertex
Sinciput
It is a landmark at the baby’s head with a diamond shape that closes at what age of the infant?
18 months
2 years
3 months
1 year
.The type of pelvis that is the most suitable for childbirth, and its circular in shape:
Platypelloid
Android
Anthropoid
Gynecoid
Which monumental event occurs during the second stage of labor:
Cervical effacement
Engagement
Expulsion of the baby
Cervical dilatation
Kimberly Jean shared her experienced on the painless contraction on her 28 weeks of pregnancy to the young mothers:
Braxton hicks
Hegar’s sign
Ballotment
Chadwick’s
Which of the following statement is true in weight gained during pregnancy:
11-13 kgs
15- 20 kgs
14- 16kgs
19 only
The following are the true signs of labor except for one:
Contraction does not decrease with rest or activity
Progressive dilatation of the cervix
Pain radiates from the back then going to the abdomen
Pain is confined at the abdomen
Pelvis that has a an oval shaped inlet with large anterior-posterior diameter , labor progress in most cases;
Anthropoid
Gynecoid
Android
Platypelloid
MaryAnn is pregnant for the first time and on her six months of pregnancy she notice a bluish discoloration of her vaginal wall she was worried that’s why she consulted midwife Rachelle the answer of the midwife will be;
Goodell’s sign
Linea negra
Chadwicks sign
Braxton Hick’s
Venice is a newlywed with her husband she told the midwife that she dislikes her favourite food. The midwife will tell her that;
Presumptive sign
Nothing to worry may be she’s sick
That is a sign of uterine cancer
She must consult a doctor
This is the largest part of the hip bone:
Coccyx
Ischium
Pubis
Ilium
During pregnancy there are physiologic maternal changes, Delfina a nine months old pregnant has brownish patches of pigment at her checks which is known as?
Striae gravidarum
Pigmentation
Chloasma
Linea Nigra
.This brings oxygenated blood from the placenta to the fetus:
Umbilical cord
Umbilical vein
Nuchal cord
Umbilical artery
During delivery the priority intervention of the midwife to the baby is to;
Clamp and cut the umbilical cord of the baby.
Perform first APGAR Scoring
Administer the vitamin K and Crede’s prophylaxis
Dry the baby thoroughly
Midwife Debra noted when she perform the internal examination to the mother in labor that the amniotic fluid is intact. What sign will she write at the partograph of the mother;
“C”
"I"
“B”
"M"
A patient who is a mother of a 5- year old son and is now pregnant again She should be classified as:
Gravida 2, Para 1
Gravida1 , para 1
Gravida 2, para2
Gravida 2, para 0
One of the earliest presumptive signs of pregnancy is;
Braxton Hicks contactions
Linea Nigra
Missed menstruation
Hegars sign
Engagement means
The presenting part or the fetus has entered into the pelvis
The position of the presenting part in relationship to the mother’s Ischial spines
The fetal part that enters the maternal pelvis first
The membranes have raptured
Which of the following stages of labor would the midwife assess Crowning?
First
Second
Third
Fourth
This refers to an injury or tear at the vaginal canal during delivery of the baby;
Perineal laceration
Wound
Skin tear
Internal examination
The placenta is out after 15 minutes of waiting. What will be the next step after you check the cotyledons;
Do perineal care to the mother
Put cloth diaper
Instruct the mother to urinate
Inspect for any perineal lacerations
Verlyn learned in her ten days training at Fabella hospital that midwives are only allowed to do perineal repair up to, what degree?
Third degree laceration only
First degree laceration only
Can repair up to 4th degree
1st and 2nd degree only
The best time for Midwife Lala to listen to the fetal heart tone during labor?
During decriment
At the start of the contraction
In between contraction
At the height of contraction
It is use by all birth attendant to identify women whose labor is delayed and therefore decide appropriate action:
Partograph
Family health diary
Patient chart
Both b and c
As professional birth attendant you noticed that the placenta separates first at the margin presents the maternal side and looks dirty:
Schultz
Duncan
Colored red
Bright red
. It refers to the relationship of reference point on fetal presenting part to maternal pelvis;
Fetal head
Presentation
Fetal shoulders
Position
The fetal occiput is the is on the left side and toward the front,face down ,this is favourable for delivery position.
Right occiput anterior
Left occiput anterior
Left occiput posterior
Left occiput anterior
The mother will experience much back discomfort during labor and labor may be slowed:
Right occiput anterior
Left occiput anterior
Left occiput posterior
Left occiput anterior
The accurate internal examination is one of the skill that a midwife should have, during your second IE the station is at the level of the ischial spine which means the fetal head is at;
Negative 1 station
Zero station
Positive 1 station
Positive 3 station
This refers to the beginning of one contraction to the beginning of the next;
Regularity
Intensity
Duration
Frequency
Devine is on labour on her third baby what is the term when she will experience the peak of contraction?
Acme
Increment
Cresendo
Decresendo
The part of contraction wherein it is the beginning of contractions to end of same contraction:
Interval
Duration
Frequency
Interval
Alexis preferred a husband coached childbirth and this is known as;
Brandt method
Dick read method
Bradley method
Lamaze method
The baby is born head first, via vagina supervised by a health worker who ensure that mother and baby are well;
Assisted childbirth
Normal birth
Bradley childbirth
Natural childbirth
When the midwife palpates the suprapubic area of the mother and found out that the presenting part is still movable, the right term for this observation that the fetus is:
Internal rotation
Floating
Descended
Engaged
. The mood of the woman suddenly changes and there is sudden gush of amniotic fluid as the fetus is push;
Transition phase
Latent
Active Phase
Accelerated phase
Ann is complaining of severe labor pains , what are not vital signs that you as a midwife should monitor every four hours?
Pulse, temp, B/P
Progress of labor
Womans mood and behavior
B/P and temp
What other findings that you as a birth attendant should monitor?
Color of lips and nails
Very premature labor
Mother voided
Antepartum hemorrhage
In assessing the progress of labor the priority for the midwife
Cervical dilatation
Contraction pattern
Mothers mood
Both A and B
The normal blood loss in vaginal delivery is;
.200-400 cc
600-800 cc
300-500cc
500- 1000cc
All but one is considered to be normal amount of amniotic fluid:
1500 ml
2000ml
500 ml
1000ml
Which of the following are the functions of amniotic fluid?
Maintains the internal temperature
Serves as the fluid for the fetus
Cushions the fetus from abdominal trauma
All of the above
The first step that a birth attendant should not forget once the baby is out of the mother’s vagina:
Place the baby on the abdomen of the mother
Call out time of birth
Skin to skin contact
Dry the newborn thoroughly
Midwife Glory clamp the cord approximately 1-3 minutes and you observed that she put the cord clamp ___ cm away from the newborn’s skin:
5 cm
4cm
3cm
2cm
Which of the following best defines the intrapartum period?
Period from the onset of contractions to the first 1-4 hours after delivery
Time from complete cervical dilation through delivery of the newborn
Period from the onset of contractions through the complete cervical dilation
Period from the onset of contractions to the first 1-4 hours after delivery
Time from the 28th week of gestation up to the cervical dilation
The single most significant factor in the prevention of complications of pregnancy, labor and puerperium is:
Early and adequate prenatal
Proper diet high in calories, protein and fats
Both A & B
Giving birth in a health facility
Midwife Cyndilyn observed that Miss Heart is very pale, What is the primary intervention of the midwife?
Give 180 tabs of ferrous sulphate
Instruct her to eat dark green leafy vegetable
Cephalo-caudal assessment and take her blood pressur
Refer her immediately to the RHU
The first sign of placental separation that a midwife should observe after the baby is out;
Lengthening of the cord
Sudden gush of blood from the vagina
Uterus become round and firm
No advancement of the umbilical cord
You are going to assist a normal spontaneous delivery what is not included the
newborn care.
Provide comfortable blanket to warm the baby
Put antiseptic to the cord after it is cut
Initiate breastfeeding
Do crede’s prophylaxis
This brings oxygenated blood from the placenta to the fetus:
Umbilical cord
Nuchal cord
Umbilical artery
Umbilical vein
Midwife Arianne performed internal examination to a mother on labor and she found out that it is fully dilated. How many is the cervical dilatation?
9
10
4
7
. Midwife Silver observed that the mother on labor has a strong pain at what stage of labour is her patient?
Transition
Latent
Active
moderate
The following statement is not included in the process of labor:
Increasing myometrial irritability
Aging of the placenta
Changes level of hormones
Decreasing intrauterine pressure
What theory of labor if the arachidonic acid increases prostaglandin synthesis that causes uterine contraction;
Oxytocin
Prostaglandin
Placental degeneration
Progesterone deprivation
The stage of labor starting from the onset of labor until full dilatation of the cervix;
Third
Second
First
Fourth
The mother on labor is cooperative, when will you not advise her to do the following if her blood pressure is 180/120?
Walking
Chest breathing
Void every 2-3 minutes
Positioning
The midwifery students on duty checked the number of cotelydons of the placenta at the delivery room. What is the minimum that they will can count?
40
15
35
10
The placenta separates first at the margin presents the maternal side this happens 20% of the deliveries;
Duncan
Shiny
Schultz
none of the above
Midwife Sheila slowly pull the cord and wind it to the clamp is termed as;
Brandt Andrews Manuever
Leopolds Manuever
Bradley’s Manuever
Ritgen's Manuever
The classification of perineal tear that involves only the skin around the vagina;
4th degree
3rd degree
2nd degree
1st degree
Mrs Naven delivered a 4 kilograms baby boy yesterday at the hospital and she has incurred a vaginal tears that extends into her rectum.What degree is her perineal tear?
4th degree
3rd degree
2nd degree
1st degree
A female sex hormone produced through the stimulation of anterior pituitary gland by the hypothalamus of CNS ,and this hormone is responsible in the development of secondary sex characteristics;
Progesterone
Estrogen
Gonadotrophin
FSH
Quickening in primigravidas usually can be detected during which of the following weeks of gestation?
20 weeks
10- 14 weeks
20-22 weeks
15-17 weeks
During which of the following stages of labor would the midwife Kate assess for crowning?
First
Fourth
Third
Second
Remy read in the book of Myles that the entire umbilical cord is wrapped in connective tissue:
Vein
Whartons jelly
Artery
Cartilage
Which of the following terms tissue lying between the vaginal orifice and the Anus?
Mons pubis
Hymen
Perineum
Vestibule
What part of the uterus that a midwife will directly assess for dilatation in a laboring client?
Cervix
Fundus
Vagina
Fallopian tube
The lower layer forms of the primary germ cell that will form as the baby’s lungs:
Ectoderm
Mesoderm
Endoderm
Perimetrium.
The best time to listen to the fetal heart tone for a mother on labor?
During decriment
At the start of the contraction
In between contraction
At the height of contraction
The clitoris is important in obstetrics because;
It Secretes to Lubricate the vestibule
It Protect More Inner structure of the vestibule
Guide to female catheterization
All of The Above
Mrs. Tendercare mentioned in her lecture in pregnancy that the umbilical cord is measured:
19 inches
15-18 cm
22-30cm
28inches
Immediately before expulsion, which of the following cardinal movement occur?
Extension
Flexion
Descent
External rotation
The uterus is derived from germ layer?
Mesoderm
Ectoderm
Mesoderm and ectoderm
Endoderm
.This is part of the primary germ cell that will soon develop as the baby’s skin, nails, hair and glands.
Endometrium
Ectoderm
Mesoderm
Endoderm
The following statement are the basic needs of a baby at birth but NOT FOR ONE:
To be warmth
To be protected
To be fed
To be weighed
. Midwife Terry is preparing the delivery room for the two mothers at the labor room she make it sure that the temperature is right which is;
20- 230C
20-240C
26
300C
Midwife Aida was alone at the birthing center when a multipara mother came to gave birth, when the baby was out she immediately wipe the baby while at the abdomen of the mother.You expect to see the midwife to position the baby?
Sidelying
Prone
Supine
Sim’s
Transition between childhood and maturity
Puberty
Menopause
.Menarche
Climacteric
Zeva has given birth on her second baby three hours ago and now at the recovery room breastfeeding her baby. She’s on what stage of labor?
First
Third
Fourth
Second
Midwife Stephany observed that the mother on labor is watching TV at what phase of labour is her patient?
Transition
Latent
Active
moderate
Midwife Cely is waiting for the placenta to come out and she observe that the abdomen of the mother becomes firm and round. What signs of placental separation?
Fetal side
Duncan
Schultz
Calkin's
It was lectured that the partograph has 3 major uses, one is for the assessment of progress of labor ,which is not included under this;
Pulse ,temperature and blood pressure
Cervical dilatation
Alert and action lines
Contractions
Midwife Judith should monitor the vital signs of the mother and her baby who delivered one hour ago, How often?
Every 15 minutes for the first hour
Every 30 minutes
Every hour
Once only in her shift
All statement is included in the function of the placenta except one:
Brain
Kidney
Digestive
Serves as the fetal lungs
The inner lining of the uterus that is also termed deciduas on conception
Perimetrium
Endometrium
Myocardium
Myometrium
Belle has completed one pregnancy with fetus that reached level of viability
Multipara
Nulligravida
Primigravida
Multigravida
The discharge of blood uterine material from the vagina at intervals of one month:
Ovulation
Menstruation
Fertilization
Implantation
Girls Pubertal Changes EXCEPT ONE
Breast development
Growth spurt
Increase in the transverse diameter of the pelvis
Voice changes
The beginning of breast development for Renneth;
Menarche
Thelarche
Adrenarche
None of the above
It is known as the softening of lower uterine segment during pregnancy;
Chadwick’s sign
Goodell’s sign
Hegar's sign
Braxton Hick’s
This serves as the gas exchange during fetal life:
Placenta
Foramen ovale
Ductus arteriosus
Ductus Venosus
In plotting the cervical dilation at the partograph form the only recognized symbol is one of the following below;
X
C
M
I
One of the following below is considered as a sign of false labor;
Contraction may lessen in activity
Regular contraction
Progressive dilation of the cervix
Pain start from back going in front
At what phase in stage one of labor ,if cervix dilation is only 0-3 centimeters;
Latent
Recovery
Transition
Active
