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M101 examination

Total questions: 100

Worksheet time: 1hrs 11mins

Name
Class
Date
1.

What hormone indicates that the woman is pregnant?

a)

Estrogen

b)

Progesterone

c)

Luteinizing hormone

d)

Human chorionic gonadotrophin

2.

What part of the uterus that a midwife will directly assess for dilatation in a laboring client?

a)

Cervix

b)

Isthmus

c)

Fundus

d)

Vagina

3.

Which pelvic shape has the poorest prognosis for vaginal delivery?

a)

Gynecoid

b)

Anthropoid

c)

Android

d)

Platypelloid

4.

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;

a)

Ballotment

b)

Quickening

c)

Hegar’s

d)

Goodell’s

5.

The signs and symptoms of pregnancy and or changes that can be observe by an examiner:


a)

Probable

b)

Presumptive

c)

Negative

d)

Positive

6.

6.Which of the following is more common in late pregnancy than in early pregnancy?


a)

Heartburn

b)

Fatigue

c)

Missed menses

d)

Backache

7.

In cephalic presentation, when the eyes, mouth, nose is the presenting part it is ____ presentation;

a)

Brow

b)

Face

c)

Vertex

d)

Sinciput

8.

It is a landmark at the baby’s head with a diamond shape that closes at what age of the infant?

a)

18 months

b)

2 years

c)

3 months

d)

1 year

9.

.The type of pelvis that is the most suitable for childbirth, and its circular in shape:


a)

Platypelloid

b)

Android

c)

Anthropoid

d)

Gynecoid

10.

Which monumental event occurs during the second stage of labor:

a)

Cervical effacement

b)

Engagement

c)

Expulsion of the baby

d)

Cervical dilatation

11.

Kimberly Jean shared her experienced on the painless contraction on her 28 weeks of pregnancy to the young mothers:

a)

Braxton hicks

b)

Hegar’s sign

c)

Ballotment

d)

Chadwick’s

12.

Which of the following statement is true in weight gained during pregnancy:


a)

11-13 kgs

b)

15- 20 kgs

c)

14- 16kgs

d)

19 only

13.

The following are the true signs of labor except for one:

a)

Contraction does not decrease with rest or activity

b)

Progressive dilatation of the cervix

c)

Pain radiates from the back then going to the abdomen

d)

Pain is confined at the abdomen

14.

Pelvis that has a an oval shaped inlet with large anterior-posterior diameter , labor progress in most cases;

a)

Anthropoid

b)

Gynecoid

c)

Android

d)

Platypelloid

15.

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;


a)

Goodell’s sign

b)

Linea negra

c)

Chadwicks sign

d)

Braxton Hick’s

16.

Venice is a newlywed with her husband she told the midwife that she dislikes her favourite food. The midwife will tell her that;


a)

Presumptive sign

b)

Nothing to worry may be she’s sick

c)

That is a sign of uterine cancer

d)

She must consult a doctor

17.

This is the largest part of the hip bone:

a)

Coccyx

b)

Ischium

c)

Pubis

d)

Ilium

18.

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?

a)

Striae gravidarum

b)

Pigmentation

c)

Chloasma

d)

Linea Nigra

19.

.This brings oxygenated blood from the placenta to the fetus:

a)

Umbilical cord

b)

Umbilical vein

c)

Nuchal cord

d)

Umbilical artery

20.

During delivery the priority intervention of the midwife to the baby is to;

a)

Clamp and cut the umbilical cord of the baby.

b)

Perform first APGAR Scoring

c)

Administer the vitamin K and Crede’s prophylaxis

d)

Dry the baby thoroughly

21.

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;

a)

“C”

b)

"I"

c)

“B”

d)

"M"

22.

A patient who is a mother of a 5- year old son and is now pregnant again She should be classified as:

a)

Gravida 2, Para 1

b)

Gravida1 , para 1

c)

Gravida 2, para2

d)

Gravida 2, para 0

23.

One of the earliest presumptive signs of pregnancy is;

a)

Braxton Hicks contactions

b)

Linea Nigra

c)

Missed menstruation

d)

Hegars sign

24.

Engagement means

a)

The presenting part or the fetus has entered into the pelvis

b)

The position of the presenting part in relationship to the mother’s Ischial spines

c)

The fetal part that enters the maternal pelvis first

d)

The membranes have raptured

25.

Which of the following stages of labor would the midwife assess Crowning?

a)

First

b)

Second

c)

Third

d)

Fourth

26.

This refers to an injury or tear at the vaginal canal during delivery of the baby;

a)

Perineal laceration

b)

Wound

c)

Skin tear

d)

Internal examination

27.

The placenta is out after 15 minutes of waiting. What will be the next step after you check the cotyledons;

a)

Do perineal care to the mother

b)

Put cloth diaper

c)

Instruct the mother to urinate

d)

Inspect for any perineal lacerations

28.

Verlyn learned in her ten days training at Fabella hospital that midwives are only allowed to do perineal repair up to, what degree?

a)

Third degree laceration only

b)

First degree laceration only

c)

Can repair up to 4th degree

d)

1st and 2nd degree only

29.

The best time for Midwife Lala to listen to the fetal heart tone during labor?

a)

During decriment

b)

At the start of the contraction

c)

In between contraction

d)

At the height of contraction

30.

It is use by all birth attendant to identify women whose labor is delayed and therefore decide appropriate action:

a)

Partograph

b)

Family health diary

c)

Patient chart

d)

Both b and c

31.

As professional birth attendant you noticed that the placenta separates first at the margin presents the maternal side and looks dirty:

a)

Schultz

b)

Duncan

c)

Colored red

d)

Bright red

32.

. It refers to the relationship of reference point on fetal presenting part to maternal pelvis;


a)

Fetal head


b)

Presentation

c)

Fetal shoulders

d)

Position

33.

The fetal occiput is the is on the left side and toward the front,face down ,this is favourable for delivery position.

a)

Right occiput anterior

b)

Left occiput anterior

c)

Left occiput posterior

d)

Left occiput anterior

34.

The mother will experience much back discomfort during labor and labor may be slowed:

a)

Right occiput anterior

b)

Left occiput anterior

c)

Left occiput posterior

d)

Left occiput anterior

35.

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;

a)

Negative 1 station


b)

Zero station

c)

Positive 1 station

d)

Positive 3 station

36.

This refers to the beginning of one contraction to the beginning of the next;

a)

Regularity

b)

Intensity

c)

Duration

d)

Frequency

37.

Devine is on labour on her third baby what is the term when she will experience the peak of contraction?

a)

Acme

b)

Increment

c)

Cresendo

d)

Decresendo

38.

The part of contraction wherein it is the beginning of contractions to end of same contraction:

a)

Interval

b)

Duration

c)

Frequency

d)

Interval

39.

Alexis preferred a husband coached childbirth and this is known as;

a)

Brandt method

b)

Dick read method

c)

Bradley method

d)

Lamaze method

40.

The baby is born head first, via vagina supervised by a health worker who ensure that mother and baby are well;

a)

Assisted childbirth

b)

Normal birth

c)

Bradley childbirth

d)

Natural childbirth

41.

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:

a)

Internal rotation

b)

Floating

c)

Descended

d)

Engaged

42.

. The mood of the woman suddenly changes and there is sudden gush of amniotic fluid as the fetus is push;

a)

Transition phase

b)

Latent

c)

Active Phase

d)

Accelerated phase

43.

Ann is complaining of severe labor pains , what are not vital signs that you as a midwife should monitor every four hours?

a)

Pulse, temp, B/P

b)

Progress of labor

c)

Womans mood and behavior

d)

B/P and temp

44.

What other findings that you as a birth attendant should monitor?

a)

Color of lips and nails

b)

Very premature labor

c)

Mother voided

d)

Antepartum hemorrhage

45.

In assessing the progress of labor the priority for the midwife

a)

Cervical dilatation

b)

Contraction pattern


c)

Mothers mood

d)

Both A and B

46.

The normal blood loss in vaginal delivery is;

a)

.200-400 cc

b)

600-800 cc

c)

300-500cc

d)

500- 1000cc

47.

All but one is considered to be normal amount of amniotic fluid:

a)

1500 ml

b)

2000ml

c)

500 ml

d)

1000ml

48.

Which of the following are the functions of amniotic fluid?

a)

Maintains the internal temperature


b)

Serves as the fluid for the fetus

c)

Cushions the fetus from abdominal trauma

d)

All of the above

49.

The first step that a birth attendant should not forget once the baby is out of the mother’s vagina:

a)

Place the baby on the abdomen of the mother

b)

Call out time of birth

c)

Skin to skin contact

d)

Dry the newborn thoroughly

50.

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:

a)

5 cm

b)

4cm

c)

3cm

d)

2cm

51.

Which of the following best defines the intrapartum period?

Period from the onset of contractions to the first 1-4 hours after delivery

a)

Time from complete cervical dilation through delivery of the newborn

b)

Period from the onset of contractions through the complete cervical dilation

c)

Period from the onset of contractions to the first 1-4 hours after delivery

d)

Time from the 28th week of gestation up to the cervical dilation

52.

The single most significant factor in the prevention of complications of pregnancy, labor and puerperium is:

a)

Early and adequate prenatal

b)

Proper diet high in calories, protein and fats

c)

Both A & B

d)

Giving birth in a health facility

53.

Midwife Cyndilyn observed that Miss Heart is very pale, What is the primary intervention of the midwife?

a)

Give 180 tabs of ferrous sulphate

b)

Instruct her to eat dark green leafy vegetable

c)

Cephalo-caudal assessment and take her blood pressur

d)

Refer her immediately to the RHU

54.

The first sign of placental separation that a midwife should observe after the baby is out;

a)

Lengthening of the cord

b)

Sudden gush of blood from the vagina

c)

Uterus become round and firm

d)

No advancement of the umbilical cord

55.

You are going to assist a normal spontaneous delivery what is not included the

newborn care.

a)

Provide comfortable blanket to warm the baby

b)

Put antiseptic to the cord after it is cut

c)

Initiate breastfeeding

d)

Do crede’s prophylaxis

56.

This brings oxygenated blood from the placenta to the fetus:

a)

Umbilical cord

b)

Nuchal cord

c)

Umbilical artery

d)

Umbilical vein

57.

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?

a)

9

b)

10

c)

4

d)

7

58.

. Midwife Silver observed that the mother on labor has a strong pain at what stage of labour is her patient?

a)

Transition

b)

Latent

c)

Active

d)

moderate

59.

The following statement is not included in the process of labor:

a)

Increasing myometrial irritability

b)

Aging of the placenta

c)

Changes level of hormones

d)

Decreasing intrauterine pressure

60.

What theory of labor if the arachidonic acid increases prostaglandin synthesis that causes uterine contraction;

a)

Oxytocin

b)

Prostaglandin

c)

Placental degeneration

d)

Progesterone deprivation

61.

The stage of labor starting from the onset of labor until full dilatation of the cervix;

a)

Third

b)

Second

c)

First

d)

Fourth

62.

The mother on labor is cooperative, when will you not advise her to do the following if her blood pressure is 180/120?

a)

Walking

b)

Chest breathing

c)

Void every 2-3 minutes

d)

Positioning

63.

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?

a)

40

b)

15

c)

35

d)

10

64.

The placenta separates first at the margin presents the maternal side this happens 20% of the deliveries;

a)

Duncan

b)

Shiny

c)

Schultz

d)

none of the above

65.

Midwife Sheila slowly pull the cord and wind it to the clamp is termed as;

a)

Brandt Andrews Manuever

b)

Leopolds Manuever

c)

Bradley’s Manuever

d)

Ritgen's Manuever

66.

The classification of perineal tear that involves only the skin around the vagina;

a)

4th degree

b)

3rd degree

c)

2nd degree

d)

1st degree

67.

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?

a)

4th degree

b)

3rd degree

c)

2nd degree

d)

1st degree

68.

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;

a)

Progesterone

b)

Estrogen

c)

Gonadotrophin

d)

FSH

69.

Quickening in primigravidas usually can be detected during which of the following weeks of gestation?

a)

20 weeks

b)

10- 14 weeks

c)

20-22 weeks

d)

15-17 weeks

70.

During which of the following stages of labor would the midwife Kate assess for crowning?

a)

First

b)

Fourth

c)

Third

d)

Second

71.

Remy read in the book of Myles that the entire umbilical cord is wrapped in connective tissue:

a)

Vein

b)

Whartons jelly

c)

Artery

d)

Cartilage

72.

Which of the following terms tissue lying between the vaginal orifice and the Anus?

a)

Mons pubis

b)

Hymen

c)

Perineum

d)

Vestibule

73.

What part of the uterus that a midwife will directly assess for dilatation in a laboring client?

a)

Cervix

b)

Fundus

c)

Vagina

d)

Fallopian tube

74.

The lower layer forms of the primary germ cell that will form as the baby’s lungs:

a)

Ectoderm

b)

Mesoderm

c)

Endoderm

d)

Perimetrium.

75.

The best time to listen to the fetal heart tone for a mother on labor?

a)

During decriment

b)

At the start of the contraction

c)

In between contraction

d)

At the height of contraction

76.

The clitoris is important in obstetrics because;

a)

It Secretes to Lubricate the vestibule

b)

It Protect More Inner structure of the vestibule

c)

Guide to female catheterization

d)

All of The Above

77.

Mrs. Tendercare mentioned in her lecture in pregnancy that the umbilical cord is measured:

a)

19 inches

b)

15-18 cm

c)

22-30cm

d)

28inches

78.

Immediately before expulsion, which of the following cardinal movement occur?

a)

Extension

b)

Flexion

c)

Descent

d)

External rotation

79.

The uterus is derived from germ layer?

a)

Mesoderm

b)

Ectoderm

c)

Mesoderm and ectoderm

d)

Endoderm

80.

.This is part of the primary germ cell that will soon develop as the baby’s skin, nails, hair and glands.

a)

Endometrium

b)

Ectoderm

c)

Mesoderm

d)

Endoderm

81.

The following statement are the basic needs of a baby at birth but NOT FOR ONE:

a)

To be warmth

b)

To be protected

c)

To be fed

d)

To be weighed

82.

. 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;

a)

20- 230C

b)

20-240C

c)

26

d)

300C

83.

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?

a)

Sidelying

b)

Prone

c)

Supine

d)

Sim’s

84.

Transition between childhood and maturity

a)

Puberty

b)

Menopause

c)

.Menarche

d)

Climacteric

85.

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?

a)

First

b)

Third

c)

Fourth

d)

Second

86.

Midwife Stephany observed that the mother on labor is watching TV at what phase of labour is her patient?


a)

Transition

b)

Latent

c)

Active

d)

moderate

87.

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?

a)

Fetal side

b)

Duncan

c)

Schultz

d)

Calkin's

88.

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;

a)

Pulse ,temperature and blood pressure

b)

Cervical dilatation

c)

Alert and action lines

d)

Contractions

89.

Midwife Judith should monitor the vital signs of the mother and her baby who delivered one hour ago, How often?

a)

Every 15 minutes for the first hour

b)

Every 30 minutes

c)

Every hour

d)

Once only in her shift

90.

All statement is included in the function of the placenta except one:

a)

Brain

b)

Kidney

c)

Digestive

d)

Serves as the fetal lungs

91.

The inner lining of the uterus that is also termed deciduas on conception

a)

Perimetrium

b)

Endometrium

c)

Myocardium

d)

Myometrium

92.

Belle has completed one pregnancy with fetus that reached level of viability

a)

Multipara

b)

Nulligravida

c)

Primigravida

d)

Multigravida

93.

The discharge of blood uterine material from the vagina at intervals of one month:


a)

Ovulation

b)

Menstruation

c)

Fertilization

d)

Implantation

94.

Girls Pubertal Changes EXCEPT ONE


a)

Breast development


b)

Growth spurt

c)

Increase in the transverse diameter of the pelvis

d)

Voice changes

95.

The beginning of breast development for Renneth;

a)

Menarche

b)

Thelarche

c)

Adrenarche

d)

None of the above

96.

It is known as the softening of lower uterine segment during pregnancy;

a)

Chadwick’s sign


b)

Goodell’s sign

c)

Hegar's sign

d)

Braxton Hick’s

97.

This serves as the gas exchange during fetal life:

a)

Placenta

b)

Foramen ovale

c)

Ductus arteriosus

d)

Ductus Venosus

98.

In plotting the cervical dilation at the partograph form the only recognized symbol is one of the following below;

a)

X

b)

C

c)

M

d)

I

99.

One of the following below is considered as a sign of false labor;

a)

Contraction may lessen in activity

b)

Regular contraction

c)

Progressive dilation of the cervix

d)

Pain start from back going in front

100.

At what phase in stage one of labor ,if cervix dilation is only 0-3 centimeters;

a)

Latent

b)

Recovery

c)

Transition

d)

Active