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Normal Labour

Total questions: 30

Worksheet time: 30mins

Name
Class
Date
1.

Stage 1 of labour includes which phases in the correct order

a)

Transition, Latent, Active

b)

Active, Latent, Transition

c)

Active, Transition, Latent

d)

Latent, Active, Transition

2.

Stage 2 of labour begins with the delivery of the baby and ends with the delivery of the placenta

a)

True

b)

False

3.

In stage 1 of labour, during the active phase, the cervix dilates?*

a)

1-3 cm

b)

7-10 cm

c)

4-7cm

d)

8-10 cm

4.

During stage 3 of labour, you note a gush of blood and that the uterus changes shape from an oval shape to globular shape. This indicates?

a)

Postpartum hemorrhage

b)

Imminent delivery of the baby

c)

Signs of placental separation

d)

Answers B and C

5.

The mother has delivered the placenta. You note that the shiny surface of the placenta was delivered first. What delivery mechanism is this known as AND is this the maternal or fetal surface of the placenta?

a)

Duncan mechanism, maternal

b)

Schultze mechanism, maternal

c)

Schultze mechanism, baby

d)

Duncan mechanism, baby

6.

True or False: Stage 4 of labor starts with the full delivery of the baby and ends with the full delivery of the placenta.

a)

True

b)

False

7.
What is it called when the head is first visable?
a)
Lightening
b)
Quickening
c)
Crowning
d)
the head
8.
Which drug is used to stimulate contractions and induce labor?
a)
Pitocin
b)
Epidural 
c)
Episiotomy 
d)
Anesthetics 
9.
What is an episiotomy?
a)
Surgical cut to vaginal opening to aid in delivery
b)
Drug used to induce labor
c)
Drug used to help with pains
d)
Stretching of the birth canal
10.
How many weeks is a full term pregnancy?
a)
36 weeks
b)
40 weeks
c)
38 weeks
d)
42 weeks
11.
when is birth considered pre-mature
a)
born before 37 weeks
b)
born before 40 weeks
c)
born before 35 weeks
12.

the opening (1 cm--3cm--10cm) of the cervix is called...

a)

dialation

b)

effacement

c)

contraction

d)

epidural

13.

The thinning (25%--50%--100%) of the cervix.

a)

dialation

b)

effacement

c)

contraction

d)

fontanels

14.

The tightening and releasing of the uterus is called...

a)

effacement

b)

dialation

c)

contraction

d)

pushing

15.
A drop in the level of the uterus during the last weeks of pregnancy as the head of the fetus engages in the pelvis:
a)
Lightening
b)
Quickening
c)
Anemia
d)
Recessive
16.
What is a sign of false labor?
a)
The women experiences "bloody show"
b)
The amniotic sac is broken
c)
Contractions stop when the women walks or does light exercise
d)
The contractions continue, even when the women exercises 
17.

The stage of labor where the mom experiences irregular uterine contractions in which the cervix thins, softens, and may begin to dilate is called...

a)

Pre Labor

b)

Stage 1

c)

Stage 2

d)

Transition

18.
The factors that affect the process of labor and birth, known commonly as the five Ps, include all except:
a)
Passenger
b)
Passageway
c)
Powers
d)
Pressure
19.
To assess the pain experience of the laboring woman, the nurse relies most on
a)
vital signs.
b)
labor progress.
c)
patient's description.
d)
availability of support.
20.
A laboring woman just received an opioid analgesic. Her labor progresses rapidly and birth is imminent. Which of the following medications should be available to counteract the effects of the opiod?
a)
Fentanyl citrate (Sublimaze)
b)
Nalbuphine (Nubain)
c)
Butorphanol (Stadol)
d)
Naloxone (Narcan)
21.

True contractions are characterized by all except:

a)

Occur at regular intervals

b)

Intensity increases

c)

Cervical Dilation

d)

Pain stop with sedation

22.

Nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?

a)

Change the client’s position

b)

Prepare for emergency caesarean section

c)

Administer Oxygen

d)

Check for Placenta previa

23.

1. A women in labour arrives at the labour room. She is multiparous and experiencing contractions every 3 minutes. Upon examination, the nurse notes that she is 5cm dilated and 50% effaced. Which stage and phase of labor is the woman experiencing?

a)

stage 1, phase 1

b)

stage 1 phase 2

c)

stage 1 phase 3

d)

stage 2 phase 1

24.

1. A 26 year old female primigravida presents to the clinic to discuss her estimated date of birth (EDD). The nurse records the client's first day of her last menstrual period as February 28th 2020. What would be her (EDD)?

a)

December 6, 2020

b)

December 5, 2020

c)

November 6, 2020

d)

December 7, 2020

25.

The components of per- vaginal examination are

a)

Dilation, effacement, station, position

b)

Effacement, contraction, decent, position

c)

Dilation, engagement, lie, position

d)

Station, Position, Retraction, presentation

26.

During per vaginal examination if fetal head is at the level of ischial spines, the Station will be called as:

a)

+2

b)

+1

c)

0

d)

-1

27.

In general care of the woman in labour, which of the following are false?

a)

Aortocaval compression can be avoided by maintaining at least 15° of left lateral tilt.

b)

Semi-recumbent, squatting, kneeling or left lateral positions are all appropriate for delivery.

c)

Drinking is contraindicated in labour to avoid Mendelson's syndrome if a general anaesthetic is required.

d)

Emotional support improves labour progress.

28.

what is used to check progress of labour

a)

partograph

b)

numerical pain scale

c)

APGAR score

d)

none of above

29.

which of the following is not a component of partograph

a)

uterine contraction

b)

maternal blood pressure

c)

cervical dilation

d)

maternal haemoglobin

30.

all are characteristics of eutocia except:

a)

spontaneous in onset

b)

longitudinal lie

c)

undue prolongation

d)

vertex presentation