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UNIT 4ʙ ― Intrapartum

Total questions: 86

Worksheet time: 44mins

Name
Class
Date
1.

This theory explains that the onset of labor is caused by the physical overstretching of the uterus as the baby grows. There's a limit to how much the uterus can stretch, and reaching this limit can trigger contractions.

a)

Uterine Stretch Theory

b)

Pressure on the Cervix Theory

2.

This theory explains that the onset of labor is caused by the baby's head pressing against the cervix (known as the Ferguson Reflex), which stimulates the release of oxytocin and prostaglandins, further promoting contractions.

a)

Pressure on the Cervix Theory

b)

Uterine Stretch Theory

3.

This theory explains that the onset of labor is caused by a surge of cortisol from the maturing fetal adrenal glands. This increase in fetal cortisol acts on the placenta to decrease progesterone and increase estrogen production, setting in motion the hormonal cascade that initiates labor.

a)

Fetal Endocrine Control Theory

b)

Fetal Endocrine Withdrawal Theory

c)

Fetal Endocrine Stimulation Theory

d)

Fetal Endocrine Activation Theory

e)

Fetal Endocrine Cascade Theory

4.

This theory explains that the onset of labor is caused by a decrease in the level of progesterone which normally relaxes the uterus. When progesterone levels drop, the uterus becomes more prone to contractions.

a)

Progesterone Withdrawal Theory

b)

Progesterone Stimulation Theory

c)

Progesterone Activation Theory

d)

Progesterone Cascade Theory

e)

Progesterone Control Theory

5.

This theory explains that the onset of labor is caused by an increase in estrogen level. Estrogen levels rise significantly toward term, promoting the formation of oxytocin receptors and stimulating the production of prostaglandins, which both prepare the uterus and cervix for labor.

a)

Estrogen Stimulation Theory

b)

Estrogen Activation Theory

c)

Estrogen Cascade Theory

d)

Estrogen Control Theory

e)

Estrogen Withdrawal Theory

6.

This theory explains that the onset of labor is caused by an increase in the production of oxytocin, which stimulates the uterus to contract. The uterus also becomes more sensitive to oxytocin as term approaches.

a)

Oxytocin Activation Theory

b)

Oxytocin Cascade Theory

c)

Oxytocin Control Theory

d)

Oxytocin Withdrawal Theory

e)

Oxytocin Stimulation Theory

7.

This theory explains that the onset of labor is caused by an increase in the production of prostaglandins. These powerful hormones soften the cervix (ripening) and stimulate strong, coordinated uterine muscle contractions.

a)

Prostaglandin Cascade Theory

b)

Prostaglandin Control Theory

c)

Prostaglandin Withdrawal Theory

d)

Prostaglandin Stimulation Theory

e)

Prostaglandin Activation Theory

8.

Which one produces Corticotropin Releasing Hormone (CRH)?

a)

Hypothalamus

b)

Anterior Pituitary Gland

c)

Posterior Pituitary Gland

d)

Adrenal Cortex

e)

Adrenal Medulla

9.

Which one produces Adrenocorticotropic Hormone (ACTH)?

a)

Anterior Pituitary Gland

b)

Posterior Pituitary Gland

c)

Adrenal Cortex

d)

Adrenal Medulla

e)

Hypothalamus

10.

Which one produces Corticotropin?

a)

Anterior Pituitary Gland

b)

Posterior Pituitary Gland

c)

Adrenal Cortex

d)

Adrenal Medulla

e)

Hypothalamus

11.

Which one produces Cortisol?

a)

Adrenal Cortex

b)

Adrenal Medulla

c)

Hypothalamus

d)

Anterior Pituitary Gland

e)

Posterior Pituitary Gland

12.

Which of the following maintains the quiescence or relaxation of the uterus and when the level drops, the uterus becomes more prone to contractions thereby initiating labor?

a)

Progesterone

b)

Estrogen

c)

Oxytocin

d)

Prostaglandin

13.

During pregnancy, progesterone is produced by...?

a)

Placenta

b)

Uterus

c)

Hypothalamus

d)

Anterior Pituitary Gland

e)

Posterior Pituitary Gland

14.

During pregnancy, which one is higher in the Progesterone:Estrogen ratio?

a)

Progesterone

b)

Estrogen

15.

At the very end of pregnancy, which one becomes higher in the Progesterone:Estrogen ratio which triggers labor?

a)

Estrogen

b)

Progesterone

16.

Which one produces Oxytocin?

a)

Hypothalamus

b)

Posterior Pituitary Gland

c)

Anterior Pituitary Gland

17.

Which one stores and releases Oxytocin?

a)

Posterior Pituitary Gland

b)

Anterior Pituitary Gland

c)

Hypothalamus

18.

These are changes that the woman's body goes through in the weeks or days leading up to labor. These signs are not necessarily an indication that labor is imminent, but they do suggest that the body is getting ready for true labor.

a)

PREMONITORY SIGNS OF LABOR

b)

TRUE SIGNS OF LABOR

19.

What is the normal color of amniotic fluid?

a)

Clear / Slightly Yellowish

b)

Deep Amber Yellow

c)

Cloudy White / Grayish

d)

Greenish

e)

Red-stained / Pinkish

20.

Which of the following colors of amniotic fluid would indicate (+) bilirubin?

a)

Deep Amber Yellow / Golden

b)

Cloudy White / Grayish

c)

Greenish

d)

Red-stained / Pinkish

e)

Tea-colored / Coffee-colored / Brownish

21.

Which of the following colors of amniotic fluid would indicate (+) infection?

a)

Cloudy White / Grayish

b)

Greenish

c)

Red-stained / Pinkish

d)

Tea-colored / Coffee-colored / Brownish

e)

Deep Amber Yellow / Golden

22.

Which of the following colors of amniotic fluid would indicate (+) meconium?

a)

Greenish

b)

Red-stained / Pinkish

c)

Tea-colored / Coffee-colored / Brownish

d)

Deep Amber Yellow / Golden

e)

Cloudy White / Grayish

23.

Which of the following colors of amniotic fluid would indicate (+) blood?

a)

Red-stained / Pinkish

b)

Tea-colored / Coffee-colored / Brownish

c)

Deep Amber Yellow / Golden

d)

Cloudy White / Grayish

e)

Greenish

24.

Which of the following colors of amniotic fluid would indicate (+) old blood?

a)

Tea-colored / Coffee-colored / Brownish

b)

Deep Amber Yellow / Golden

c)

Cloudy White / Grayish

d)

Greenish

e)

Red-stained / Pinkish

25.

There are 4 STAGES of LABOR & DELIVERY. At which stage is 𝚊𝚔𝚊 "the cervical dilatation and effacement stage"?

a)

Stage 1

b)

Stage 2

c)

Stage 3

d)

Stage 4

26.

There are 4 STAGES of LABOR & DELIVERY. At which stage is 𝚊𝚔𝚊 "the expulsion of the fetus"?

a)

Stage 2

b)

Stage 3

c)

Stage 4

d)

Stage 1

27.

There are 4 STAGES of LABOR & DELIVERY. At which stage is 𝚊𝚔𝚊 "the expulsion of the placenta"?

a)

Stage 3

b)

Stage 4

c)

Stage 1

d)

Stage 2

28.

There are 4 STAGES of LABOR & DELIVERY. At which stage is 𝚊𝚔𝚊 "the postpartum recovery"?

a)

Stage 4

b)

Stage 1

c)

Stage 2

d)

Stage 3

29.

In labor and delivery, STAGE 1 starts from the _____.

a)

beginning of dilatation and effacement of the cervix.

b)

full dilatation and effacement of the cervix.

c)

full delivery of the baby.

d)

full delivery of the placenta.

e)

first 2-3 hours post-delivery.

30.

In labor and delivery, STAGE 2 starts from the _____.

a)

full dilatation and effacement of the cervix.

b)

full delivery of the baby.

c)

full delivery of the placenta.

d)

first 2-3 hours post-delivery.

e)

beginning of dilatation and effacement of the cervix.

31.

In labor and delivery, STAGE 3 starts from the _____.

a)

full delivery of the baby.

b)

full delivery of the placenta.

c)

first 2-3 hours post-delivery.

d)

beginning of dilatation and effacement of the cervix.

e)

full dilatation and effacement of the cervix.

32.

In labor and delivery, STAGE 4 starts from the _____.

a)

full delivery of the placenta.

b)

first 2-3 hours post-delivery.

c)

beginning of dilatation and effacement of the cervix.

d)

full dilatation and effacement of the cervix.

e)

full delivery of the baby.

33.

In labor and delivery, STAGE 1 concludes at the _____.

a)

full dilatation and effacement of the cervix.

b)

full delivery of the baby.

c)

full delivery of the placenta.

d)

first 2-3 hours post-delivery.

e)

beginning of dilatation and effacement of the cervix.

34.

In labor and delivery, STAGE 2 concludes at the _____.

a)

full delivery of the baby.

b)

full delivery of the placenta.

c)

first 2-3 hours post-delivery.

d)

beginning of dilatation and effacement of the cervix.

e)

full dilatation and effacement of the cervix.

35.

In labor and delivery, STAGE 3 concludes at the _____.

a)

full delivery of the placenta.

b)

first 2-3 hours post-delivery.

c)

beginning of dilatation and effacement of the cervix.

d)

full dilatation and effacement of the cervix.

e)

full delivery of the baby.

36.

In labor and delivery, STAGE 4 concludes at the _____.

a)

first 2-3 hours post-delivery.

b)

beginning of dilatation and effacement of the cervix.

c)

full dilatation and effacement of the cervix.

d)

full delivery of the baby.

e)

full delivery of the placenta.

37.

What is the CERVICAL DILATATION of EARLY STAGE of labor?

a)

0-3

b)

1-3

c)

0-4

d)

1-4

38.

What is the CERVICAL DILATATION of ACTIVE STAGE of labor?

a)

4-7

b)

3-7

c)

4-8

d)

3-8

39.

What is the CERVICAL DILATATION of TRANSITION STAGE of labor?

a)

8-10

b)

7-10

c)

6-10

d)

5-10

40.

In labor, which one is the CERVICAL EFFACEMENT of EARY STAGE?

a)

0-30 %

b)

30-80 %

c)

80-100 %

41.

In labor, which one is the CERVICAL EFFACEMENT of ACTIVE STAGE?

a)

30-80 %

b)

80-100 %

c)

0-30 %

42.

In labor, which one is the CERVICAL EFFACEMENT of TRANSITION STAGE?

a)

80-100 %

b)

0-30 %

c)

30-80 %

43.

The DURATION OF CONTRACTION in the EARLY STAGE of labor is...?

a)

20-40 secs

b)

40-60 secs

c)

60-70 secs

44.

The DURATION OF CONTRACTION in the ACTIVE STAGE of labor is...?

a)

40-60 secs

b)

60-70 secs

c)

20-40 secs

45.

The DURATION OF CONTRACTION in the TRANSITION STAGE of labor is...?

a)

60-70 secs

b)

20-40 secs

c)

40-60 secs

46.

In the EARLY STAGE of labor, the FREQUENCY OF CONTRACTIONS is...?

a)

5-10 mins

b)

3-5 mins

c)

2-3 mins

47.

In the ACTIVE STAGE of labor, the FREQUENCY OF CONTRACTIONS is...?

a)

3-5 mins

b)

2-3 mins

c)

5-10 mins

48.

In the TRANSITION STAGE of labor, the FREQUENCY OF CONTRACTIONS is...?

a)

2-3 mins

b)

5-10 mins

c)

3-5 mins

49.

Determine the INTENSITY OF CONTRACTIONS in the EARLY STAGE of labor.

a)

Mild

b)

Moderate

c)

Severe

50.

Determine the INTENSITY OF CONTRACTIONS in the ACTIVE STAGE of labor.

a)

Moderate

b)

Severe

c)

Mild

51.

Determine the INTENSITY OF CONTRACTIONS in the TRANSITION STAGE of labor.

a)

Severe

b)

Mild

c)

Moderate

52.

This is the landmark in determining fetal station.

a)

Ischial Spine

b)

Pubic Symphysis

c)

Sacral Promontory

d)

Coccyx

53.

At what fetal station is the presenting part of the fetus considered to be at the level of the ischial spines?

a)

0

b)

+1

c)

-1

d)

+2

e)

-2

54.

If the presenting part of the fetus is palpated 2 cm above the ischial spines, what is the fetal station?

a)

-2

b)

+2

c)

0

d)

-1

e)

+1

55.

What does a fetal station of +3 indicate?

a)

The presenting part is 3 cm below the ischial spines.

b)

The presenting part is 3 cm above the ischial spines.

c)

The presenting part is at the level of the ischial spines.

d)

The presenting part is crowning.

56.

Which fetal station typically indicates that the fetal head is engaged?

a)

0

b)

+1

c)

-1

d)

+2

e)

-2

57.

What does VBAC stand for?

a)

Vaginal Birth After Cesarean

b)

Vacuum Birth After Cesarean

c)

Vertical Birth After Cesarean

d)

Voluntary Birth After Cesarean

58.

Determine the C-SECTION incision from superficial to deep. ⑴Amniotic Sac ⑵Fascia ⑶Fat ⑷Muscle ⑸Peritoneum ⑹Skin ⑺Uterus

a)

6, 3, 2, 4, 5, 7, 1

b)

6, 3, 4, 2, 5, 7, 1

c)

1, 7, 5, 4, 2, 3, 6

d)

1, 7, 5, 2, 4, 3, 6

59.

Determine the C-SECTION incision from deep to superficial. ⑴Amniotic Sac ⑵Fascia ⑶Fat ⑷Muscle ⑸Peritoneum ⑹Skin ⑺Uterus

a)

1, 7, 5, 4, 2, 3, 6

b)

1, 7, 5, 2, 4, 3, 6

c)

6, 3, 2, 4, 5, 7, 1

d)

6, 3, 4, 2, 5, 7, 1

60.

This is when the baby's head settles into the pelvis.

a)

Engagement

b)

Descent (𝚊𝚔𝚊 Lightening)

c)

Flexion

d)

Internal Rotation

e)

Extension

61.

This is when the presenting part is at fetal station 0.

a)

Engagement

b)

Descent (𝚊𝚔𝚊 Lightening)

c)

Flexion

d)

Internal Rotation

e)

Extension

62.

This is when the baby's head moves down into the ischial spine.

a)

Descent (𝚊𝚔𝚊 Lightening)

b)

Flexion

c)

Internal Rotation

d)

Extension

e)

Engagement

63.

The presenting part of the baby is now at fetal station +1 to +5.

a)

Descent (𝚊𝚔𝚊 Lightening)

b)

Flexion

c)

Internal Rotation

d)

Extension

e)

Engagement

64.

This is when the baby's head moves down into the ischial spine.

a)

Descent

b)

Flexion

c)

Internal Rotation

d)

Extension

e)

Engagement

65.

Which one is also known as Lightening?

a)

Descent

b)

Flexion

c)

Internal Rotation

d)

Extension

e)

Engagement

66.

This is when the baby's head moves down into the ischial spine.

a)

Lightening

b)

Flexion

c)

Internal Rotation

d)

Extension

e)

Engagement

67.

Which one is also known as Descent?

a)

Lightening

b)

Flexion

c)

Internal Rotation

d)

Extension

e)

Engagement

68.

This is when the baby's chin tucks into their chest because of resistance.

a)

Flexion

b)

Internal Rotation

c)

Extension

d)

Engagement

e)

Descent (𝚊𝚔𝚊 Lightening)

69.

This is when the baby's chin tucks into their chest because of resistance.

a)

Flexion

b)

Internal Rotation

c)

Extension

d)

Restitution (𝚊𝚔𝚊 External Rotation)

e)

Expulsion

70.

This is when the baby's head rotates to align with the pelvic outlet.

a)

Internal Rotation

b)

Extension

c)

Restitution (𝚊𝚔𝚊 External Rotation)

d)

Expulsion

e)

Flexion

71.

This is when the baby's head tilts back, extending the neck.

a)

Extension

b)

Restitution (𝚊𝚔𝚊 External Rotation)

c)

Expulsion

d)

Flexion

e)

Internal Rotation

72.

CROWNING is visible during which of these cardinal movements?

a)

Extension

b)

Restitution (𝚊𝚔𝚊 External Rotation)

c)

Expulsion

d)

Flexion

e)

Internal Rotation

73.

This is when the baby's head rotates to face the mother's thigh.

a)

Restitution

b)

Expulsion

c)

Flexion

d)

Internal Rotation

e)

Extension

74.

Which one is also known as External Rotation?

a)

Restitution

b)

Expulsion

c)

Flexion

d)

Internal Rotation

e)

Extension

75.

This is when the baby's head rotates to face the mother's thigh.

a)

External Rotation

b)

Expulsion

c)

Flexion

d)

Internal Rotation

e)

Extension

76.

Which one is also known as Restitution?

a)

External Rotation

b)

Expulsion

c)

Flexion

d)

Internal Rotation

e)

Extension

77.

This is when the baby's body is delivered.

a)

Expulsion

b)

Flexion

c)

Internal Rotation

d)

Extension

e)

Restitution (𝚊𝚔𝚊 External Rotation)

78.

At which mechanism, would the center of the placenta separates first?

a)

Schultze Mechanism

b)

Duncan Mechanism

79.

At which mechanism, would the edges of the placenta separate first?

a)

Duncan Mechanism

b)

Schultze Mechanism

80.

At which mechanism, would the fetal surface/side be the presenting part?

a)

Schultze Mechanism

b)

Duncan Mechanism

81.

At which mechanism, would the maternal surface/side be the presenting part?

a)

Duncan Mechanism

b)

Schultze Mechanism

82.

The placental delivery is via Schultze Mechanism if it...?

a)

Appears SHINY and glistening due to the presence of the amniotic membranes.

b)

Appears DIRTY, raw, red, irregular, and may have ridges or cotyledons.

83.

The placental delivery is via Duncan Mechanism if it...?

a)

Appears DIRTY, raw, red, irregular, and may have ridges or cotyledons.

b)

Appears SHINY and glistening due to the presence of the amniotic membranes.

84.

The provider grasps and firmly squeezes the fundus of the uterus between the thumb and fingers, pressing down in the direction of the birth canal. Which maneuver is being used?

a)

Credé's Maneuver

b)

Brandt-Andrews Maneuver

85.

The provider applies gentle, steady traction on the umbilical cord with one hand, while simultaneously placing the other hand on the abdomen over the junction of the uterine corpus and lower segment and pushing the uterus upwards toward the umbilicus as counter-traction. Which maneuver is being used?

a)

Brandt-Andrews Maneuver

b)

Credé's Maneuver

86.

This is a model of maternal-newborn care where the healthy baby remains with the mother in her hospital room for 24 hours a day throughout their hospital stay.

(a)  

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