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WorksheetsLabour and Delivery Quiz
Total questions: 39
Worksheet time: 20mins
The placenta should be delivered in within how many minutes after the delivery of baby:
5 minutes
45 minutes
30 minutes
60 minutes
A clinical sign that indicates the beginning of second stage of labour is:
Change in uterine shape
Bearing down reflex
Passage of mucus plug
Gush of dark blood
The third stage of labour ends with:
Two hours after the birth of baby
Birth of baby
Full dilatation of cervix
Delivery of placenta
During which stages of labour would the nurse assess 'crowning'?
First stage
Third stage
Second stage
Fourth stage
What is crowning:
When the head touches the pelvic brim
When maximum diameter crosses the ischial spine
Maximum diameter stretches vulval outlet without recession of head even after contraction
All are correct
When teaching a 36 week primigravida sign of true labor, the nurse would be sure to include:
When she feels pain in abdomen
When her pain radiates from lower back to abdomen
When there is loss of mucous plug
When she experiences lightening
The signs of true labour is:
Mucus plug is expelled from cervix
Spontaneous rupture of membranes occur
Uterine contractions are regular & effective
Fetus drops into brim of pelvis
True labor is characterized by
Effacement and dilatation of cervix
Painful uterine contraction
Supra pubic discomfort at regular interval
All of the above
All the following are features of true labour EXCEPT:
Shortened cervix
Uterine contraction always present
No show of labour symptoms
Os progressively dilated
Which statement is true regarding normal delivery?
Foetus is born at term
Foetus presents vertex
Onset is spontaneous
All of above
Which of the following is NOT a sign of actual labour pain?
Progressive effacement
Pain confined to lower abdomen and groin
Formation of bag of waters
Dilatation of the internal os
All the following are features of true labour EXCEPT:
Shortened cervix
Uterine contraction always present
No show of labour symptoms
Os progressively dilated
Which is a primary sign of labor?
Uterine contraction
Abdominal contraction
Pushing by mother
Intrathoracic pressure
First stage of labour is characterised by:
Delivery of the placenta
Expulsion of the foetus till the placenta
Crowning of the head
Dilatation of cervix
First stage of labour is up to:
Rupture of membrane
3/5th dilation of cervix
Full dilation of cervix
Crowning of head
First stage of labour is up to
Rupture of membrane
3/5th dilation of cervix
Full dilation of cervix
Crowning of head
At what frequency the nurse should monitor Foetal Heart Rate (FHR), uterine activity and maternal vital signs in a high risk woman during the first stage of labor?
Every 5 minutes
Every 10 minutes
Every 15 minutes
Every 30 minutes
A nurse is caring for a primigravida during labor. What does the nurse observe that indicates birth is about to take place?
Perineum begins to bulge with each contraction
Client becomes irritable & stops following instructions
Bloody discharge from vagina increases
Contractions occur more frequently, are stronger & last longer
The factor responsible for the dilatation of the cervix is:
Formation of bag of waters
Painful uterine contractions
Fetal axis-pressure
All the above
The nurse is caring a woman in 4th stage of labour. Nursing care plan should include:
Uterine constrictions
Cervical dilation
Birth of baby and delivery of the placenta
Readjustment to the non-pregnant stage
An important nursing intervention during the fourth stage of labour is to:
Vigorously massage the fundus
Monitor the vital signs every hour
Assist the client to the bathroom to void
Turn the client on the side to check lochia.
What is the name of the process by which the cervix becomes thin and indistinct from the body of the uterus?
Dilation
Attitude
Effacement
Transition.
In primipara time period for latent phase partograph is about
4 hrs
8 hrs
12 hrs
16 hrs
Braxton Hicks contractions are:
painless uterine contraction during pregnancy
Painful uterine contractions of pregnancy
Painful uterine contractions of puberty
Uterine contractions during 4th stage of labor
How does a nurse identify true labor as opposed to false labor?
Contractions stop when client walks around
Contractions occur immediately after the membranes ruptures
Cervical dilation is progressive
Contractions progress only in a side lying position
False labor manifestation are as follows. EXCEPT
Abdominal discomfort.
Contractions irregular.
Contraction lessen with activity or rest.
Cervix progressively effaced and dilated.
The second stage of labour is stage of
Uterine contraction and retraction
Placental delivery
Dilation of cervix
Expulsion of fetus
The positive sign for beginning of the second stage of labour is:
Expulsion of clear vaginal fluid
Contractions are regular
Ruptured membrane
Cervix is fully dilated
Which stage of labour starts from full dilatation of the cervix and ends with expulsion of the fetus from birth canal?
First stage
Fourth stage
Third stage
Second stage
During the first stage of labour, there is some co-ordination between fundal contraction and cervical dilatation called:
Polarity of uterus
Retraction ring
Lightening
None of the above
Infrequent, irregular & painless contractions felt on abdominal palpation during pregnancy are termed as:
Braxton hicks contractions
Quickening
None of the above
osiander sign
In active phase of labour, rate of dilatation of cervix in multigravida is at the rate of
1 cms per hour
1.5 cms per hour
2 cms per hour
2.5 cms per hour
Which of the following terms is used to describe the progressive thinning and shortening of the cervix that occurs just before and during labour:-
Ballottement
Dilatation
Effacement
Multiparous
The factor responsible for the dilatation of the cervix is:
Formation of bag of waters
Painful uterine contractions
Fetal axis-pressure
All the above
The normal rate of cervical dilation in the active phase of first stage of labor in a primigravida is:
0.5cm/hr
2cm/hr
lcm/hr
1.5cm/hr
The factor responsible for the dilatation of the cervix is:
Formation of bag of waters
Painful uterine contractions
Fetal axis-pressure
All the above
The normal rate of cervical dilation in the active phase of first stage of labor in a primigravida is
0.5cm/hr
2cm/hr
lcm/hr
1.5cm/hr
The normal rate of cervical dilation in the active phase of first stage of labor in a primigravida is
0.5cm/hr
2cm/hr
1cm/hr
1.5cm/hr
In a primigravida the cervical dilation occurs at a maximum rate of:
3 cm h
2cm/h
5 cm/h
4 cm/h
