Question 1

The active management of the 3rd stage of labor involves one of the following:*

A. Delay in cutting the cord, observe gushing out of blood from the vagina

B. Oxytocin administration by the cord and gentle rubbing of the uterine fundus

C. Immediate cord clamping, administration of oxytocin and control cord traction

D. Promote baby skin to skin contact with the mother and apply control cord traction

Question 2

Which of the following hormones would be administered for the stimulation of uterine contractions?*

A. Prostaglandin

B. Estradiol

C. Fetal cortisol

D. Progesterone

Question 3

The ultrasounds performed in the first trimester of pregnancy aims at the following except:*

A. To establish the dates of a pregnancy

B. To determine the number of fetuses and identify placental structure

C. To diagnose an ectopic pregnancy or miscarriage

D. To evaluate the lie and position

Question 4

The mechanism of fore water formation includes the following EXCEPT:*

A. The amount of amniotic fluid

B. Hydrostatic force due to uterine contractions

C. The pressure of the fetus within the amniotic sac

D. Normal uterine polarity

Question 5

the most important conjugate in obstetrics is:*

A. Obstetric conjugate

B. Diagonal conjugate

C. External conjugate

D. Anatomical conjugate

Question 6

Fetal presentation refers to:*

A. The long axis of the fetus to that of the mother.

B. The part of the fetus that is presents at the pelvic brim.

C. The relation of the fetal presenting part to the right or left transverse side birth canal.

D. The relationship of the fetal head to that of the maternal spine

Question 7

Engagement of the presenting part occurs when the largest diameter of the presenting part:*

A. Begins to enter the pelvic inlet but be dislodged with gentle pressure.

B. Is at the level with the ischial spines

C. Enters through the pelvic inlet

D. Passes through the pelvic outlet

Question 8

During the normal evolution of pregnancy, amniotic fluid is secreted and excreted. One of the following is not the origin of this fluid:*

A. Extravaseted from maternal vessels in the deciduas

B. Secreted from fetal vessels in the placenta

C. Secreted by the inner membrane of amniotic bag

D. Secreted by external membrane of amniotic bag

Question 9

A nurse/ midwife perform Leopold maneuvers while doing abdominal examination for a pregnant woman. The following are purposes of Leopold maneuvers EXCEPT:*

A. To evaluate the fetal life by fetal heart rate

B. To Evaluation of abdominal muscles tone

C. To determine the fetal lie and presentation

D. To estimation of fetal weight

Question 10

A pregnant woman telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:*

A. Her contractions are 2 minutes apart.

B. She experiences abdominal pain and frequent urination. 

C. She has back pain and a bloody discharge.

D. Her contractions are 5 minutes apart.

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