Understanding Pregnancy and Labor
Understanding Pregnancy and Labor
Test your knowledge on pregnancy, childbirth, and maternal health with our comprehensive quiz. Designed for students, educators, and healthcare professionals, this quiz contains 52 detailed questions that cover crucial aspects of maternal and fetal care.
Key Features:
- Challenging and informative questions
- Focus on practical applications
- Ideal for exam preparation and self-assessment
In preparation for labour what do collagen bundles of the cervix do?
Decrease in number
Increase in number
Are replaced by inelastic tissue
Don’t change their characteristics
Other
Please Specify:
Abnormal placental implantation, where the chorionic villi invade through the myometrium is known as placenta:
Accreta
Increta
Perecreta
Accreta
The largest diameter of the feral skull is:
Submento bregmatic
Bitemporal
Mentovertical
Occipital frontal
The function of the chronic villi is to?
Facilitate the proliferation of blood vessels in the decidua
Facilitate the diffusion of nutrients and waste products between the mother and fetus
Secrete progesterone and oestrogen in the 1st trimester
Nourish the morula before implantation occurred
What is the perineum?
Connects the anterior and posterior pelvic brim
A layer of muscle providing support to the organs of pelvis
Also referred to as the false pelvis
Is a muscular layer connecting the vagina, anus and ischi tuberculosis
In pregnancy the disproportionate increase in plasma combine and red cell mass predisposes women to?
Circulatory failure
Hypotension
Hypertension
Physiological anaemia
At birth upon the first breaths, this temporary structure of the feral heart closes by pushing the septum primum and septum secundum together?
Vesical ligament
Ductus arteriosum
Formen ovale
Ductus Venosum
When the saggital structure of the fetal head is in the right oblique diameter of the pelvis and the posterior fontanelle is anterior, the fetal position is?
Right occipito posterior
Right occipito anterior
Left occipito anterior
Left occipito posterior
Which trimester is the risk of developing a DVT?
1st trimester
2nd trimester
3rd trimester
Post natal period
Which is NOT a symptom suggestive of pulmonary embolism?
Chest pain
Shortness of breath
Tachycardia
Hypertension
Which of the following drug groups may mask pyrexia?
Anti-thrombocytes
Non-steroidal anti-inflammatories
Serum serotonin reuptake inhibitors
Corticosteroids
Which muscles make up the deep muscle layer of the pelvic floor?
Sacrotuberous, pubococcyheus and ishchiococcygeus
Puboccygeus, ilioccygeus and bulbocabernosus
Bulbocavernosus, pubocavernosus and external anal sphincter
Puboccygeus, iliococcygeus and ischiococcygeus.
Which of the following can delay the process of dry gangrene in the umbilical stump?
Exposure to air
Evidence of cloudy sticky discharge
The area being moist and sticky
The use of antiseptics
Shoulder dystocia occurs when the following part becomes trapped behind the synopsis pubis
Anterior shoulder
Occiput
Posterior shoulder
Brow
Pregnancy induced hypertension: abnormalities in the placenta perfusion are caused by?
Inadequate levels of human placental lactogen
Inadequate invasion of spiral arteries
Rhesus incompatibility
Vasodilation of the spiral arteries
Central regulation of blood pressure originated from which area of the Brain?
Pituitary gland
Hypothalamus
Medulla
Cerebellum
The cells in the islet of langhans which secrete insulin?
Alpha cells
Beta cells
Delta cells
F cells
Involution of the uterus in the post natal period occurrs by:
The passage of the lochia from the vagina
Ischemia and autolysis of the uterine muscles
Progesterone contracting and retracting the uterine muscle
Ischemia of the uterine muscle
Non-shivering thermogenesis is the process by which in the neonate?
Utilises brown adipose tissue in order to produce body heat
Loses body heat to the atmosphere by radiation
Conjugated bilirubin
Achieves adequate gaseous exchange at birth
During the mechanism of labour, internal rotation of the fetal head occurs due to?
A full bladder
Lateral flexion
Restitution
Resistance of pelvic floor
Engagement of the fetal head occurs when:
Bi-parietal diameter extends to the inteoitus of the vagina and does not recede between contractions.
Skull bones overuse each other to reduce the size of fetal head
Largest part of the fetal head passes through the brim of the pelvis
Fetal head makes a corrective movement following birth to align isntself with shoulders
What term is used to describe the neuromuscular harmony between the upper and lower segments of the uterus during labour?
Fetal axial pressure
Contraction and retraction
Polarity
Fundal dominance
Controlled cord traction may be used to assist delivery of the placenta:
When the mother has requested physiological management of the third stage of labour
Only when haemorrhage has been diagnosed
After administration of oxytocin drug
Instead of waiting for the uterus to become well contracted
Cholestasis most frequently manifests in which period of pregnancy?
1st trimester
2nd trimester
3rd trimester
Post natal period
Which analgesic works by inhibiting synthesis of prostaglandins and reducing the sensation of neurones to pain sensation?
Diclofenac
Asprin
Paracetamol
Ibroprofen
Which muscle is NOT a superficial pelvic floor muscle?
Transverse perinei
Puboccygeus
Ischiocavernosus
Bulbocavernosus
According to green top guidance, in cases of severe sepsis a serum lactate of what level and above is considered indicative of hyper perfusion
2 mmol/L
4mmol/L
6mmol/L
8mmol/L
Which drug should be avoided in PPH for women with hypertension?
Syntocinon
Ergometrine
Haemobate
Misoprostol
The station of the presenting part refers to:
Assessment of the engagement by abdominal palpation
Dilation of the cervix
Degree of moulding felt on vaginal examination
Level of the presenting part in relation to the ischia spines of maternal pelvic
Common side affects of injecting local anaesthetic into epidural space
Hypertension
Hypotension
Hypoglycaemia
Hyperemesis
In cases of haemorrhage, IV fluid resuscitation should commence with which product?
Blood
Crystalloid
Colloid
Plasma
Increased risk of deep vein thrombosis in the post natal period can be caused by:
Reduction in peripheral resistance
Decrease in oestrogen
Process of haemoconcentration
Reduction in cardiac output
Which growth hormone inhibiting factor works to inhibit the secretion of insulin and glucagon?
Lipase
Somatostatin
Amylase
Cortisol
Which of the following increases blood pressure?
Increased vital capacity
Increased cardiac output
Increased urinary output
Decreased peripheral resistance
The majority of PHHs are associated with problems linked to:
Tone
Tissue
Trauma
Thrombin
Oxytocin acts directly upon these structures to initiate milk ejection reflex:
Lactocytes
Lactiferous tubules
Montgomery tubercles
Myoepithelial cells
Which of the following is NOT a low molecular heparin?
Fragmin
Dalteparin
Warfarin
Tinzaparin
During a PPH, if individualised cross matches blood is not available then the following blood can be given:
O RhD negative
AB RhD negative
AB RhD positive
O RhD positive
A systemic hypersensitivity reaction with an immune and inflammatory response best describes:
Anaphylactic shock
Cardiogenic shock
Septic shock
Hypovolaemic shock
Anaphylactic shock occurs as a result of:
An impaired ability of the heart to pump blood
A significant reduction in intravascular volume
A severe generalised infection
A severe allergy of drug reaction
Blood biochemistry results which show abnormal liver function test and raised bile acids may indicate this condition?
Toxoplasmosis
Cholestasis
Sepsis
Pre-eclampsia
The pancreas is predominantly made of what cells?
Nephron cells
Delta cells
Acini cells
Alveoli cells
The most common Bacteria identified in puerpal sepsis is
Streptocci
Strapylococci
E-coli
Chlamydia trachomatis
Which of the following is NOT associated with thromboembolism formation?
Haemolysis
Vascular endothelium damage
Circulatory stasis
Hyper-coagulability
Deeper skin pigmentation during pregnancy:
Results from increased levels of melalocyte stimulating hormone
Results from generalised peripheral vasodilation
Prepares skin for breast feeding
Results in striae graviderum
Which of the following actions is not included in the management of a shoulder dystocia
Lithotomy position
Gaskin manoeuvre
Suprapublic pressure
McRobers Manoeuvre
Choose the most suitable statement to describe clinical observations suggestive of sepsis:
Hypertension, dysuria, pyrexia, bradycardia
Hypertension, dysuria, hypothermia tachycardia
Hypotension, oliguria, pyrexia, tachycardia
Hypotension, polyuria, hypothermia, bradycardia
Glycated haemoglobin levels are assessed by which blood test?
HBA1C
Fasting plasma glucose
Random plasma glucose
Glucose intolerance test
An episiotomy is an incision which involves the following muscles of the pelvis floor?
Ischiocavernosus, anal sphincter and transverse perinei
Bulbocavernosus, transverse perinei and pubococcygeus
Bulbocavernosus, transverse perinei and iliococcygeus
Bulbocavernosus, pubococcygeus and pudendal muscle
A deep vein thrombosis is an aggregation of blood cells and platelets trapped within a mesh work of:
Fibrin
Collagen
Thrombin
Plasma
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