MCN (quiz-based-MODULE 3-4)
Labor and Birth Knowledge Quiz
This engaging quiz consists of 81 multiple-choice questions focused on the physiological processes of labor, childbirth, and postpartum recovery. It covers a variety of topics including hormonal changes, fetal movements, maternal support, and breastfeeding.
Test your knowledge and understanding with key learning points such as:
- The role of hormones in labor initiation
- Understanding fetal positions and their implications
- Recognizing signs and symptoms of postpartum recovery
At term the fetal adrenal gland secrete corticosteroid which is believed to trigger the release of prostaglandin in the maternal decidua, a mechanism leading to labor
TRUE
FALSE
This position causes the next widest anteroposterior diameter, the occipitofrontal diameter, to present to the birth canal.
Good flexion / Complete Flexion
Moderate Flexion / Military Position
Partial Extension / Poor Flexion
Very Poor Flexion / Complete Extension
Women without adequate support can have a labor experience so frightening and stressful that they develop symptoms of posttraumatic stress disorder.
TRUE
FALSE
Believed to increase just before the pregnancy comes to term and initiates labor due to its contractile activity on the myometrium.
Theory of the Aging Placenta
Increase Contractibility
Progesterone Deprivation Theory
Uterine Stretch Theory
Oxytocin Stimulation Theory
Estrogen Stimulation Theory
Rupture of the amniotic membranes, or one's "water breaking," usually is not a sign that labor has begun.
TRUE
FALSE
Rising fetal cortisol level increases the formation of prostaglandin which stimulates contraction
TRUE
FALSE
The cervical nerve endings is thought to stimulate nerve plexus (known as cervical ganglion) which result in secretion of oxytocin by the Posterior Pituitary Gland (PTG). This gives the reason why labor is very fast with engaged head.
Theory of the Aging Placenta
Increase Contractibility
Progesterone Deprivation Theory
Pressure on the Presenting Part
Oxytocin Stimulation Theory
One preliminary sign of labor is that the pregnant mother stops gaining weight and this is completely normal and won’t affect the baby’s weight.
TRUE
FALSE
Postpartal blues maybe caused by hormonal changes particularly the decrease in estrogen and progesterone that occurred with the delivery of the placenta.
TRUE
FALSE
The spinal column is bowed forward, the head is flexed forward so much that the chin touches the sternum, the arms are flexed and folded on the chest, the thighs are flexed onto the abdomen, and the calves are pressed against the posterior aspect of the thighs.
Moderate Flexion / Military Position
Good flexion / Complete Flexion
Very Poor Flexion / Complete Extension
None of the Above
Chromic 2-0 Double Arm is a non-absorbable suture used for episiorrhaphy.
TRUE
FALSE
It is found in high levels in the amniotic fluid and blood stream during labour.
Estrogen
Prostaglandin
Progesterone
Oxytocin
The pattern of lochia should not reverse as this suggests a placental fragment has been retained or uterine contraction is decreasing and new bleeding is beginning.
TRUE
FALSE
Lochia flow causes an additional 2 to 3 lb (1-kg) loss, for a total weight loss of about 19 lb.
TRUE
FALSE
Oxytocin is a hormone produced from the anterior pituitary gland which the uterine muscle is very sensitive to.
TRUE
FALSE
Relationship between the long axis of the fetal body and the Long axis of the woman’s body.
Engagement
Flexion
Fetal Attitude
Fetal Lie
Fetal Position
As the baby drops, breathing can become easier since there is less pressure on the diaphragm from underneath.
TRUE
FALSE
All of the following are true about Breastfeeding except:
Breastfeeding is a cost effective way of feeding an infant, providing the best nourishment for a child at a small nutrient cost to the mother.
Breastfeeding is possible throughout pregnancy, and milk production will be never be reduced
Frequent and exclusive breastfeeding can delay the return of fertility through lactational amenorrhea, though breastfeeding is an imperfect means of birth control.
. Breast milk is always fresh, perfectly clean, just the right temperature, and is the healthy choice at the least cost.
Breastfeeding is easy, even if it sometimes requires an initial period of learning and adapting for mother and baby.
Breastfeeding requires no preparation, sterilization, etc. Of bottles and formula (often while baby cries…
Sibling Visitation can help to relieve some of the impact of separation and also help to make the baby a part of the family.
TRUE
FALSE
Progesterone has opposite effect to that of estrogen, making the myometrium less sensitive to stimuli.
TRUE
FALSE
Postpartum hemorrhage is clinically defined as a pad saturated within 45 minutes.
TRUE
FALSE
If a blood saturated maternity pad weighs 100 mgs, approximately how much blood has a postpartum patient lost?
10 ml.
100 ml
1, 000 ml
None of the above
It is but proper to encourage mom to urinate every time before she feeds the baby.
TRUE
FALSE
The back is arched and the neck is extended, presenting the occipitomental diameter of the head to the birth canal.
Partial Extension / Poor Flexion
Moderate Flexion / Military Position
Very Poor Flexion / Complete Extension
Good flexion / Complete Flexion
As the end of pregnancy approaches the normal Braxton Hicks contractions becomes exaggerated as the uterus becomes more sensitive to stimuli.
Theory of the Aging Placenta
Increase Contractibility
Progesterone Deprivation Theory
Uterine Stretch Theory
Pressure on the Presenting Part
Oxytocin Stimulation Theory
This theory is based on the concept that any hollow body organ when stretched to its capacity will inevitably contract to expel its contents.
Theory of the Aging Placenta
Progesterone Deprivation Theory
Uterine Stretch Theory
Oxytocin Stimulation Theory
Increase Contractibility
Relationship of the fetal presenting parts to the level of the Ischial spine.
Fetal Attitude
Flexion
Station
Descent
Engagement
Fetal Position
All of the following are signs of lightening except:
Increased frequency in urination
Decreased amount of discharges
Shooting pains
Relief of abdominal tightness
Relief of dyspnea
None of the Above
Fluctuations in estrogen levels are blamed for the emotional roller-coaster that many moms experience after birth.
TRUE
FALSE
A maneuver used to promote placental separation.
Ritgens’ Maneuver
McRoberts Maneuver
Brandt-Andrews Maneuver
None of the Above
Intentional pregnancies are important for the health of children because when a pregnancy is unintended or mistimed, both short-term and long-term consequences can result.
TRUE
FALSE
Because it is difficult for many couples to adhere to abstinence, the method has a high failure rate.
TRUE
FALSE
A woman should also consider a different method of contraception once her baby begins sleeping through the night, even if this occurs before the child reaches 6 months of age.
Abstinence
Lactation Amenorrhea Method
Post-Coital Douching
Coitus Interruptus
Changes in the woman’s daily schedule, such as starting an aerobic program or getting up earlier than usual, could also affect BBT.
TRUE
FALSE
For Billings method to have best results it should be combined with a calendar method.
TRUE
FALSE
This method of birth control combines the cervical mucus and BBT methods.
Billings’ Method
Standard Days Method
Symptothermal Method
Basal Body Temperature Method
This method is designed for women who have menstrual cycles between 26 and 32 days.
Billings’ Method
Symptothermal Method
Standard Days Method
Basal Body Temperature Method
Marquette Model
This Model uses an electronic fertility monitor, a device a woman uses at home to measures hormone levels in her urine to estimate the beginning and end of the fertile time in a women's cycle.
Billings’ Method
Standard Days Method
Symptothermal Method
Marquette Model
Calendar Method
Fertility awareness methods rely on detecting when a woman will be capable of impregnation so she can use periods of abstinence during that time.
TRUE
FALSE
When using the BBT, a woman who works nights should take her temperature after awakening from her longest sleep period, no matter what the time of day.
TRUE
FALSE
A postpartal woman often ovulates before her first menstrual cycle and should be warned that she could become pregnant even before her return to menses.
TRUE
FALSE
If a woman becomes pregnant while using a subdermal implant, the rod can be removed.
TRUE
FALSE
Tubal ligation has a 99.5% effectiveness rate.
TRUE
FALSE
Medically induced termination of pregnancy is contraindicated if a woman has: Select all that applies.
A confirmed or suspected ectopic pregnancy (only methotrexate is used and the woman needs additional follow-up).
An IUD in place A serious medical condition such as chronic adrenal failure
A history of current short-term systemic corticosteroid therapy
A history of allergy to mifepristone, misoprostol, or other prostaglandins
A hemorrhagic disorder or is taking concurrent anticoagulant therapy
Areas to Assess in Making Choices About Contraceptive Methods. Select all that applies.
Impact on sexual enjoyment
Financial factors
Spirituality
Inability to use method correctly
Length of projected relationship (short term versus long term)
The birth weight of newborns varies depending on the racial, nutritional, intrauterine, and genetic factors that were present during conception and pregnancy.
TRUE
FALSE
The average female infant Body Weight is around:
6LBS
7LBS
8.5LBS
7.5 LBS
Newborns loss about 10% ( 6 - 10 ounces ) of their birth weight during the first 3 - 4 days of life due to: Select all that applies.
Excretion of fluids through the lungs, urinary bladder and bowels
Passage of colostrum
Withholding of calories and fluids immediately after birth
Minimal food intake because sucking is not yet established and colostrum contains less calories than mature milk
A full term Newborn is considered Small for Gestational Age if it weighs:
BW less than 1,500 gms
BW less than 2, 500 gms
BW less than 3, 000 gms
BW less than 500 gms.
The average length of a Newborn is:
45cm
50cm
40cm
49cm
The chest circumference in a term newborn is about how much less than head circumference.
1cm
2cm
2.5cm
4cm
3cm
Abdominal Circumference is approximately the same as chest circumference.
TRUE
FALSE
It is not unusual for the temperature to fluctuate during the first few hours after birth to immature temperature regulating mechanisms.
TRUE
FALSE
The chest circumference in a term newborn is about how much less than head circumference.
1cm
2cm
3cm
4cm
Abdominal Circumference is approximately the same as chest circumference.
TRUE
FALSE
It is not unusual for the temperature to fluctuate during the first few hours after birth to immature temperature regulating mechanisms.
TRUE
FALSE
Loss of heat through conversion of a liquid to a vapor.
Convection
Radiation
Evaporation
Conduction
The transfer of body heat to a cooler solid object not in contact with the baby, such as a cold window or air conditioner.
Convection
Radiation
Insulation
Evaporation
Conduction
The transfer of body heat to a cooler solid object in contact with a baby.
Convection
Convection
Convection
Evaporation
Conduction
The flow of heat from the newborn’s body surface to cooler surrounding air.
Convection
Radiation
Insulation
Evaporation
Evaporation
An efficient means of conserving heat in adults, is not as effective in newborns because they have little subcutaneous fat to provide insulation.
Convection
Convection
Insulation
Evaporation
Conduction
The cardiac sphincter between the stomach and esophagus is immature, a newborn tends to regurgitate easily.
TRUE
FALSE
The first stool of a newborn is usually passed within how many hours after birth?
12HRS
48HRS
24HRS
20HRS
How much urine does a newborn void each time and that may be easily missed in an absorbent diaper.
20ML
30ML
15ML
25ML
A newborn occasionally makes twitching or flailing movements of the extremities in the absence of a stimulus because of the immaturity of the nervous system; these are common and normal.
TRUE
FALSE
This reflex disappears immediately if it is never stimulated such as in a newborn with a tracheoesophageal fistula who cannot take in oral fluids.
Blink
Rooting
Sucking
Swallowing
This reflex disappears at about the sixth week of life, not coincidentally at the same time a newborn’s eyes focus steadily so a food source can be seen.
Blink
Rooting
Sucking
Sucking
If newborns are offered solid food before this reflex fades at 4 months, it will look as if they are rejecting the food.
Extrusion
Palmar Grasp
Step in Place Reflex
Placing
This reflex is elicited by touching the anterior lower leg against a surface such as the edge of a table.
Extrusion
Palmar Grasp
Step in Place Reflex
Placing
When the arm and leg on the side toward which the head is turned extend, and the opposite arm and leg contract.
Plantar Grasp
Tonic Neck
Moro
Babinski
The most accurate method of eliciting the reflex is to hold a newborn in a supine position and then allow the head to drop backward about 1 inch.
Plantar Grasp
Tonic Neck
Moro
Babinski
If pressure is applied to the soles of the feet of a newborn lying in a supine position, he or she pushes back against the pressure.
Magnet Reflex
Crossed Extension
Trunk Incurvation
Landau
When a newborn is lying supine, if one leg is extended and the sole of that foot is irritated by being rubbed with a sharp object, such as a thumbnail, the infant raises the other leg and extends it as if trying to push away the hand irritating the first leg.
Magnet Reflex
Crossed Extension
Trunk Incurvation
Landau
Deep Tendon Reflexes
When a newborn is supported in a prone position by a hand, the newborn should demonstrate some muscle tone.
Magnet Reflex
Crossed Extension
Trunk Incurvation
Landau
Deep Tendon Reflexes
Both a patellar and a biceps reflex are intact in a newborn.
Magnet Reflex
Crossed Extension
Trunk Incurvation
Landau
Deep Tendon Reflexes
The fetus has a blink or squint reflex in response to a bright light in utero by how many weeks of gestation?
28 weeks
26 weeks
24 weeks
30 weeks
Wrist flexibility and/or resistance to extensor stretching are responsible for the resulting angle of flexion at the wrist.
Posture
Square Window
Arm Recoil
Popliteal Angle
Newborns who are postterm and have suffered intrauterine malnutrition may have such extremely dry skin.
TRUE
FALSE
The anterior fontanelle normally closes at 12 to 18 months of age.
TRUE
FALSE
Babies do not get enough vitamin K from their mothers during pregnancy, or when they are breast feeding.
TRUE
FALSE
Research is showing that babies who have been given regular vestibular stimulation in the earliest years of life, display improved brain and body development.
TRUE
FALSE
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