Labor and Delivery ob35-ob38.

Labor and Cervical changes.

***) False labor pains as compared to true labor pains are characterized by all of the following, except:

Contractions occur at irregular intervals

There is demonstrable progressive dilatation of the cervix

They are not intensified by walking

Located chiefly in lower abdomen

Short duration

Answer: B* There is demonstrable progressive dilatation of the cervix

***) Progress of labor is assessed by one of the following criteria:

Frequency of uterine contractions

Intensity of uterine contractions

Softening of the cervix

Effacement of the cervix

Dilatation of cervix

Answer: E* Dilatation of cervix

Labor Stages.

***) All of the following are signs of placental separation in third stage of labor, except:

Appearance of contraction ring

Uterus becomes globular, firm and ballotable

Sudden gush of blood

Rise of uterine fundus

Elongation of the cord

Answer: A* Appearance of contraction ring

***) The third stage of labor follows one of the following:

Rupture of the membranes

Full dilatation of the cervix

Delivery of the fetal head

Delivery of the fetus

Delivery of the placenta

Answer: E* Delivery of the placenta

Obstetric Anesthesia.

***) All the following types of analgesia are used during first stage of labor, except:

Pethidine

Epidural analgesia

Cervical block

Pudendal block analgesia

Inhalation analgesia

Answer: D* Pudendal block analgesia

***) All of the following are indications of epidural anesthesia, except:

Ante-partum hemorrhage

Heart disease

Pulmonary disorders

Premature delivery

Hypertension

Answer: B* Heart disease

Fetal Monitoring in Labor.

***) The normal fetal heart rate in labor is:

80-100 beats per minute

100-120 beats per minute

120-160 beats per minute

160-180 beats per minute

180-200 beats per minute

Answer: C*120-160 beats per minute

***) The most dangerous sign of imminent fetal death during fetal heart monitoring is:

Early deceleration

Variable deceleration

Loss of beat to beat variability

Late deceleration

Fetal tachycardia

Answer: D* Late deceleration

***) All of the following may cause fetal hypoxia, except:

Maternal hypotension

Subserous fibroid

Uterine hyperactivity

Occlusion of umbilical cord

Placental insufficiency

Answer: B* Subserous fibroid

Induction of Labor.

***) The following may be used safely to accelerate labor, except:

Intravenous oxytocin

Ergometrine

Prostaglandin

Rupture of membranes

Stimulation of the nipples

Answer: B* Ergometrine

Complications & Risks of Delivery ob40-ob49.

Preterm Labor PTL.

***) All of the following may cause premature delivery, except:

Abruptio placenta

Chronic hypertensive vascular disease

Placenta previa

Oligohydramnios

Smoking

Answer: D* Oligohydramnios

***) All of the following have been associated with an increased risk of preterm delivery except:

Placenta previa

Oligohydramnios

Hyperemesis gravidarum

First-trimester bleeding

Multiple gestation

Answer: B* Oligohydramnios

Premature Rupture of Membranes PROM.

***) The following tests can be used for the diagnosis of premature rupture of membranes, except:

Nitrazine test

Ferning test

Schiller's test

Nile blue sulfate

Evans blue test

Answer: C* Schiller's test

???) Premature ruptures of membranes risks include the following except:

Premature labor

Cord prolapse

Fetal pneumonia

Placental abruption

Maternal septicemia

Answer: D* Placental abruption

Prolonged Pregnancy (Postmaturity).

***) A patient presented in labor claiming to be at 43 week gestation.Which of the following neonatal findings would support the diagnosis of a post-mature infant:

Anemia

Increase in subcutaneous fat

Long fingernails

Vernix

Fusion of fetal eye lids

Answer: C* Long fingernails

Umbilical Cord Prolapse.

***) Prolapsed umbilical cord may occur in all of the following, except:

Polyhydramnios

Transverse lie

Placenta previacentralis

Breech presentation

Prematurity

Answer: C* Placenta previacentralis

***) Pulsating cord prolapse at 4 cm cervical dilatation is best managed by:

Augmentation of labor by oxytocin drip

Vacuum extraction

By giving prostaglandin vaginal tablets

By putting the patient in knee chest position and wait for vaginal delivery

Cesarean section

Answer: E* Cesarean section

Uterine Rupture.

***) The commonest predisposing factor of rupture of uterus is:

Previous CS

Use of syntocinon (Oxytocin) non properly

Forceps delivery

Internal cephalic version

Vacuum extraction

Answer: A* Previous CS

***) Uterine rupture may be associated with all of the following except:

Amniocentesis

Previous cesarean section

Myomectomy

Administration of oxytocin or prostaglandins

Difficult forceps delivery or intrauterine manipulation

Answer: A* Amniocentesis

***) The most constant early symptom in uterine rupture during labor is:

Hematuria

Hypotension

Pain

Vaginal bleeding

Cessation of contractions

Answer: C* Pain

***) The first sign of rupture uterus is:

Abdominal pain

Tender scan

Unexplained tachycardia

Fetal distress

Vaginal bleeding

Answer: A* Abdominal pain