Intrapartum Care: Comprehensive Quizzes for Nursing and Midwifery Students

Question 1

What is the main reason for performing an episiotomy?

Accepted Answer

To avoid serious tears in the perineum.

Answer

To help deliver the baby's shoulders.

Answer

To reduce pain during labor.

Answer

To prevent bleeding after birth.

Question 2

During labor, what is the main reason for performing an episiotomy?

Accepted Answer

To prevent tears in the perineum.

Answer

To help the baby's head come out.

Answer

To lower the chance of bleeding after birth.

Answer

To ease pressure on the baby's head.

Question 3

Which of the following pain management methods is considered to offer the most effective pain relief during labor?

Accepted Answer

Epidural

Answer

Hypnosis

Answer

Massage

Answer

Acupuncture

Question 4

The primary purpose of performing an episiotomy is to:

Accepted Answer

Prevent perineal tearing

Answer

Improve fetal oxygenation

Answer

Reduce pain during labor

Answer

Facilitate delivery

Question 5

The most prevalent cause of postpartum pre-eclampsia is:

Accepted Answer

Pre-existing gestational hypertension

Answer

Excessive breastfeeding

Answer

Uterine infection

Answer

Retained placental fragments

Question 6

Which of the following practices is not recommended for the prevention of perineal tearing?

Accepted Answer

Lateral episiotomy

Answer

Warm compresses

Answer

Massaging the perineum

Answer

Controlled pushing

Question 7

The purpose of administering the Apgar score to a newborn is to:

Accepted Answer

Provide a comprehensive assessment of the newborn's overall health and well-being

Answer

Diagnose congenital anomalies

Answer

Determine the newborn's birth weight

Answer

Predict the newborn's future development and health outcomes

Question 8

Which position is recommended for a woman during labor and delivery to promote optimal fetal descent and reduce perineal trauma?

Accepted Answer

Upright or semi-upright

Answer

Sitting

Answer

Knee-chest

Answer

Lying on her back

Question 9

Which pain management technique involves injecting a local anesthetic into the perineal area to provide pain relief during childbirth?

Accepted Answer

Pudendal block

Answer

Epidural

Answer

Nitrous oxide

Answer

Transcutaneous electrical nerve stimulation (TENS)

Question 10

What is the primary purpose of performing fetal monitoring during labor?

Accepted Answer

To assess fetal well-being

Answer

To monitor maternal blood pressure

Answer

To detect uterine contractions

Answer

To determine the progress of labor

Question 11

When is an episiotomy typically performed during labor?

Accepted Answer

To prevent severe perineal tearing

Answer

To speed up the second stage of labor

Answer

To reduce fetal distress

Answer

To facilitate instrumental delivery

Question 12

What is the recommended minimum duration of skin-to-skin contact between a newborn and their mother after delivery to promote bonding and thermoregulation?

Accepted Answer

At least 1 hour

Answer

For as long as the mother wishes

Answer

Skin-to-skin contact is not necessary

Answer

Until the baby falls asleep

Question 13

What is the primary purpose of regular monitoring of fetal heart rate during labor?

Accepted Answer

To detect fetal distress

Answer

To assess fetal growth

Answer

To determine the position of the fetus

Answer

To monitor uterine contractions

Question 14

What is the main purpose of an episiotomy?

Accepted Answer

To prevent severe perineal tears during delivery

Answer

To perform a manual instrumental delivery

Answer

To reduce the risk of postpartum infection

Answer

To facilitate fetal descent

Question 15

Which of the following stages of labor is characterized by full cervical dilation (10 cm) and the beginning of fetal descent?

Accepted Answer

Second stage

Answer

Third stage

Answer

Fourth stage

Answer

First stage

Question 16

What is the most common fetal presentation during labor?

Accepted Answer

Vertex (head first)

Answer

Transverse (lying sideways)

Answer

Oblique (angled)

Answer

Breech (buttocks or feet first)

Question 17

Which of the following nursing interventions is essential for providing emotional support to women during labor?

Accepted Answer

Active listening and providing reassurance

Answer

Administering medication

Answer

Checking fetal heart rate

Answer

Performing a vaginal examination

Question 18

What is the primary goal of rupturing the membranes (ROM) during labor?

Accepted Answer

To augment labor and facilitate cervical dilation

Answer

To reduce fetal head circumference

Answer

To prevent prolapse of the umbilical cord

Answer

To terminate a pregnancy that has gone beyond term

Question 19

Which position is generally recommended for women during labor and delivery to facilitate optimal progress and maternal comfort?

Accepted Answer

Upright and mobile

Answer

Lithotomy position (lying on back with legs in stirrups)

Answer

Supine (lying on back)

Answer

Sims' position (lying on side)

Question 20

A woman in established labor, with a cervix dilated to 5 cm and a normal fetal heart rate, requests pain relief. What is the MOST appropriate pain relief option to offer FIRST?

Accepted Answer

Entonox (gas and air)

Answer

Epidural analgesia

Answer

Spinal block

Answer

Pethidine injection

Question 21

Which of the following fetal heart rate patterns is considered reassuring during labor?

Accepted Answer

Baseline heart rate of 130 bpm with accelerations

Answer

Baseline heart rate of 110 bpm with late decelerations

Answer

Baseline heart rate of 100 bpm with variable decelerations

Answer

Baseline heart rate of 180 bpm with no accelerations

Question 22

A midwife is caring for a woman with a suspected prolonged second stage of labour. What is the PRIMARY role of the midwife in this situation?

Accepted Answer

Support the woman and her birth partner, providing encouragement and monitoring progress.

Answer

Immediately prepare for an emergency caesarean section.

Answer

Administer oxytocin to augment contractions.

Answer

Perform an assisted delivery with forceps or vacuum.

Question 23

Which of the following is NOT a risk factor for perineal tearing during childbirth?

Accepted Answer

Previous vaginal delivery

Answer

Prolonged second stage of labour

Answer

Assisted delivery with forceps or vacuum

Answer

Large fetal size (macrosomia)

Question 24

A woman is experiencing back pain during labor. Which position might offer her the MOST relief?

Accepted Answer

Hands and knees position

Answer

Trendelenburg position

Answer

Lying flat on her back

Answer

Lithotomy position

Question 25

Which of the following is a potential complication of an epidural analgesia?

Accepted Answer

Hypotension

Answer

Hyperglycemia

Answer

Hypokalemia

Answer

Hypertension

Question 26

What is the recommended practice for cord clamping following birth?

Accepted Answer

Delayed cord clamping (at least 1 minute after birth)

Answer

Clamping the cord only after the placenta is delivered

Answer

Immediate cord clamping

Question 27

A woman in labor is experiencing shoulder dystocia. What is the MOST important initial action for the midwife to take?

Accepted Answer

Call for immediate assistance from other healthcare professionals.

Answer

Perform an episiotomy to enlarge the vaginal opening.

Answer

Administer oxytocin to strengthen contractions.

Answer

Apply suprapubic pressure to help dislodge the shoulder.

Question 28

Following an episiotomy, what is the MOST important aspect of postpartum care?

Accepted Answer

Maintaining good hygiene and keeping the area clean and dry.

Answer

Taking pain relief medication as prescribed.

Answer

Applying ice packs to reduce swelling and discomfort.

Answer

Resting and avoiding strenuous activity.

Question 29

What is the primary purpose of performing a vaginal examination during labour?

Accepted Answer

To assess cervical dilation and fetal descent.

Answer

To estimate the time remaining until delivery.

Answer

To check for signs of fetal distress.

Answer

To determine the need for pain relief.

Question 30

A laboring woman is experiencing back labor. Which intervention would be most effective in alleviating her pain?

Accepted Answer

Applying firm counterpressure to her sacrum.

Answer

Administering an epidural anesthetic.

Answer

Suggesting a warm bath.

Answer

Encouraging the woman to lie flat on her back.

Question 31

A nurse is monitoring a laboring woman's fetal heart rate tracing. Which of the following findings would indicate potential fetal distress?

Accepted Answer

Late decelerations.

Answer

Accelerations.

Answer

Early decelerations.

Answer

Variable decelerations.

Question 32

When determining the appropriate timing for an episiotomy, which factor is considered most crucial?

Accepted Answer

The baby's position and degree of descent.

Answer

The availability of pain relief.

Answer

The mother's request for the procedure.

Answer

The mother's age.

Question 33

During the active phase of labor, which pain relief method is most appropriate to offer a woman?

Accepted Answer

Epidural anesthesia.

Answer

Transcutaneous electrical nerve stimulation (TENS).

Answer

Massage.

Answer

Acupuncture.

Question 34

What is the primary determinant of the frequency of fetal heart rate monitoring during labor?

Accepted Answer

The woman's individual risk factors and progress in labor.

Answer

The length of labor.

Answer

The woman's request for monitoring.

Answer

The availability of fetal heart rate monitors.

Question 35

Immediately following the delivery of a newborn baby, which action has the highest priority?

Accepted Answer

Assessing the baby's breathing.

Answer

Drying the baby.

Answer

Placing the baby on the mother's chest.

Answer

Clamping the umbilical cord.

Question 36

Which principle is central to the philosophy of intrapartum care?

Accepted Answer

Respecting the woman's preferences and autonomy.

Answer

Prioritizing medical intervention.

Answer

Encouraging early interventions.

Answer

Minimizing the use of pain relief.

Question 37

In cases of prolonged latent phase of labor, which intervention may be considered?

Accepted Answer

Encouraging the woman to rest and engage in relaxation techniques.

Answer

Suggesting a Cesarean section.

Answer

Performing an amniotomy.

Answer

Administering an oxytocin infusion.

Question 38

Which physiological change commonly occurs during labor?

Accepted Answer

Elevated blood pressure.

Answer

Slower breathing rate.

Answer

Lower body temperature.

Answer

Reduced heart rate.

Question 39

Prior to administering an epidural anesthetic, which nursing action is of utmost importance?

Accepted Answer

Ensuring the woman has received comprehensive information about the risks and benefits of epidural anesthesia and has provided informed consent.

Answer

Administering a bolus of intravenous fluids.

Answer

Monitoring the fetal heart rate.