Mastering Abnormal Labour Management: A Comprehensive Guide for Midwives

Question 1

Which of the following is the most prevalent type of fetal malpresentation?

Accepted Answer

Breech presentation

Answer

Occipito-posterior position

Answer

Shoulder dystocia

Answer

Face presentation

Question 2

Which technique is considered the definitive approach for diagnosing retained placenta?

Accepted Answer

Manual exploration of the uterus

Answer

Ultrasound

Answer

Blood loss estimation

Answer

Examination of the placenta

Question 3

In the management of breech presentation, which intervention is typically attempted initially?

Accepted Answer

External cephalic version

Answer

Cesarean section

Answer

Vaginal delivery

Answer

Induction of labor

Question 4

Which condition is a contraindication for induction of labor?

Accepted Answer

Placenta previa

Answer

Preeclampsia

Answer

Fetal distress

Answer

Oligohydramnios

Question 5

During management of shoulder dystocia, which maneuver is performed to deliver the posterior shoulder?

Accepted Answer

Woods corkscrew maneuver

Answer

McRoberts maneuver

Answer

Rubin maneuver

Answer

Zavanelli maneuver

Question 6

What is the primary aim of active management of labour (AML)?

Accepted Answer

To improve maternal and fetal outcomes

Answer

To reduce the duration of labour

Answer

To minimize the risk of operative delivery

Answer

To enhance maternal satisfaction

Question 7

In shoulder dystocia management, what is the primary goal?

Accepted Answer

Relieve the trapped shoulder

Answer

Control postpartum bleeding

Answer

Perform an episiotomy

Answer

Apply fundal pressure

Question 8

In breech deliveries, what is the purpose of using a vacuum extractor?

Accepted Answer

To assist in delivering the fetal head

Answer

To facilitate external cephalic version

Answer

To control postpartum bleeding

Answer

To prevent shoulder dystocia

Question 9

What is the main objective of actively managing the third stage of labour?

Accepted Answer

To reduce the risk of postpartum haemorrhage

Answer

To accelerate placental delivery

Answer

To prevent retained placenta

Answer

To minimize maternal discomfort

Question 10

Which of the following is NOT a risk factor for shoulder dystocia?

Accepted Answer

Occipito-anterior fetal position

Answer

Macrosomia

Answer

Primiparity

Answer

Maternal obesity

Question 11

Which medication is commonly used as the first-line treatment to manage postpartum hemorrhage due to uterine atony?

Accepted Answer

Oxytocin

Answer

Ergometrine

Answer

Misoprostol

Answer

Tranexamic acid

Question 12

Which of the following is a sign of fetal compromise and requires further investigation during labor?

Accepted Answer

Bradycardia

Answer

Tachycardia

Answer

Regular variability

Answer

Accelerations

Question 13

When should an episiotomy be considered during labor?

Accepted Answer

Only when there is imminent perineal laceration

Answer

Primarily for primiparous women

Answer

Routinely for all women to prevent lacerations

Answer

Never, as it is an outdated practice

Question 14

Which of the following is a potential complication of shoulder dystocia?

Accepted Answer

Brachial plexus injury

Answer

Amniotic fluid embolism

Answer

Uterine rupture

Answer

Placental abruption

Question 15

What is the first-line treatment for a postpartum hemorrhage caused by retained placental fragments?

Accepted Answer

Manual removal of the placenta under anesthesia

Answer

Uterine artery embolization

Answer

Hysterectomy

Answer

Oxytocin infusion

Question 16

In breech presentation, which of the following situations necessitates an emergency cesarean section?

Accepted Answer

Cord prolapse

Answer

Persistent occipito-posterior position

Answer

Maternal exhaustion

Answer

Failed induction of labour

Question 17

When managing shoulder dystocia, what intervention is performed as the initial step?

Accepted Answer

Suprapubic pressure

Answer

Vacuum extraction

Answer

Symphysiotomy

Answer

Episiotomy

Question 18

In cases of uterine atony, the primary treatment consists of:

Accepted Answer

Uterine massage and oxytocin administration

Answer

Blood transfusion

Answer

Tranexamic acid

Answer

Ergometrine

Question 19

The primary advantage of rotational forceps delivery is:

Accepted Answer

It enables precise rotation and extraction of the fetal head.

Answer

It is less traumatic than vacuum extraction.

Answer

It can be applied in all presentations.