Master Normal Labour Management: Quizzes and Practice Questions

Question 1

During a vaginal examination, which finding is the most reliable sign that delivery is about to happen?

Accepted Answer

Cervix fully dilated (10 cm), fetal head at station -2

Answer

Cervix dilated to 4 cm, membranes intact

Answer

Cervix dilated to 7 cm, membranes ruptured

Answer

Cervix dilated to 2 cm, bulging membranes

Question 2

What is the most common indication for assisted delivery?

Accepted Answer

Failure of the baby to descend through the pelvis during the second stage of labour

Answer

Fetal distress

Answer

Malpresentation

Answer

Maternal exhaustion

Question 3

Which of the following is a contraindication to epidural anaesthesia?

Accepted Answer

Maternal coagulopathy

Answer

Fetal distress

Answer

Active labour

Answer

Obesity

Question 4

Which of the following is NOT an indication for an episiotomy?

Accepted Answer

To manage a posterior shoulder dystocia

Answer

To prevent severe perineal tears

Answer

To facilitate the delivery of the fetal head

Answer

To control bleeding

Question 5

Which of the following is the most common method of pain relief used during labour in the UK?

Accepted Answer

Epidural analgesia

Answer

Entonox

Answer

Paracetamol

Answer

Pethidine

Question 6

What is the primary goal of assisted delivery?

Accepted Answer

To deliver the baby safely and with minimal trauma to the mother

Answer

To reduce the risk of caesarean section

Answer

To shorten the length of labour

Answer

To prevent postpartum haemorrhage

Question 7

What is the primary indication for performing an episiotomy?

Accepted Answer

To prevent severe perineal tearing

Answer

To facilitate an instrumental delivery

Answer

To reduce the risk of postpartum haemorrhage

Answer

To shorten the second stage of labour

Question 8

Which type of assisted delivery involves the application of negative pressure to the fetal head?

Accepted Answer

Ventouse delivery

Answer

Forceps delivery

Answer

Breech delivery

Answer

Shoulder dystocia

Question 9

When assessing fetal well-being during labour, what factor holds the most significance?

Accepted Answer

Fetal heart rate

Answer

Amniotic fluid volume

Answer

Maternal temperature

Answer

Cervical dilation

Question 10

Discuss the potential long-term risks and benefits of episiotomy, highlighting the importance of considering these factors when making decisions about its use.

Accepted Answer

Episiotomy can help prevent severe perineal tears, but it may increase the risk of infection and pain during intercourse.

Answer

Episiotomy should be routinely performed in all labours to improve outcomes.

Answer

Episiotomy can increase the risk of anal incontinence.

Answer

Episiotomy has no potential long-term consequences.

Question 11

Which of the following is NOT a factor that can contribute to fetal malpresentation during labour?

Accepted Answer

Maternal age

Answer

Uterine anomalies

Answer

Multiple gestation

Answer

Oligohydramnios

Question 12

What is the midwife's primary role in providing emotional support during labour?

Accepted Answer

Offer information and reassurance

Answer

Monitor the fetal heart rate

Answer

Administer medications

Question 13

In assisted delivery decision-making, which ethical principle should be the primary consideration?

Accepted Answer

Balancing the benefits and risks for both mother and baby

Answer

Minimizing risks to the mother's health

Answer

Ensuring the well-being of the baby

Answer

Respecting the mother's choice

Question 14

Which of the following is NOT an indication for performing an episiotomy?

Accepted Answer

To prevent fetal distress

Answer

Prolonged second stage of labour

Answer

Breech delivery

Answer

Forceps delivery

Question 15

Which pain relief technique is considered the most effective in reducing pain during the first stage of labour?

Accepted Answer

Epidural analgesia

Answer

Entonox

Answer

Pudendal nerve block

Answer

Transcutaneous Electrical Nerve Stimulation (TENS)

Question 16

What is the main reason for performing an episiotomy?

Accepted Answer

To prevent perineal lacerations extending into the anal sphincter

Answer

To facilitate instrumental delivery

Answer

To reduce the risk of postpartum haemorrhage

Question 17

Which assisted delivery method uses a vacuum extractor?

Accepted Answer

Ventouse delivery

Answer

Caesarean section

Answer

Breech extraction

Answer

Forceps delivery

Question 18

What is the purpose of performing the Leopold manoeuvres?

Accepted Answer

To determine fetal presentation, position, and lie

Answer

To estimate fetal weight

Answer

To assess cervical dilatation

Answer

To detect multiple pregnancies

Question 19

What is the midwife's primary responsibility during the third stage of labour?

Accepted Answer

To manage placental delivery and prevent postpartum haemorrhage

Answer

To initiate breastfeeding

Answer

To assist with resuscitation of the newborn

Question 20

Which of the following is a risk factor for shoulder dystocia?

Accepted Answer

Maternal diabetes

Answer

Oligohydramnios

Answer

Placenta praevia

Answer

Pre-eclampsia

Question 21

A primigravida at 39 weeks gestation presents in labor. Her cervix is 4 cm dilated, 80% effaced, and the fetal head is at -2 station.  Which of the following is the most appropriate pain relief option at this stage of labor?

Accepted Answer

Paracetamol

Answer

Epidural analgesia

Answer

Morphine

Answer

Entonox

Question 22

A woman in established labor is experiencing intense pain. Her membranes have ruptured, and the fetal heart rate is reassuring. The midwife suspects that the baby is in a posterior position. Which of the following interventions is the most appropriate in this situation?

Accepted Answer

Encourage the woman to adopt different positions, such as hands and knees, to facilitate rotation of the baby.

Answer

Administer an epidural to relieve pain.

Answer

Perform an amniotomy to expedite delivery.

Question 23

A woman has been pushing for 2 hours with no descent of the fetal head. Her cervix is fully dilated, and the fetal heart rate is reassuring. Which of the following is the most appropriate next step in management?

Accepted Answer

Assess for possible causes of obstructed labor, such as cephalopelvic disproportion.

Answer

Perform an episiotomy to enlarge the vaginal opening.

Answer

Administer oxytocin to augment contractions.

Question 24

A woman is experiencing a precipitous labor. Which of the following actions should the midwife prioritize?

Accepted Answer

Ensure a safe environment for delivery, with appropriate assistance and equipment readily available.

Answer

Perform an amniotomy to expedite the delivery.

Answer

Administer an epidural for pain relief.

Question 25

A woman is requesting an episiotomy. Which of the following is the most appropriate response?

Accepted Answer

Provide information on the potential risks and benefits of an episiotomy and discuss alternative pain relief options.

Answer

Agree to the request immediately.

Answer

Discourage the request, stating that episiotomies are rarely necessary.

Question 26

A woman is in labor and experiencing back pain. Which of the following is the most likely explanation for this pain?

Accepted Answer

The baby is in a posterior position.

Answer

The baby is in a breech presentation.

Answer

The woman is dehydrated.

Question 27

Which of the following is NOT a commonly used method for assessing fetal well-being during labor?

Accepted Answer

Ultrasound scan

Answer

Vaginal examination

Answer

Fetal heart rate monitoring

Answer

Amniotic fluid analysis

Question 28

A woman is experiencing a prolonged latent phase of labor. Which of the following interventions is most likely to be beneficial?

Accepted Answer

Encourage rest and relaxation to promote cervical ripening.

Answer

Administer oxytocin to augment labor.

Answer

Perform an amniotomy to induce uterine contractions.

Answer

Recommend a Cesarean section to expedite delivery.

Question 29

A woman has been diagnosed with a borderline cephalopelvic disproportion (CPD). Which of the following is the most appropriate management strategy?

Accepted Answer

Closely monitor labor progress and consider an alternative delivery method if necessary.

Answer

Encourage vaginal delivery with instrumental assistance.

Answer

Immediately proceed to a Cesarean section.

Question 30

Which of the following assisted delivery methods is most appropriate for a woman with a suspected shoulder dystocia?

Accepted Answer

McRoberts maneuver

Answer

Vacuum extraction

Answer

Forceps delivery