The Stages of Labour: A Comprehensive Guide for Midwifery Students

Question 1

Which sequence correctly represents the stages of labour?

Accepted Answer

First, second, third, fourth

Answer

First, second, fourth, third

Answer

Second, first, fourth, third

Answer

Second, first, third, fourth

Question 2

Which of the following is an indication of the first stage of labour?

Accepted Answer

Regular uterine contractions

Answer

Fully dilated cervix

Answer

Crowning of the baby's head

Answer

Birth of the placenta

Question 3

Which complication is commonly associated with the third stage of labour?

Accepted Answer

Postpartum haemorrhage

Answer

Uterine rupture

Answer

Shoulder dystocia

Answer

Premature placental separation

Question 4

Which characteristic is unique to the latent phase of the first stage of labour?

Accepted Answer

Slow cervical dilation

Answer

Short duration

Answer

Mild contractions

Answer

Increased vaginal discharge

Question 5

What is the main reason for performing an episiotomy?

Accepted Answer

Preventing perineal tearing

Answer

Hastening the delivery

Answer

Reducing pain

Answer

Preventing prolapse

Question 6

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

Accepted Answer

Detecting fetal distress

Answer

Assessing placental function

Answer

Determining the stage of labour

Answer

Guiding maternal positioning

Question 7

Which of the following cardinal movements of fetal descent does NOT occur during the second stage of labour?

Accepted Answer

Engagement

Answer

Flexion

Answer

Internal rotation

Answer

Crowning

Question 8

What is the name of the hormone that triggers uterine contractions during labour?

Accepted Answer

Oxytocin

Answer

Estrogen

Answer

Progesterone

Answer

Relaxin

Question 9

What is the recommended position for the baby to be in during the second stage of labour?

Accepted Answer

Occipito-anterior

Answer

Occipito-posterior

Answer

Breech

Answer

Transverse

Question 10

During labour, which of the following is a crucial responsibility of nurses in facilitating informed consent?

Accepted Answer

Providing detailed information about options, including their potential advantages and disadvantages

Accepted Answer

Supporting the woman's choices while respecting her autonomy

Answer

Omitting information that could cause anxiety or distress

Answer

Making decisions for the woman based on the nurse's own judgment

Question 11

During the second stage of labor, what is the primary focus of nursing care?

Accepted Answer

Assisting with birth and supporting the mother's physical and emotional needs

Answer

Fetal monitoring and ensuring the mother's well-being

Answer

Preventing excessive bleeding during and after birth

Answer

Establishing a strong bond between the mother and newborn

Question 12

In the event of fetal distress during the second stage of labor, which intervention takes the highest priority?

Accepted Answer

Immediate cesarean delivery

Answer

Infusing fluids into the amniotic sac

Answer

Administering oxygen to the mother

Answer

Changing the mother's position

Question 13

What is the primary role of oxytocin in the third stage of labor?

Accepted Answer

Stimulating uterine contractions to facilitate placental separation

Answer

Reducing maternal blood loss

Answer

Promoting maternal-infant bonding

Answer

Inhibiting milk production

Question 14

In cases of a retained placenta, which management approach is typically recommended?

Accepted Answer

Manual removal with anesthesia

Answer

Administration of oxytocin

Answer

Observational approach with close monitoring

Answer

Uterine removal (hysterectomy)

Question 15

Which hormone is primarily responsible for stimulating uterine contractions during labour?

Accepted Answer

Oxytocin

Answer

Estrogen

Answer

Progesterone

Answer

Prolactin

Question 16

What term describes the complete dilation of the cervix to 10 cm?

Accepted Answer

Full dilation

Answer

Effacement

Answer

Crowning

Answer

Engagement

Question 17

Which position is generally preferred for the second stage of labour?

Accepted Answer

Squatting

Answer

Lithotomy

Answer

Fowler's

Answer

Sims'

Question 18

What is the term used to describe the process of the placenta separating from the uterine wall?

Accepted Answer

Placental separation

Answer

Placental expulsion

Answer

Placental delivery

Answer

Placental extraction

Question 19

Which of the following is not recommended as a pain management intervention during labour?

Accepted Answer

Alcohol consumption

Answer

Epidural

Answer

Nitrous oxide

Answer

Intravenous fentanyl

Question 20

What is the primary purpose of a Leopold's manoeuvre?

Accepted Answer

To assess fetal presentation and position

Answer

To monitor fetal heart rate

Answer

To measure uterine contractions

Answer

To estimate fetal weight

Question 21

What is the primary role of the midwife during the first stage of labour?

Accepted Answer

Providing emotional support and reassurance

Answer

Administering pain medication

Answer

Preparing for delivery

Answer

Monitoring fetal heart rate

Question 22

What is the average duration of the second stage of labour for a first-time mother?

Accepted Answer

2-3 hours

Answer

30-60 minutes

Answer

1-2 hours

Answer

Over 4 hours