Deck 2: Obstetrics and Gynecology: Fetal Presentation, Labor, and Delivery

Question 1

The following are eitiological factors of atonic postpartum hge except :

A)prolonged labour
B)overdistension of uterus
C)full bladder
D)cervical lacerations
E)accidental he

Answer 1

cervical lacerations

Question 2

If the foetus is lying accros the uterus, with the head in the flank

A)Transverse lie
B)Cephalic lie
C)Breech lie
D)Frank lie
E)Oblique lie

Answer 2

Transverse lie

Question 3

Means the head is at the level of the ischial spines

A)Station +1
B)Station -1
C)Station -2
D)Station 0
E)Station +2

Answer 3

Station 0

Question 4

Engagement is said to occur when.......

A)The fetal head is within the maternal pelvis
B)The biparietal diameter of the fetal head is through the plane of the inlet.
C)The presenting part is just above the level of ischial spines.
D)The vertex is in transverse position
E)none

Question 5

The following hormone is not produced by the placenta...

A)HCG
B)HPL
C)Prolactin
D)Estriol
E)none

Question 6

Which is the most common cause of abnormal lie?

A)Polyhydramnios
B)Twin pregnancy
C)Uterine deformity
D)Pelvic tumour
E)Placenta praevia

Question 7

Which of the following statements regarding vaginal breech birth is FALSE?

A)Increased risk if footling
B)In about 30% there is slow cervical dilatation in the first stage
C)CTG is advised
D)Pushing is not encouraged until the buttocks are visible
E)Epidural analgesia is mandatory

Question 8

Engagement is said to occur when.......

A)The fetal head is within the maternal pelvis
B)The biparietal diameter of the fetal head is through the plane of the inlet.
C)The presenting part is just above the level of ischial spines.
D)The vertex is in transverse position.
E)none

Question 9

After what age gestation would abnormal lie warrant hospital admission

A)37
B)40
C)38
D)39
E)36

Question 10

The most common type of breech

A)Starling breech
B)Flexed breech
C)Explicit breech
D)Footling breech
E)Extended breech

Question 11

At which part of the pelvis are the transverse and anterior-posterior diameter most similar?

A)Inlet
B)Mid-cavity
C)Outlet
D)none
E)all

Question 12

Breech presentations occurs in ___ of term pregnancies

A)1%
B)3%
C)8%
D)4-10%
E)5-6%

Question 13

Flexion of the fetal head occurs when it meets resistance from :

A)Pelvic floor
B)Cervix
C)Pelvic walls
D)Any of the above
E)None of the above

Question 14

A woman delivers a 9 lb baby with midline episiotomy & develops a 3rd degree tear. Inspection shows that the following structures are intact.

A)Anal sphincter
B)Perineal body
C)Rectal mucosa
D)Perineal muscles
E)none

Question 15

Leopold maneuvers refers to :

A)delivery of head
B)External version
C)Internal version
D)Breech extraction
E)Examination of abdomen.

Question 16

Following changes occur in urinary system during normal pregnancy:

A)Increase in renal blood flow
B)Increase in glomerular filtration rate
C)Increase in capacity of kidney pelvis
D)All of the above
E)none

Question 17

Mechanism of labor in abortion stick ( use of stick to induce abortion)is due to

A)Necrosis of uterine endometrium and stimulation of uterine contraction
B)Oxytocin present in the stick
C)Prostaglandins present in the stick
D)All of the above
E)none