Intranatal Care # MCQs Practice set

Q.1 What is the primary purpose of fetal monitoring during labor?

To assess maternal blood pressure

To evaluate fetal well-being

To determine labor pain intensity

To check maternal hydration status

Explanation - Fetal monitoring during labor helps detect fetal distress and ensures timely intervention to maintain fetal health.

Correct answer is: To evaluate fetal well-being

Q.2 Which stage of labor is characterized by complete cervical dilation?

First stage

Second stage

Third stage

Fourth stage

Explanation - The second stage of labor begins once the cervix is fully dilated and ends with the delivery of the baby.

Correct answer is: Second stage

Q.3 Which position is commonly recommended for a mother during labor to enhance comfort and fetal descent?

Supine

Lithotomy

Upright or squatting

Trendelenburg

Explanation - Upright or squatting positions use gravity to help fetal descent and may reduce labor duration and pain.

Correct answer is: Upright or squatting

Q.4 What is the normal frequency of uterine contractions during active labor?

1 every 10 minutes

2-3 every 10 minutes

5 every 10 minutes

8 every 10 minutes

Explanation - During active labor, contractions typically occur 2-3 times every 10 minutes, lasting 40-70 seconds each.

Correct answer is: 2-3 every 10 minutes

Q.5 Which of the following is a sign of imminent delivery?

Mild lower back pain

Rupture of membranes

Braxton Hicks contractions

Increased fetal movements

Explanation - Rupture of membranes (water breaking) indicates that delivery is approaching or has begun.

Correct answer is: Rupture of membranes

Q.6 Which analgesic method is commonly used for pain relief in early labor?

Epidural anesthesia

Systemic opioids

Local infiltration

Spinal anesthesia

Explanation - Systemic opioids can be administered in early labor for moderate pain relief without affecting maternal mobility.

Correct answer is: Systemic opioids

Q.7 The Apgar score is assessed at which time after birth?

1 and 5 minutes

Immediately after delivery

10 and 20 minutes

30 minutes

Explanation - The Apgar score is evaluated at 1 and 5 minutes after birth to assess the newborn's adaptation to extrauterine life.

Correct answer is: 1 and 5 minutes

Q.8 Which intervention is essential immediately after birth to prevent neonatal hypothermia?

Immediate bathing

Skin-to-skin contact with mother

Administering vitamin K

Umbilical cord clamping

Explanation - Skin-to-skin contact helps regulate the newborn's temperature, promotes bonding, and supports breastfeeding initiation.

Correct answer is: Skin-to-skin contact with mother

Q.9 Which sign indicates the transition from the latent to active phase of labor?

Cervical dilation of 0-3 cm

Cervical dilation of 4-7 cm with regular contractions

Rupture of membranes

Appearance of bloody show

Explanation - Active labor is marked by regular, stronger contractions and cervical dilation from 4 to 7 cm.

Correct answer is: Cervical dilation of 4-7 cm with regular contractions

Q.10 Which type of delivery is indicated if the fetus is in distress and vaginal delivery is not safe?

Forceps delivery

Vacuum extraction

Cesarean section

Episiotomy

Explanation - A cesarean section is performed when fetal distress or other complications make vaginal delivery unsafe.

Correct answer is: Cesarean section

Q.11 Which maternal vital sign requires immediate attention during labor?

Pulse 80 bpm

Blood pressure 180/110 mmHg

Temperature 37°C

Respiration 16/min

Explanation - Severely elevated blood pressure during labor may indicate preeclampsia and requires urgent intervention.

Correct answer is: Blood pressure 180/110 mmHg

Q.12 The first stage of labor is divided into which phases?

Latent and active phases

Active and transition phases

Second and third stages

Early and late phases

Explanation - The first stage of labor includes the latent phase (0-3 cm dilation) and active phase (4-7 cm dilation).

Correct answer is: Latent and active phases

Q.13 Which intervention helps reduce perineal trauma during delivery?

Rapid delivery

Perineal massage during second stage

Immediate episiotomy in all cases

Supine position only

Explanation - Gentle perineal massage during the second stage can stretch tissues and reduce the risk of tearing.

Correct answer is: Perineal massage during second stage

Q.14 Which assessment is critical after administration of epidural anesthesia?

Fetal heart rate

Maternal blood pressure and sensation

Urine output only

Temperature monitoring only

Explanation - Epidural anesthesia can cause hypotension and numbness; monitoring is essential for maternal safety.

Correct answer is: Maternal blood pressure and sensation

Q.15 Which practice is recommended to reduce infection risk after rupture of membranes?

Frequent vaginal exams

Hand hygiene and limiting vaginal exams

Immediate use of antibiotics in all cases

Applying antiseptic gel to cervix

Explanation - Limiting vaginal examinations and maintaining strict hand hygiene reduce the risk of ascending infection.

Correct answer is: Hand hygiene and limiting vaginal exams

Q.16 Which sign indicates placental separation in the third stage of labor?

Cessation of contractions

Lengthening of the umbilical cord and gush of blood

Appearance of meconium

Onset of labor pains

Explanation - Placental separation is indicated by cord lengthening, a small gush of blood, and uterine contraction.

Correct answer is: Lengthening of the umbilical cord and gush of blood

Q.17 Which nursing intervention is essential to support maternal hydration during labor?

Encouraging oral fluids if no restriction

Administering diuretics

Restricting fluids completely

Providing only IV fluids

Explanation - Maintaining adequate hydration supports maternal energy and prevents hypotension during labor.

Correct answer is: Encouraging oral fluids if no restriction

Q.18 What is the recommended action if the fetal heart rate shows late decelerations?

Continue routine monitoring

Prepare for immediate delivery and notify obstetrician

Administer analgesics

Encourage maternal ambulation

Explanation - Late decelerations indicate uteroplacental insufficiency and require urgent intervention to prevent fetal hypoxia.

Correct answer is: Prepare for immediate delivery and notify obstetrician

Q.19 Which method is recommended to support maternal relaxation during labor?

Hypnosis and breathing techniques

Excessive use of sedatives

Complete bed rest without movement

Continuous verbal correction

Explanation - Breathing exercises and relaxation techniques help reduce pain perception and maternal anxiety.

Correct answer is: Hypnosis and breathing techniques

Q.20 Which complication is most commonly associated with prolonged labor?

Postpartum hemorrhage

Fetal distress

Maternal exhaustion

All of the above

Explanation - Prolonged labor can lead to maternal exhaustion, increased risk of postpartum hemorrhage, and fetal distress.

Correct answer is: All of the above

Q.21 Which factor is assessed using the Bishop score?

Fetal heart rate

Cervical readiness for induction

Maternal blood pressure

Amniotic fluid volume

Explanation - The Bishop score evaluates cervical dilation, effacement, consistency, position, and fetal station to determine induction readiness.

Correct answer is: Cervical readiness for induction

Q.22 Which is the most effective way to prevent postpartum hemorrhage immediately after birth?

Active management of the third stage

Massage the fetal head

Encourage maternal ambulation

Limit breastfeeding

Explanation - Active management includes administering uterotonic drugs, controlled cord traction, and uterine massage to prevent hemorrhage.

Correct answer is: Active management of the third stage

Q.23 Which fetal presentation is considered normal for vaginal delivery?

Breech

Transverse

Vertex (cephalic)

Shoulder

Explanation - Vertex (head-down) presentation is ideal for vaginal delivery as it aligns with the birth canal.

Correct answer is: Vertex (cephalic)

Q.24 Which factor increases the risk of perineal tears during delivery?