50.

Which of the ff forceps is used for rotation of transverse and posterior position
a. Tucker mclane
b. simpson
c. piper
d. NOTA
51. which of the ff forceps is used for delivery of the aftercoming head... presentation?
a. barton
b. Piper
c. kielland
d. NOTA
52. indication for labor induction except
a. DM
b. polyhydramnios
c. chronic hypertension
d. Oligohydramnios
53. Contraindications for labor induction except
a. macrosomia
b. hydrocephalus
c. Anteriorly implanted placenta
d. cervical cancer
54. favourable factors affecting successful induction except
a. Nulliparity
b. BMI <30
c. BW <3500
d. favourable cervix
55. a woman whose cervix is 1 cm dilated,beginning effacement,soft,anterior position.
Bishop score?
a. 4
b.6
c. 5
d. 3
56. when is the amniotomy performed?
A. during uterine relaxation
b. during uterine contraction
c. either a or b
d. neither a or b
57. a technique used in labor induction associated with risk of infection
a. prostaglandins
b. oxytocin
c. cervical dilators.
d. transcervical catheter
58. true of the prostaglandin e1 except
a. contraction w/in 30-60mins
b. tachysystole is common
c. comparable success with oxytocin
d. available in 3 forms
59. maternal complications associated with labor induction except
a. uterine inversion
b. cs
c. uterine atony
d. chorioamnionitis
60. a woman whose cervix is 2cm dilated , 50%
Bishop score?
a. 5
b. 6
c. 7
d.8
61. bracht maneuver

effaced , soft, mid position,station -1.

a. gentle fundal pressure is applied to maintain a flexed fetal head in breech delivery
b. gentle fundal pressure and traction of the fetal neck and shoulder in vaginal
breech delivery
c. both
d. NOTA
62. mauriceau smelli-veit
a. delivery of head by application of operators finger over the malar prominence
b. application of the operators finger on the featl mouth to deliver the fetal head
c. both
d. nota
63. contraindication of breech delivery
a. previous uterine surgery
b. PROM
c. uterine anomaly
d.nota
64. hyaline membrane dse is seen in
a. RDS
b. sepsis
c. intracranial hemorrhage
d. nota
65. pinards maneuver
a. flexion of the popliteal region drawing the leg away from the midline where
traction is applied to deliver the lower extremity
b. flexion of the greater trochanter toward the midline to deliver the fetal extremity
c. both
d. nota
66. scalp edema usually due to prolonged labor
a. cephalohematoma
b. caput succadeneum
c. encephalitis
d. all of the above
67. puerperal fever from breast engorgement
a. appears in less than 5% of pospatum women
b. appears 3 to 4 days after the devt of lacteal secretions
c. is almost painless
d. rarely exceed s 37.8 C
68. in the mother, suckling leads to which of the ff responses
a. decrease oxytocin
b. increase of prolactin inhibiting factor
c. increase of hypothalamic dopamine
d. increase hypothalamic prolacctin
69. septic pelvic thrombophlebitis may be characterized by which of the ff statements
a. it is usually involves both the iliofemoral and ovaries
b. antimicrobial therapy is usually ineffective
c. fever spikes are rare
d. it is usually associated with fever without pain or palpable masses
70. A postpartum woman has acute puerperal mastitis. Which of the following
statements is true?
a. The initial treatment is penicillin
b. The source of the infection is usually the infants gastrointestinal (GI) tract
c. Frank abscesses may develop and require drainage
d. The most common offending organism is Escherichia coli
e. The symptoms include lethargy
71. A 21-year-old has difficulty voiding 6 h postpartum. The least likely cause is which of the
following?
a. Preeclampsia
b. Infusion of oxytocin after delivery
c. Vulvar hematoma
d. Urethral trauma
e. Use of general anesthesia

72. Breast-feeding can be encouraged despite which of the following conditions?

a. Maternal hepatitis B
b. Maternal reduction mammoplasty with transplantation of the nipples
c. Maternal acute puerperal mastitis
d. Maternal treatment with lithium carbonate
e. Maternal treatment with tetracyclines
73. A 23-year-old woman (gravida 2, para 2) calls her physician 7 days postpartum because
she is concerned that she is still bleeding from the vagina. It would be appropriate to tell this
woman that it is normal for bloody lochia to last up to
a. 5 days
b. 8 days
c. 11 days
d. 14 days
74. Which of the following potential treatments for use in the initial care of late postpartum
hemorrhage would be contraindicated?
a. Methylergonovine maleate (Methergine)
b. Oxytocin injection (Pitocin)
c. Prostaglandins
d. Dilation and curettage
75. Following a vaginal delivery, a woman develops a fever, lower abdominal pain, and
uterine tenderness. She is alert, and her blood pressure and urine output are good. Large
gram-positive rods suggestive of clostridia are seen in a smear of the cervix. Which of the
following is most closely tied to a decision to proceed with hysterectomy?
a. Close observation for renal failure or hemolysis
b. High-dose antibiotic therapy
c. Fever of 103C
d. Gas gangrene
76. Which of the following statements regarding management of labor in a low-risk
pregnancy is true?
a. Amniotomy may shorten the length of labor slightly, but not as much as
spontaneous
rupture
b. Universal electronic fetal monitoring improves perinatal outcome
c. Food and oral fluids are acceptable if labor is progressing normally
d. An indwelling catheter is frequently needed when the patient is unable to void
spontaneously
77. Hypertonic dysfunctional labor generally can be expected to
a. Be associated with rapid cervical dilation
b. Cause little pain
c. Occur in the active phase of labor
d. React favorably to oxytocin stimulation
e. Respond to sedation
78. Which of the following is the most appropriate management of a face presentation with
no fetal distress and an adequate pelvis, as determined by digital examination?
a. Perform immediate cesarean section without labor
b. Allow spontaneous labor with vaginal delivery
c. Perform forceps rotation in the second stage of labor to convert mentum posterior
to mentum anterior and to allow vaginal delivery
d. Allow to labor spontaneously until complete cervical dilation is achieved anthen
perform an internal podalic version with breech extraction
79. a primipara is on labor and an episiotomu is about to be cut. Compared with a midline
episiotomy, an advantage of mediolateral episiotomy is?
a. Ease of repair
b. Fewer breakdowns
c. Less blood loss
d. Less dyspareunia
e. Less extension of the incision
80. A forceps rotation of 30 from left occiput anterior (OA) to OA with extraction of the fetus
from +2 station would be described as which type of delivery?

a. Outlet forceps
b. Low forceps
c. Midforceps
d. High forceps
81-83
a. Epidural block
b. Meperidine (Demerol) 100 mg intramuscularly
c. Oxytocin intravenously
d. Midforceps delivery
e. Cesarean section
81. A multiparous woman has had painful uterine contractions every 2 to 4 min for the last
17 h. The cervix is dilated to 2 to 3 cm and effaced 50%; it has not changed since admission.
b. Meperidine (Demerol) 100 mg intramuscularly
82. A nulliparous woman is in active labor (cervical dilation 5 cm with complete effacement,
vertex at 0 station); the labor curve shows protracted progression without descent following
the administration of an epidural block. An intrauterine pressure catheter shows contractions
every 4 to 5 min, peaking at 40 mmHg.
d. Midforceps delivery
83. A 59-10 nulliparous woman has had arrest of descent for the last 2 h and arrest of
dilation for the last 3 h. The cervix is dilated to 7 cm and the vertex is at 21 station.
Monitoring shows a normal pattern and adequate contractions. Fetal weight is estimated at
7.5 lb. (SELECT 1 TREATMENT)
e. Cesarean section
84. All of the following are appropriate next steps in the management of
this patient except
a. Instruct the nurse to apply fundal pressure
b. Cut a generous episiotomy
c. Instruct the nurse to apply suprapubic pressure
d. Instruct the nurse to flex the patients legs back to her head
e. Call for help
85. The baby finally delivers and the pediatricians attending the delivery note that the right
arm is hanging limply to the babys side with the forearm extended and internally rotated.
What is the babys most likely diagnosis?
a. Erb palsy
b. Klumpkes paralysis
c. Humeral fracture
d. Clavicular fracture
86. in the normal newborn, what changes in birthwt is expected by the end of the 1 st yr of
life?
a. triple
b. double
c. quadruple
d. nota
87. which of the ffis indicated in neonate whose mother received ___ hrs before delivery
a. sodium bicarbonate
b. isotonic crystalloid
c. epinephrine
d. naloxone
88. delay in the removal of fld from the fettal alveoli contribute to which of the ff condition?
a. respiratory distress syndrome
b. transient tachypnea of the newborn
c. secondary apnea
d. primary apnea
89. compared w/ the copper IUd, the LNG-IUD offers which of the ff

a. longer duration of effectiveness

b. lower rates of ovarian cyst formation
c.lower rates of menorrhagia
d. nota
90. contraindication of IUD use include which of the ff
a. smoker
b. adolescent
c. multiple sexual partner
d. nota
91. what is the significant variable deceleration, in association with contraction, if present ...
in the trace?
a. uteroplacental insufficiency
b. head compression
c. cord compression
d. nota
92. oscillations of the FHR from one wave or beat to another?
a. acceleration
b. beat-to-beat variability
c. deceleration
d. nota
93. a gradual decrease in FHR where the onset, nadir and return to baseline occurs after the
beginning, peak and the end of uterine contraction.
a. early deceleration
b. variable deceleration
c. late deceleration
d. nota
94. during the trip to the delivery room,the mother kept bearing down...
A. confirm the FHR by auscultation
b. do the immediate internal examination ...
c.both
d. nota
95.assuming that delivery is not due until after 2 to 3 hours, you repeated the tracing. It
revealed persistent late decelaration. what will you explain to the px?
a. cs delivery is needed due to fetal respiratory distress secondary to uteroplacental
insufficiency
b. vaginal birth is not due until 2-3 hrs ...monitoring shld be continued
c. both
d. nota
96. you performed an emergency cs due to fetal distress...
a. fetal hypoxia...
b. maternal hypotension...
c. both statement are true
d. both statement are false.
97. gold std txt for pelvic infx w/ sepsis
a. clinda + genta
b. metronidazole + ampi +genta
c. PipTaz
d. clinda + genta + ampi
98. maneuver described as applying pressure on the cricoid area to occlude the esophagus
for successful intubation
a. truchy
b. sellick
c. Braxton
d. mendelson
99. reason for increasing use of cs
a. increase percentage of birth to multiparas
b. declining average maternal age
c. widespread use of electronic fetal monitor
d. higher rates of labor induction in women w/ preeclampsia

100. during pfannenstiel incision, which vessel should be anticipated halfway b/n the skin
and fascia, several cm fr the midline.
a. inferior epigastric
b. external pudendal
c. superficial epigastric
d. superficial circumflex iliac.
50-55
60-78
Sagot ni dok
87-96