Normal Labor

Question 1

The 1st stage of labor begins with cervical effacement, what does that mean

Answer 1

The thinning and shortening of the cervix in prep for labor

Question 2

The 1st stage of labor is split into 2 phases, what are they?

Answer 2

Latent and Active phase

Question 3

2nd stage of labor begins when what happens

Answer 3

When they cervix is completely dilated, and ends when baby is delivered

Question 4

After delivery of the placenta, we give what to help blood loss and the contractions?

Answer 4

Oxytocin 5 units or Ergometrine 0.5mg

Question 5

Likely exam question, what is the order of delivery processes

Answer 5

Engagement, descent, flexion, internal rotation, extension, then external rotation of the head

Question 6

Internal rotation during labor aligns the fetal head with which pelvic diameter?

a) Transverse inlet
b) Anteroposterior outlet
c) Oblique cavity
d) Biparietal diameter

Answer 6

Antero-posterior outlet

Question 7

A gush of blood and cord lengthening signify:

a) Placental separation
b) Uterine rupture
c) Cord prolapse
d) Fetal distress

Answer 7

A

Question 8

The fetal station measured at +3 indicates:

a) Engagement at the ischial spines
b) Crowning
c) Floating above the pelvis
d) Descent to the perineum

Answer 8

Crowning

Question 9

The “triple descending gradient” describes:

a) Fetal descent patterns
b) Uterine contraction waves (fundus → cervix)
c) Placental blood flow
d) Cervical dilation phases

Answer 9

Uterine contraction waves

Question 10

A primigravida’s first stage of labor typically lasts:

a) 2–4 hours
b) 6–8 hours
c) 10–16 hours
d) 18–24 hours

Answer 10

10-16 hours

Question 11

The plane of least pelvic dimension has a transverse diameter of:

a) 10.5 cm
b) 11 cm
c) 12 cm
d) 13 cm

Answer 11

10.5cm

Question 12

Restitution refers to:

a) Fetal head rotation after delivery
b) Placental detachment
c) Cervical retraction
d) Uterine involution

Answer 12

Fetal head rotation after delivery