1. The earliest sign of labor onset is:
A. Lightening / fetal descent
B. Backache
C. Bloody show
D. Rupture of membranes
2. Normal fetal heart rate during labor:
A. 90–120 bpm
B. 110–160 bpm
C. 160–180 bpm
D. 80–100 bpm
3. First stage of labor ends when:
A. Cervix dilates 4 cm
B. Cervix dilates 10 cm
C. Membranes rupture
D. Baby descends
4. Latent phase of first stage labor:
A. 0–3 cm dilation
B. 4–7 cm dilation
C. 8–10 cm dilation
D. 0–5 cm dilation
5. Ideal maternal position to prevent perineal trauma:
A. Supine
B. Lithotomy
C. Side-lying
D. Trendelenburg
6. Recommended duration of second stage in primigravida:
A. 30–60 min
B. 1–2 hours
C. 2–3 hours
D. 3–4 hours
7. Common cause of obstructed labor:
A. Malpresentation
B. Preterm labor
C. Maternal hypertension
D. Polyhydramnios
8. Meconium-stained amniotic fluid management (vigorous baby):
A. Immediate intubation
B. Routine care and monitoring
C. Delay delivery
D. Suction perineum only
9. Nuchal cord management:
A. Pull forcibly
B. Slip over head if possible
C. Clamp before shoulders
D. Ignore
10. PPH first-line management:
A. Uterine massage
B. Oral fluids
C. Oxytocin only
D. Observe
11. Retained placenta suspected:
A. Wait for spontaneous expulsion
B. Massage uterus only
C. Administer uterotonics and prepare manual removal
D. Observe 2 hours
12. Cord prolapse immediate action:
A. Relieve pressure and call obstetric team
B. Push cord back
C. Apply oxytocin
D. Deliver immediately without positioning
13. Pre-eclampsia sign in labor:
A. Swelling, headache, blurred vision
B. Fever
C. Vomiting
D. Hypotension
14. Maternal anemia in labor priority:
A. Ignore if mild
B. Monitor closely for fatigue and hemorrhage
C. Only give oral iron
D. Stop labor
15. Third stage of labor management to prevent PPH:
A. Controlled cord traction + uterotonics
B. Massage uterus only
C. Wait for spontaneous expulsion
D. Immediate C-section
