Abnormal Day 9 Quiz - Midwives Revision

Welcome to your Abnormal Midwifery Day 9 Quiz

3 April 2025

Attempt all 20 Questions

1. Which of the following best describes Occipital Posterior (OP) position?

A) The occiput faces the iliopectineal eminence

B) The occiput is positioned at the back of the pelvis

C) The occiput faces the anterior pelvic wall

D) The occiput is at the front of the pelvis

2. What is a common maternal complication associated with Occipital Posterior (OP) position?

A) Cephalopelvic Disproportion (CPD)

B) Increased risk of prolapsed cord

C) Prolonged labor

D) Premature rupture of membranes (PROM)

3. Which pelvic shape is most likely to predispose a woman to an Occipital Posterior (OP) position?

A) Gynecoid

B) Anthropoid

C) Android

D) Platypelloid

4. What symptom might suggest a mother is experiencing labor in the Occipital Posterior (OP) position?

A) Severe backache

B) High head despite good contractions

C) Early urge to push

D) All of the above

5. Which of the following is a key management strategy for labor in Occipital Posterior (OP) position?

A) Immediate cesarean section

B) Encouraging the mother to lie flat on her back

C) Forward-leaning positions

D) Continuous epidural anesthesia

6. Which is the most likely outcome if the occiput fails to rotate from a posterior to an anterior position during labor?

A) Face-to-pubis delivery

B) Rapid labor progression

C) Spontaneous vaginal delivery without assistance

D) Reduction in maternal discomfort

7. Which is the most likely reason for recommending a forceps delivery in the case of an OP position?

A) Fetal bradycardia

B) Prolonged second stage with no progress

C) Mother’s exhaustion

D) All of the above

8. What is the primary purpose of conducting a Trial of Labor (TOL)?

A) To delay labor until the baby is ready

B) To assess the possibility of a vaginal delivery

C) To induce labor in cases of fetal distress

D) To avoid the use of any medical interventions

9. What is a contraindication for conducting a Trial of Labor (TOL)?

A) A well-flexed fetal head

B) Adequate uterine contractions

C) A large-sized baby

D) An average-sized baby

10. Which of the following is a potential outcome of a Trial of Labor (TOL) if labor fails to progress?

A) Vaginal delivery with vacuum extraction

B) Cesarean section

C) Symphysiotomy

D) Premature induction of labor

11. What is the key sign of deep transverse arrest during labor?

A) Rapid descent of the fetal head

B) Sagittal suture in the oblique diameter

C) Sagittal suture in the transverse diameter

D) Posterior rotation of the fetal head

12. What is a typical management step for deep transverse arrest during labor?

A) Immediate induction of labor

B) Manual rotation of the fetal head

C) Administration of oxytocin

D) Waiting for spontaneous resolution

13. What is the most common type of abnormal uterine action in labor?

A) Hypertonic Uterine Dysfunction

B) Uterine Inertia

C) Precipitate Labor

D) Abnormal Polarity

14. What distinguishes a Bandl’s ring from a constriction ring?

A) Bandl’s ring is associated with precipitate labor.

B) Bandl’s ring is always located at the junction of the upper and lower uterine segments.

C) Bandl’s ring results from abnormal uterine overdistention.

D) Bandl’s ring is easily palpable on abdominal examination.

15. Which of the following describes incoordinate uterine action?

A) Generalized tonic contraction

B) Precipitate labor

C) Normal polarity with excessive contraction

D) Efficient labor progression

16. What is the primary management strategy for a patient with Bandl’s ring during labor?

A) Increase oxytocin infusion

B) Administer muscle relaxants

C) Perform cesarean delivery

D) Encourage maternal mobility

17. In which scenario is cervical dystocia most likely to occur?

A) Uterine inertia

B) Hypertonic uterine dysfunction

C) Precipitate labor

D) Abnormal polarity

18. Which type of abnormal uterine action is most commonly associated with a risk of uterine rupture?

A) Constriction ring

B) Generalized tonic contraction

C) Precipitate labor

D) Uterine inertia

19. Which of the following interventions is most appropriate for a woman experiencing uterine inertia during labor?

A) Encourage ambulation

B) Start oxytocin infusion

C) Administer sedatives

D) Perform an immediate cesarean section

20. What is the first step in managing non-progress of labor due to abnormal uterine action?

A) Perform a cesarean delivery

B) Administer high-dose oxytocin

C) Reassess the maternal and fetal condition

D) Perform an immediate amniotomy