Free Practice Quiz Question List

5 Complications of Labor and Birth Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Complications of Labor and Birth, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

Magnesium sulfate is commonly used to prevent or treat seizures associated with eclampsia.

A
True
B
False

True or false

1 point

A Category II fetal heart rate tracing is considered reassuring and does not require ongoing assessment.

A
True
B
False

Choose one

1 point

A laboring patient’s fetal heart rate tracing is classified as Category II. How should the team interpret this category?

A
Reassuring
B
Indeterminate and requiring ongoing assessment
C
Abnormal and always requiring immediate cesarean birth
D
Not interpretable until after birth

Written response

1 point

At what contraction count per 10-minute interval, averaged over 30 minutes, is uterine tachysystole defined? Enter the threshold count that must be exceeded.

Choose one

1 point

Immediately after the membranes rupture, a laboring patient develops sudden fetal bradycardia. Which complication should the team suspect?

A
Umbilical cord prolapse
B
Gradual improvement in fetal heart rate variability
C
A steady increase in cervical dilation
D
Maternal temperature returning to normal

Written response

1 point

What term describes labor that is progressing slowly or has stopped?

Choose one

1 point

A patient with a prior uterine scar is in labor. Which new finding is a possible warning sign of uterine rupture?

A
Sudden persistent fetal bradycardia
B
Gradual cervical dilation during labor
C
Increasing fetal station
D
Maternal comfort improving with contractions

Choose all

1 point

Which circumstances may be reasons to consider operative vaginal birth when its clinical prerequisites are met? Select all that apply.

A
Concerning fetal status when vaginal birth is near
B
Lack of descent despite pushing
C
A maternal condition that makes continued pushing unsafe
D
Patient convenience alone, even when clinical prerequisites are not met
E
Avoiding the need for a trained clinician and cesarean backup

Choose all

1 point

Which statements correctly describe the diagnostic criteria for active-phase arrest? Select all that apply.

A
The patient is at least 6 cm dilated and the membranes are ruptured
B
There is no cervical change despite four hours of adequate uterine activity
C
There is no cervical change despite six hours of inadequate uterine activity with oxytocin
D
The patient is less than 6 cm dilated and has had no change for one hour
E
The membranes are intact, regardless of cervical change

True or false

1 point

Forceps and vacuum should routinely be used one after the other if the first instrument does not complete birth.

A
True
B
False

Choose one

1 point

Before cesarean birth is chosen for second-stage arrest, what assessment may an experienced clinician make?

A
Proceed to cesarean birth without considering the clinical circumstances
B
Have an experienced clinician assess whether operative vaginal birth is appropriate
C
Use fundal pressure to speed descent before making a decision
D
Continue pushing regardless of maternal and fetal status

Open ended

1 point

Describe how the team can prepare for postpartum hemorrhage and respond if heavy bleeding occurs after birth.

Choose one

1 point

A laboring patient has a Category II fetal heart rate tracing. Which interpretation best guides the team’s response?

A
It is reassuring, so no further assessment is needed.
B
It is indeterminate and requires ongoing assessment in context.
C
It confirms impaired fetal oxygenation and always requires immediate cesarean birth.
D
It indicates uterine tachysystole.

Written response

1 point

A clinician is assessing whether a patient has reached active labor. According to the stated ACOG threshold, at what cervical dilation in centimetres does active labor begin?

Choose one

1 point

During birth, the fetal head is born but the shoulders do not deliver with gentle routine traction. Which response is appropriate?

A
Apply fundal pressure to push the shoulders through.
B
Use forceful traction on the fetal head.
C
Call for help and begin appropriate maneuvers, such as McRoberts positioning and suprapubic pressure.
D
Continue routine traction without announcing the emergency.

Choose one

1 point

After membrane rupture, a patient develops sudden fetal bradycardia and examination confirms cord prolapse. What is the best immediate response while urgent birth is arranged?

A
Call for immediate assistance, elevate the presenting part to relieve cord pressure, and prepare for urgent birth.
B
Push the exposed cord back through the cervix and observe for a few contractions.
C
Wait for the next routine fetal assessment before deciding whether to act.
D
Handle the exposed cord repeatedly to check whether pulsation continues.

Written response

1 point

A patient’s contraction frequency averages 6 contractions per 10 minutes over 30 minutes. Uterine tachysystole is defined as more than what cutoff number of contractions per 10 minutes, averaged over 30 minutes?

Choose one

1 point

A patient has a seizure during labor. Which immediate response is most appropriate while the team treats the seizure and severe hypertension according to protocol?

A
Restrain the patient’s limbs and delay calling for help until the seizure ends.
B
Begin pushing immediately to deliver the baby as quickly as possible.
C
Give oxytocin before assessing breathing or circulation.
D
Protect the patient from injury, summon emergency help, and support breathing and circulation.

Fill in the blank

1 point

A trained clinician is considering operative vaginal birth, and the clinical prerequisites are met. Complete the safety requirement: the attempt should be made only if is available in case it fails.

Fill in the blank

1 point

An unresolved immediate threat makes cesarean birth necessary, and there is little time. Complete the guidance for the team: explain the reason and obtain consent when feasible, .