Very very very important

1. It seems probable that the hormone _____________ softens the costochondral junctions and renders them
more mobile.
a. Progesterone c. HCG
b. Relaxin d. All of the above
2. It can be seen that in the final __________ the fundal height drops.
a. 2-4 weeks c. 3-4 weeks
b. 2–3 weeks d. 1-3 weeks
3. ______________ is a condition where the liquor amnii is much reduced and milky.
a. Polyhydramnios c. Placenta previa
b. Oligohydramnios d. None of the above
4. During nappy changing , Positions that increase the risk to the mother are :
a. knees extended c. Trunk Twisted
b. trunk flexed d. All of the above
5. While standing shoulders should not be : ?????
a. Relaxed c. Retracted
b. Elevated d. Protracted
6. In most cases the fetus lies with the back and occiput to the maternal left; this is described as __________.
a. Right occipitolateral c. shoulder position
b. left occipitolateral d. breech position
7. The __________is almost always the longest stage.
a. Active phase of first stage c. First stage
b. Perineal phase d. Second stage
8. Bag of waters ruptures in ____________ stage.
a. First stage c. Second stage
b. Latent stage of first stage d. Third stage
9. Crowning is evident in _______ stage.
a. First stage c. Second stage
b. Latent stage of first stage d. Third stage
10. ___________is known to cause the uterine muscle to contract.
a. Prostaglandins c. oxytocin
b. Relaxin d. Fetal adrenal hormones
11. First stage pain is referred to the dermatomes supplied by the same spinal cord segments ____________.
a. T10-L1 c. T10-L5
b. T10-L2 d. T10-S5
12. In 38% of cases, labour starts with the foetal head in the___________.
a. Left occipitolateral position c. Footling position
b. Right occipitolateral position d. Face position
13. In __________ particularly, there is also an increase in the size of the pelvic outlet.
a. Sitting c. Squatting
b. Kneeling d. All of the above
14. In ____________ one or both feet present first (below the buttocks) with the hips and knees extended.
a. Fully flexed breech position c. Footling breech position
b. Extended breech position d. Both a and b
15. In______________ retroplacental bleeding occurs and the blood may pass behind the membranes and through
the cervix
a. Abruptio placenta (external hemorrhage)
b. Abruptio placenta (internal hemorrhage)
 c. Placenta previa
d. Both a and c
16. Sharp pain, change in vital signs, no external bleeding, Tender uterus, can progress to board-like, evidence of
fetal heart rate drop, fetal distress, or death; are the signs of ___________.
a. Abruptio placenta (external hemorrhage) c. Placenta previa
b. Abruptio placenta (internal hemorrhage) d. Both b and c
17. Implantation of the placenta in the lower uterine segment such that at least a portion of a fully dilated cervix
would be covered; is ______________.
a. Abruptio placenta c. Uterus prolapse
b. Placenta previa d. Both a and b
18. Sudden painless vaginal bleeding, Lower abdominal cramps are possible, Uterus is soft, Fetal exam is usually
normal, Usually not shocky; these are the signs of ____________
a. Abruptio placenta c. Uterus prolapse
b. Placenta previa d. Both a and b
19. Profuse bleeding after delivery, abdominal pain, Uterus descended into vagina; these are the signs of
_____________.
a. Abruptio placenta c. Uterus prolapse
b. Placenta previa d. Both a and b
20. All of the following are the complications of labor except:
a. Uterine inversion c. Vaginal and perineal lacerations
b. Abnormal positions d. Ectopic pregnancies
21. In female gyneacoid true pelvis inlet longest diameter is
a. anteroposterior c. Transverse
b. oblique d. All are equal
22. female gyneacoid true pelvis midcavity longest diameter is
a. anteroposterior c. Transverse
b. oblique d. All are equal
23. In female gyneacoid true pelvis outlet longest diameter is
a. anteroposterior c. Transverse
b. oblique d. All are equal
24. Following is not a complication of labour
a. Malpresentation c. Perineal tear
b. Crowning d. Haemorrhage
25. Nerve compression pains are common in
a. First trimester c. third trimester
b. second trimester d. Fourth trimester
26. Following confirmation of pregnancy the routine visit for booking clinics made ideally
a. 9th to 6th weeks of gestation c. 15th to 19th weeks of gestation
b. 12th to 14th weeks of gestation d. 23rd to 26th weeks of gestation
27. ____________deals with medical issues specific to the male reproductive system.
a. Gyneacology c. Andrology
b. Obstetrics d. None of above
28. The ___________stageof labour complete when the cervix has reached full dilatation – about 10 cm diameter
depending on the size of the foetal head – to allow the foetal head through to proceed down the vagina.
a. 1st stage c. 3rd stage
b. 2nd stage d. 4th stage
29. The enclosed space between the inlet and outlet is called the _________.
a) Urogenital hiatus b) Pelvic diaphragm
 c) Urogenital diaphragm d) True pelvis
30. The oblique diameter of true gynaecoid pelvis outlet is ___________.
a) 28 b) 33 c) 30.5 d) 30
31. The transverse diameter of true gynaecoid pelvis outlet is ___________.
a) 28 b) 33 c) 30.5 d) 30
32. Most commonly in labour the following event occurs:
a) head enters the inlet of the maternal pelvis transversely placed, rotates in mid-cavity and leaves by the outlet
b) head enters the inlet of the maternal pelvis obliquely placed, rotates in mid-cavity and leaves by the outlet
c) head enters the inlet of the maternal pelvis transversely placed, straight in mid-cavity and leaves by the outlet
d) head enters the inlet of the maternal pelvis antero-posteriorly placed, rotates in mid-cavity and leaves by the outlet
33. The foetal skull is longest in its _________ dimension.
a) Transverse b) Anteroposterior c) Oblique d) superior
34. The layers of pelvis from superficial to deepest are:
a) Endopelvic Fascia,Levator Ani Muscles,Perineal Membrane,External Genital Muscles,External Genitalia And Skin
b) Endopelvic Fascia,Levator Ani Muscles,external genital muscles,External genitalia
c) External genitalia, Levator ani muscles, endopelvic fascia,transverse ligament,external genital muscles
d) External genitalia,external genital muscles, perineal membrane, levator ani muscles, endopelvic fascia
35. The ____________ extensions of the cardinal and uterosacral ligaments are known as the pubocervical and
rectovaginal fasciae.
a) Downwards b) Upwards c) Lateral one third d) Medial one third
36. __________ originates from the posterior pelvic surface of the body of the pubis bone.
a) Pubovaginalis c) Pubococcygeus
b) Puborectalis d) ischiococcygeus
37. The treatment options for tail bone pain include?
a. Cushion when sitting c. Ice packs, heat, ultrasound and TENS
b. Gentle mobilizations d. All of the above
38. intercostal neuralgia ……………
a) a.nerve compression in groin c) c. nerve compression in chest
b) b.nerve compression in abdomin d) inflammation of nerve
39. The pain of symphysis pubis dysfunction during pregnancy is described as a burning or ‘bruised’ feeling in and
around the joint, which may also radiate ?
a. Suprapubically and to the medial aspect of the thigh
b. Suprasternal and to the lateral aspect of the thigh
c. Suprapubically and to the medial aspect of the knee
d. Only around the joint never radiates
40. All of the following are pelvic support that are helpful for pain reduction except?
a. Tubigrip
b. Rollon
c. AFO
d. Maternity support underwear