CLASS TEST-10 (OBG)
Pranav Goyal
Date 23/10/2019
1. A 25 yr multigravida female admitted in labor
room at 8 AM on Monday. P/V finding cervix is
10 cm dilated, membrane ruptured FHR 146
bpm. After adequate uterine contraction &
effective bearing down efforts by mother at 9:30
AM fetus position at + 3 head station, FHR is
160 bpm. What is the next step of management ?
(A). Cesarean section
(B). Wait & encourage mother for bearing down
(C). Use forceps
(D). Give oxytocin injection
2. During the delivery of fetus internal rotation
occurs at which level?
(A). Pelvic Inlet (B). Ischial spine
(C). Pelvic Outlet (D). Internal Os
3. 25 Yr old primigravida female at 40 weeks
comes with true labor pain, on pelvic grip 1st
examination convergence of finger of both hand
seen. Which of the following condition not
associated with convergence of finger ?
(A). Placenta previa (B). Hydrocephalus
(C). Polyhydroamnios (D). Oligohydroamnios
4. During normal vaginal delivery twisting of fetal
head is relieved by which mechanism?
(A). Internal Rotation (B). External Rotation
(C). Restitution (D). Flexion
5. Delivery of anterior shoulder occurs by which
mechanism ?
(A). Internal Rotation (B). External Rotation
(C). Restitution (D). Flexion
6. Which of the following management approach
not included in Management of 2nd stage of labor
? in active management of 3rd stage of labor ?
(A). Encourage bearing down efforts by mother
(B). Monitor Uterine contraction with base line
FHR monitoring
(C). Promote flexion by putting force on perineum
(D). Delayed cord clamping
7. Which of the following drug not used for
cervical ripening ?
(A). Dinoprostone (B). Misoprostol
(C). Mifepristone (D). Methylergometrine
67 Metro Pillar, Main Gurjar Ki Thadi, Jaipur,302019. Mob: 9928080456, 7849875744
Run By :Dr.
Dr. Pranav Nursing Academy
8. All are the absolute contraindication of
induction of labor except ?
(A). Active genital herpes
(B). Grade 2 posterior placenta previa
(C). Classical cesarean section (D). Fetal distress
9. Normal time period of 3rd stage of Labor is ?
(A). 1 hr. (B). 30 min.
(C). 15-20 min (D). 5 min
10. Basic Target of active management of 3 rd stage
of labor is ?
(A). Decrease maternal mortality rate
(B). Decrease neonatal mortality rate
(C). Decrease duration of delivery
(D). Decrease chances rupture of uterus
11. Choose incorrect statement about Schultz
method of placental separation ?
(A). Seperation begins from center
(B). Blood loss is less
(C). Retroplacental clot not present
(D). Most common method
12. Most common cause of maternal death
immediately after delivery ?
(A). Amniotic fluid embolism (B). PPH
(C). Uterine inversion (D). Pulmonary embolism
13. All of the following are used in the treatment of
postpartum haemorrhage except ?
(A). Misoprostol (B). Mifepristone
(C). Carboprost (D). Tranexamic acid
14. Most common type of breech presentation ?
(A). Frank breech (B). Complete breech
(C). Footling (D). Knee
15. Which of the following component not included
(A). Use of oxytocics (B). Uterine massage
(C). Delayed cord clamping
(D). Intermittent Uterine tone assessment
16. All the contraindication of methylergometrine
for management of PPH except ?
(A). Twin pregnancy (B). Eclampsia
(C). Bronchial asthma
(D). Peripheral vascular disease
17. Function of Misoprostol are all except ?
(A). Ripening of cervix (B). Induction of labor
(C). Medical abortion (D). Enhance lung maturity
Page 1
 CLASS TEST-10 (OBG) Run By :Dr. Pranav Goyal

Date 23/10/2019 Dr. Pranav Nursing Academy

18. The basic concept behind delayed cord clamping

is ? Ans Key Class Test -10 (OBG)(23/10/2019)
(A). To prevent neonatal anaemia
(B). To prevent maternal anaemia Que. 1 2 3 4 5
(C). To prevent PPH Ans. C B D C B
(D). To prevent neonatal septecemia Que. 6 7 8 9 10
19. Early cord clamping should be done in all Ans. D D D C A
condition except ? Que. 11 12 13 14 15
(A). Meconium aspiration Ans. C B B B B
(B). Mother haemodynamically unstable Que. 16 17 18 19 20
(C). Cardiac defect in fetus Ans. C D A D A
(D). HIV positive mother Que. 21 22 23 24 25
20. Most common cause of Primary PPH is ? Ans. A A D C D
(A). Atonic uterus (B). RPOC
(C). Trauma (D). Coagulopathy
21. Choose the incorrect statement ?
(A). In PPH blood loss after cesarean section less
than 500 ml
(B). Most common cause of secondary PPH is
RPOC
(C). Secondary PPH occurs after 24 hr of delivery
(D). Chances of atonic PPH more common in
malnutrition
22. Application of B-lynch suture is method for ?
(A). To Prevent PPH
(B). To prevent Oligohydroamnios
(C). To prevent cervical incompetence
(D). To prevent Premature rupture of membrane
23. Involvement of internal anal sphincter seen in
which type of perineal tear ?
(A). 1st degree (B). 2nd degree
(C). 3a degree (D). 3c degree
24. Most common cause of unexpected cause of
shock after vaginal delivery ?
(A). PPH (B). Uterine Inversion
(C). Amniotic fluid embolism (D). Fat embolism
25. Chances of cord prolapsed are maximum in
which presentation ?
(A). Footling breech (B). Frank breech
(C). Complete breech (D). Shoulder presentation

67 Metro Pillar, Main Gurjar Ki Thadi, Jaipur,302019. Mob: 9928080456, 7849875744 Page 2