Your-Doctor Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Normal and Abnormal Labor and Delivery
Page: 1

Question 1#Print Question

A 20-year-old G1 at 38 weeks’ gestation presents with regular painful contractions every 3 to 4 minutes lasting 60 seconds. On pelvic examination, she is 3-cm dilated and 90% effaced; an amniotomy is performed and clear fluid is noted. The patient receives epidural analgesia for pain management. The fetal heart rate (FHR) tracing is reactive. One hour later on repeat examination, her cervix is 5-cm dilated and 100% effaced.

For the description of labor, select the most appropriate next step in management.

a. Initiate Pitocin augmentation
b. Place an intrauterine pressure catheter (IUPC)
c. Perform a cesarean delivery
d. Place a fetal scalp electrode
e. No intervention; labor is progressing normally


Question 2#Print Question

A 30-year-old G2P0 at 39 weeks is admitted in labor with spontaneous rupture of membranes occurring 2 hours prior to admission and regular uterine contractions. On examination, her cervix is 4-cm dilated and completely effaced. The fetal head is at 0 station and the fetal heart tracing is reactive. Two hours later, on repeat examination, her cervix is 5-cm dilated and the fetal head is at +1 station. Early decelerations are noted on the fetal heart tracing.

For the description of labor, select the most appropriate next step in management.

a. Initiate Pitocin augmentation
b. Place an intrauterine pressure catheter (IUPC)
c. Perform a cesarean delivery
d. Place a fetal scalp electrode
e. No intervention; labor is progressing normally


Question 3#Print Question

You are following a 38-year-old G2P1 at 39 weeks in labor. She has had one prior vaginal delivery of a 3800-g infant. One week ago, the estimated fetal weight was 3200 g by ultrasound. Over the past 3 hours her cervical examination remains unchanged at 6 cm. The FHR tracing is reactive. An IUPC reveals two contractions in 10 minutes with amplitude of 40 mm Hg each.

For the description of labor, select the most appropriate next step in management.

a. Initiate Pitocin augmentation
b. Place an intrauterine pressure catheter (IUPC)
c. Perform a cesarean delivery
d. Place a fetal scalp electrode
e. No intervention; labor is progressing normally


Question 4#Print Question

You are following a 22-year-old G2P1 at 39 weeks in labor. At 4-cm dilated she is given an epidural for pain management. Three hours later, her cervical examination is unchanged. Her contractions are now every 2 to 3 minutes, lasting 60 seconds. The FHR tracing is 120 beats per minute with accelerations and early decelerations.

For the description of labor, select the most appropriate next step in management.

a. Initiate Pitocin augmentation
b. Place an intrauterine pressure catheter (IUPC)
c. Perform a cesarean delivery
d. Place a fetal scalp electrode
e. No intervention; labor is progressing normally


Question 5#Print Question

You are following a 38-year-old G2P1 at 39 weeks in labor. She has had one prior vaginal delivery of a 3800-g infant. One week ago, the estimated fetal weight was 3200 g by ultrasound. Over the past 3 hours her cervical examination remains unchanged at 6 cm. The FHR tracing is reactive. An IUPC reveals two contractions in 10 minutes with amplitude of 40 mm Hg each.

For the description of labor, select the most appropriate next step in management.

a. Initiate Pitocin augmentation
b. Place an intrauterine pressure catheter (IUPC)
c. Perform a cesarean delivery
d. Perform amniotomy
e. No intervention; labor is progressing normally




Category: Obstetrics & Gynecology--->Normal and Abnormal Labor and Delivery
Page: 1 of 7