Complications of Labor: Multiple-Choice Quizzes for Nursing Students

Question 1

Immediate surgical delivery (cesarean section) is the preferred treatment for:

Accepted Answer

Uterine rupture

Answer

Uterine massage

Answer

Blood transfusion

Answer

Antibiotic therapy

Question 2

Which of the following is NOT a potential complication of uterine rupture?

Accepted Answer

Appendicitis

Answer

Maternal death

Answer

Fetal hypoxia

Answer

Delayed placental separation

Question 3

Which of the following is a classic sign of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Vaginal laceration

Answer

Hypertension

Answer

Umbilical cord prolapse

Question 4

The first-line treatment for uterine rupture involves:

Accepted Answer

Laparotomy and uterine repair

Answer

Oxytocin infusion

Answer

Cesarean section

Answer

Manual exploration of the uterus

Question 5

Shoulder dystocia refers to:

Accepted Answer

The fetal head becoming stuck against the maternal symphysis pubis

Answer

A breech presentation of the fetus

Answer

The presence of a nuchal cord around the fetal neck

Answer

Premature detachment of the placenta from the uterine wall

Question 6

Classify uterine ruptures based on their location and extent.

Accepted Answer

A. Complete, B. Incomplete, C. Cervical, D. Fundal

Answer

A. Longitudinal, B. Transverse, C. Oblique, D. Vertical

Answer

A. Placental abruption, B. Amniotic fluid embolism, C. Uterine inversion, D. Couvelaire uterus

Answer

A. Spontaneous, B. Traumatic, C. Iatrogenic, D. Postpartum

Question 7

The initial management of uterine rupture includes:

Accepted Answer

Immediate surgery

Answer

Administration of oxytocin

Answer

Manual removal of the placenta

Answer

Fetal heart rate monitoring

Question 8

The first-line treatment for postpartum hemorrhage is:

Accepted Answer

Uterine massage

Answer

Administration of ergotamine

Answer

Placement of a Foley catheter

Answer

Hysterectomy

Question 9

Which of the following is **NOT** a sign of placental abruption?

Accepted Answer

Elevated maternal blood pressure

Answer

Vaginal bleeding

Answer

Uterine tenderness

Answer

Fetal distress

Question 10

The management of uterine rupture includes:

Accepted Answer

Laparotomy and hysterectomy

Answer

Administration of tocolytics

Answer

External cephalic version

Answer

Amnioinfusion

Question 11

What is the most common fetal outcome associated with uterine rupture during labor?

Accepted Answer

Fetal death

Answer

Apgar score below 7 at five minutes

Answer

Neurological damage

Answer

Premature birth

Question 12

Which of the following factors poses the greatest risk for postpartum hemorrhage?

Accepted Answer

Uterine relaxation

Answer

Multiple pregnancies

Answer

Placental malposition

Answer

Air embolism

Question 13

In the event of suspected uterine rupture, which immediate nursing action is most appropriate?

Accepted Answer

Prepare for imminent surgical intervention

Answer

Administer oxytocin

Answer

Conduct a vaginal examination

Answer

Elevate the patient's legs

Question 14

Which type of episiotomy involves an angled incision at approximately 45 degrees?

Accepted Answer

Mediolateral

Answer

Midline

Answer

Lateral

Answer

Incomplete

Question 15

Among the causes of maternal mortality during labor, which is the most prevalent?

Accepted Answer

Postpartum hemorrhage

Answer

Amniotic fluid embolism

Answer

Uterine rupture

Answer

Sepsis

Question 16

In the management of uterine rupture, what intervention is the immediate priority?

Accepted Answer

Immediate cesarean section and uterine repair

Answer

Administration of oxytocin to promote uterine contractions

Answer

External uterine massage to reduce bleeding

Answer

Vaginal delivery to avoid further uterine trauma

Question 17

What is the main symptom commonly associated with placental abruption?

Accepted Answer

Vaginal bleeding, often dark or concealed

Answer

Abdominal pain, which may be sudden and severe

Answer

Uterine tenderness or rigidity

Answer

Fetal bradycardia or other signs of fetal distress

Question 18

In the management of cord prolapse, which intervention is a priority?

Accepted Answer

Immediate cesarean section to prevent cord compression

Answer

Trendelenburg position to improve fetal oxygenation

Answer

Vaginal examination to assess cord location and fetal status

Answer

Amnioinfusion to create a buffer between the cord and the presenting part

Question 19

Which etiology is most commonly associated with amniotic fluid embolism?

Accepted Answer

Placental abruption, where placental fragments enter the maternal circulation

Answer

Preeclampsia, a condition of high blood pressure and protein in the urine

Answer

Uterine rupture, a tear in the uterine muscle

Answer

Chorioamnionitis, an infection of the amniotic membranes and fluid

Question 20

Fetal bradycardia during labor is significant because it suggests:

Accepted Answer

Insufficient oxygen supply to the fetus

Answer

Immediate need for cesarean delivery

Answer

Normal finding in uncomplicated labor

Answer

No need for further evaluation

Question 21

Identify the primary cause of postpartum hemorrhage.

Accepted Answer

Uterine Atony

Answer

Placental Abruption

Answer

Retained Placenta

Answer

Cervical Laceration

Question 22

As a first-line approach, which maneuver is employed to resolve shoulder dystocia?

Accepted Answer

McRoberts Maneuver

Answer

Zavanelli Maneuver

Answer

Wood's Corkscrew Maneuver

Answer

Symphysiotomy

Question 23

In cases of cord prolapse, what is the immediate course of action?

Accepted Answer

Cesarean Section

Answer

Vaginal Delivery

Answer

Breech Extraction

Answer

Fetal Monitoring

Question 24

Which condition is a contraindication for vacuum extraction?

Accepted Answer

Active Genital Herpes

Answer

Fetal Distress

Answer

Insufficient Cervical Dilatation

Answer

Malpresentation

Question 25

When treating postpartum endometritis, what is the primary line of therapy?

Accepted Answer

Administration of Broad-Spectrum Antibiotics

Answer

Administration of Oxytocin

Answer

Uterine Massage

Answer

Use of Antipyretics

Question 26

A labor complication often requires a team approach. Which healthcare professionals typically work together to manage these situations?

Accepted Answer

Physicians, nurses, midwives, and anesthesiologists

Answer

Physicians only

Answer

Nurses and midwives only

Answer

Midwives only

Question 27

Which statement accurately describes the relationship between uterine rupture and placental abruption?

Accepted Answer

Uterine rupture can happen because of placental abruption, which weakens the uterine wall.

Answer

Placental abruption is a common complication of uterine rupture, where the placenta detaches because of the rupture.

Answer

Uterine rupture and placental abruption are not related and can happen separately during labor.

Answer

Placental abruption always causes uterine rupture during labor.

Question 28

During labor, which ethical principle should nurses prioritize when managing complications?

Accepted Answer

Respecting patient autonomy and obtaining informed consent

Answer

Preserving life at all costs

Answer

Following physician orders without question

Question 29

What is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Placenta accreta

Answer

Lacerations

Answer

Disseminated intravascular coagulation

Question 30

What is the nursing priority in managing shoulder dystocia?

Accepted Answer

Ensuring fetal well-being

Answer

Preventing uterine inversion

Answer

Controlling maternal bleeding

Answer

Administering pain medication

Question 31

What is the recommended management for a woman with a complete placenta previa?

Accepted Answer

Cesarean delivery

Answer

Vaginal delivery

Answer

Induction of labor

Answer

Conservative management

Question 32

How can cultural and social factors impact the management of labor complications? Describe two strategies for providing culturally sensitive care.

Accepted Answer

Offer interpreters and culturally relevant educational materials.

Accepted Answer

Respect and integrate patients' cultural beliefs and values into their care.

Answer

Disregard cultural beliefs and values.

Answer

Presume that all patients share the same cultural beliefs and values.

Question 33

Which of the following is a primary predisposing factor for postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Advanced maternal age

Answer

Obesity

Answer

Pre-eclampsia

Question 34

What is the immediate management of uterine rupture?

Accepted Answer

Immediate cesarean delivery with hysterectomy

Answer

Vaginal delivery assisted with forceps

Answer

Uterine repair with laparotomy

Answer

Conservative management with bed rest

Question 35

What is the initial nursing intervention for managing an umbilical cord prolapse?

Accepted Answer

Maintain constant upward pressure on the presenting part while preparing for emergency cesarean delivery

Answer

Administer oxygen to the mother

Answer

Prepare for emergency cesarean delivery only

Question 36

What is the primary cause of maternal mortality in the United States?

Accepted Answer

Obstetric hemorrhage

Answer

Cardiovascular disease

Answer

Sepsis

Question 37

What is the recommended position for a woman with a posterior presentation to facilitate labor?

Accepted Answer

Hands and knees

Answer

Sitting upright

Answer

Left lateral

Answer

Supine

Question 38

Which of the following is a known risk factor for postpartum hemorrhage?

Accepted Answer

Primiparity

Answer

Prolonged labor

Answer

Advanced maternal age

Answer

Multiple gestation

Question 39

Immediate laparotomy is the first-line treatment for which of the following complications?

Accepted Answer

Uterine rupture

Answer

Shoulder dystocia

Answer

Chorioamnionitis

Answer

Eclampsia

Question 40

Potential complications of shoulder dystocia include:

Accepted Answer

Brachial plexus injury

Answer

Preeclampsia

Answer

Placental abruption

Answer

Gestational diabetes

Question 41

The primary objective of eclampsia treatment is to:

Accepted Answer

Control seizures and prevent recurrence

Answer

Lower blood pressure

Answer

Manage electrolyte imbalances

Answer

Enhance fetal oxygenation

Question 42

Which of the following is NOT a potential cause of uterine inversion?

Accepted Answer

Preeclampsia

Answer

Prolonged labor

Answer

Fundal traction during delivery

Answer

Uterine atony

Question 43

Recommended treatment for chorioamnionitis involves:

Accepted Answer

Antibiotics and expectant management

Answer

Immediate cesarean delivery

Answer

Antibiotics only

Answer

Bed rest and observation

Question 44

A primiparous patient at 39 weeks gestation presents with a sudden gush of clear fluid and reports intense abdominal pain. On assessment, the nurse finds the fetus in a breech presentation and feels a palpable, tender mass above the symphysis pubis. Which complication is most likely suspected?

Accepted Answer

Uterine rupture

Answer

Placental abruption

Answer

Amniotic fluid embolism

Answer

Uterine inversion

Question 45

A woman in active labor experiences a sudden decrease in fetal heart rate with variable decelerations. The nurse performs a vaginal exam and finds a prolapsed cord. What is the most appropriate initial nursing action?

Accepted Answer

Elevate the presenting part with a sterile gloved hand.

Answer

Administer oxygen to the mother.

Answer

Prepare for an immediate cesarean section.

Answer

Call for immediate assistance from the provider.

Question 46

A postpartum patient is experiencing excessive vaginal bleeding after a vaginal delivery. Which of the following interventions is NOT recommended for the management of postpartum hemorrhage?

Accepted Answer

Administering a bolus of intravenous fluids.

Answer

Performing fundal massage.

Answer

Assessing for lacerations.

Answer

Administering uterotonic medications.

Question 47

A woman in active labor is experiencing a prolonged second stage of labor. During the assessment, the nurse notes that the fetal head is visible at the vaginal introitus but fails to descend further. Which complication is most likely suspected?

Accepted Answer

Shoulder dystocia

Answer

Placental abruption

Answer

Uterine rupture

Answer

Cord prolapse

Question 48

During a labor induction, a woman's contractions become increasingly frequent and intense, causing fetal heart rate decelerations. The nurse suspects uterine hyperstimulation. What is the most appropriate initial nursing intervention?

Accepted Answer

Discontinue the oxytocin infusion.

Answer

Administer oxygen to the mother.

Answer

Perform a vaginal exam.

Answer

Prepare for an immediate cesarean section.

Question 49

A woman with a history of previous cesarean births is in active labor. The nurse is monitoring for signs and symptoms of uterine rupture. Which of the following is NOT a typical sign of uterine rupture?

Accepted Answer

Increased fetal heart rate variability.

Answer

Non-reassuring fetal heart rate pattern.

Answer

Abdominal pain.

Answer

Vaginal bleeding.

Question 50

A woman in labor is diagnosed with a precipitous delivery. What is the most important nursing intervention to prevent injury to the mother and fetus?

Accepted Answer

Assist the woman with pushing and control the rate of descent of the baby.

Answer

Administer tocolytics to slow down labor.

Answer

Call for immediate assistance from the provider.

Answer

Prepare for an immediate cesarean section.

Question 51

During the assessment of a laboring woman, the nurse notices that the fetal heart rate is consistently in the 170s. What is the most likely cause of this finding?

Accepted Answer

Fetal tachycardia

Answer

Variable decelerations

Answer

Early decelerations

Answer

Fetal bradycardia

Question 52

A woman in active labor is experiencing a prolonged second stage of labor. The nurse suspects that the fetus may be experiencing a shoulder dystocia. What is the most appropriate initial nursing action?

Accepted Answer

Call for additional help and prepare for a McRoberts maneuver.

Answer

Perform a vaginal exam.

Answer

Administer oxygen to the mother.

Answer

Prepare for immediate cesarean section.

Question 53

A woman is admitted to the labor and delivery unit with a diagnosis of premature rupture of membranes (PROM). What is the primary nursing concern in this situation?

Accepted Answer

Infection

Answer

Cord prolapse

Answer

Premature labor

Answer

Fetal distress