Complications of Labor: Online Learning Quizzes for Medical Students

Question 1

Which of the following is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Lacerations including cervical, vaginal or uterine

Answer

Retained placenta

Answer

Amniotic fluid embolism

Question 2

What is the primary indication for the McRoberts maneuver?

Accepted Answer

Resolution of shoulder dystocia

Answer

Assistance in breech delivery

Answer

Repositioning of the uterus in uterine inversion

Answer

Control of bleeding in placenta previa

Question 3

What is the initial priority in the management of amniotic fluid embolism?

Accepted Answer

Immediate cardiopulmonary resuscitation and supportive care

Answer

Administration of anticonvulsants

Answer

Use of vasopressors to maintain blood pressure

Answer

Broad-spectrum antibiotics to prevent infection

Question 4

Which of the following is NOT a risk factor for postpartum hemorrhage during the active phase of labor?

Accepted Answer

Preeclampsia

Answer

Prolonged labor

Answer

Multiparity

Answer

Cervical lacerations

Question 5

Where does uterine rupture most commonly occur?

Accepted Answer

Lower uterine segment

Answer

Fundus

Answer

Lateral wall

Answer

Cervix

Question 6

In shoulder dystocia, which maneuver is primarily used to deliver the posterior arm?

Accepted Answer

Zavanelli maneuver

Answer

Woods screw maneuver

Answer

McRoberts maneuver

Answer

Rubin maneuver

Question 7

Which factor is considered the most common cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Placental abruption

Answer

Laceration of the uterus

Answer

Retained placental fragments

Question 8

What is the initial intervention recommended for a suspected uterine rupture?

Accepted Answer

Immediate laparotomy

Answer

Administration of uterotonics

Answer

Transfusion of blood products

Answer

Intravenous antibiotics

Question 9

Identify the primary goal in managing patients with HELLP syndrome:

Accepted Answer

Prompt delivery of the fetus

Answer

Administration of magnesium sulfate

Answer

Transfusion of blood products

Answer

Control of hypertension

Question 10

What is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Placenta previa

Answer

Abruptio placentae

Answer

Uterine rupture

Question 11

Which is the initial management step for uterine rupture?

Accepted Answer

Cesarean delivery

Answer

Repair the uterine tear

Answer

Hysterectomy

Answer

Blood transfusion

Question 12

What is the first maneuver to attempt in managing shoulder dystocia?

Accepted Answer

McRoberts maneuver

Answer

Woods screw maneuver

Answer

Zavanelli maneuver

Answer

Suprapubic pressure

Question 13

How can shoulder dystocia be most effectively prevented?

Accepted Answer

Monitoring for risk factors

Answer

Cesarean delivery

Answer

Episiotomy

Answer

Assisted vaginal delivery

Question 14

Which of the following is NOT a maneuver employed to address shoulder dystocia?

Accepted Answer

Episiotomy

Answer

McRoberts maneuver

Answer

Suprapubic pressure

Answer

Woods corkscrew maneuver

Question 15

What is the most common cause of secondary postpartum hemorrhage?

Accepted Answer

Retained placental fragments

Answer

Uterine subinvolution

Answer

Coagulopathy

Answer

Infection

Question 16

What is the first-line management approach for uterine rupture, emphasizing prompt intervention?

Accepted Answer

Cesarean delivery

Answer

Blood transfusion

Answer

Uterine artery embolization

Answer

Pelvic binder

Question 17

Among the listed complications, which is considered a late consequence of postpartum preeclampsia?

Accepted Answer

Stroke

Answer

Eclampsia

Answer

Hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome

Answer

Posterior reversible encephalopathy syndrome (PRES)

Question 18

According to recommended guidelines, what is the appropriate timing for a postpartum follow-up visit?

Accepted Answer

6-8 weeks

Answer

2-3 days

Answer

1-2 weeks

Answer

12-16 weeks

Question 19

Identify the primary etiology of postpartum hemorrhage:

Accepted Answer

Uterine atony

Answer

Perineal laceration

Answer

Retained placental fragments

Answer

Amniotic fluid embolism

Question 20

What specific maneuver is employed to address shoulder dystocia?

Accepted Answer

McRoberts maneuver

Answer

Stopping postpartum hemorrhage

Answer

Treating uterine prolapse

Answer

Delivering retained placental fragments

Question 21

Which of the following is NOT an indicator of placental abruption?

Accepted Answer

Normal fetal heart rate

Answer

Vaginal bleeding

Answer

Abdominal discomfort

Answer

Uterine tenderness

Question 22

In cases of cord prolapse, the primary objective of management is:

Accepted Answer

Immediate cesarean section

Answer

To halt uterine contractions through tocolysis

Answer

Manual repositioning of the cord within the uterus

Answer

Expectant management until spontaneous vaginal delivery

Question 23

What should be the initial action taken when encountering shoulder dystocia?

Accepted Answer

Request emergency assistance

Answer

Apply suprapubic pressure

Answer

Perform the McRoberts maneuver

Answer

Perform an episiotomy

Question 24

Identify the most effective preventive measure against shoulder dystocia:

Accepted Answer

Thorough prenatal assessment and timely cesarean delivery

Answer

Routine administration of epidural anesthesia

Answer

Episiotomy in all deliveries

Answer

No effective prevention method exists.

Question 25

The initial management of suspected uterine rupture includes:

Accepted Answer

Fluid resuscitation and exploratory laparotomy

Answer

Immediate hysterectomy

Answer

Conservative management with observation

Answer

Tocolytics and bed rest

Question 26

The leading cause of postpartum hemorrhage is:

Accepted Answer

Uterine atony

Answer

Lacerations

Answer

Retained placenta

Answer

Disseminated intravascular coagulation

Question 27

The McRoberts maneuver is primarily performed to:

Accepted Answer

Reduce the risk of shoulder dystocia

Answer

Control uterine bleeding

Answer

Deliver the placenta

Answer

Repair a perineal laceration

Question 28

What is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Placenta previa

Answer

Abruptio placentae

Answer

Rupture of the uterus

Question 29

Which of the following is the initial intervention for uterine rupture?

Accepted Answer

Immediate laparotomy and hysterectomy

Answer

External cephalic version

Answer

Internal podalic version

Answer

Vacuum extraction

Question 30

What maneuver is primarily used to resolve shoulder dystocia?

Accepted Answer

McRoberts maneuver

Answer

Smellie-Veit maneuver

Answer

Woods corkscrew maneuver

Answer

Rubin maneuver

Question 31

What is the first-line pharmacological agent for uterine atony?

Accepted Answer

Oxytocin

Answer

Misoprostol

Answer

Methergine

Answer

Carbetocin

Question 32

What is the most common underlying cause of shoulder dystocia?

Accepted Answer

Macrosomia

Answer

Cephalopelvic disproportion

Answer

Malposition of the fetus

Answer

Nulliparity

Question 33

What is the primary aim of the McRoberts maneuver?

Accepted Answer

To alleviate shoulder impaction

Answer

To reduce uterine bleeding

Answer

To correct fetal malposition

Answer

To facilitate placental delivery

Question 34

Identify the primary risk factor for postpartum hemorrhage:

Accepted Answer

Uterine atony

Answer

Preeclampsia

Answer

Gestational diabetes

Answer

Oligohydramnios

Question 35

Which of the following is the most common cause of uterine rupture?

Accepted Answer

Previous cesarean delivery

Answer

Prolonged labor

Answer

Macrosomia

Answer

Breech presentation

Question 36

Which intrapartum sign requires immediate intervention due to potential fetal compromise?

Accepted Answer

Late decelerations on fetal heart rate monitoring

Answer

Nausea

Answer

Bloody show

Answer

Headache

Question 37

Which maneuver is typically used as the initial intervention for shoulder dystocia?

Accepted Answer

McRoberts maneuver

Answer

Episiotomy

Answer

Cesarean delivery

Answer

Fundal pressure

Question 38

Sudden cardiovascular collapse is a characteristic of which obstetrical emergency?

Accepted Answer

Amniotic fluid embolism

Answer

Fetal distress

Answer

Uterine bleeding

Answer

Severe hypertension

Question 39

Which factor is most frequently associated with the development of postpartum endometritis?

Accepted Answer

Infection from retained placental fragments

Answer

Uterine perforation

Answer

Blood transfusion

Answer

Cesarean delivery

Question 40

Fundal placental implantation is a risk factor for which rare but serious complication?

Accepted Answer

Uterine inversion

Answer

Breech delivery

Answer

Preterm labor

Answer

Polyhydramnios

Question 41

What is the initial therapeutic intervention for puerperal sepsis?

Accepted Answer

Broad-spectrum antibiotics

Answer

Blood transfusion

Answer

Uterine evacuation

Answer

Vasopressors

Question 42

Which of the following is a sign of concealed placental abruption?

Accepted Answer

Unexplained maternal hypotension

Answer

Fetal tachycardia

Answer

Vaginal bleeding

Answer

Uterine tenderness

Question 43

The primary goal of managing chorioamnionitis is:

Accepted Answer

Delivery of the fetus and placenta

Answer

Maternal antibiotics

Answer

Induction of labor

Answer

Fetal monitoring

Question 44

A 32-year-old woman in her first pregnancy is in active labor. Her water broke 24 hours ago. She now has a fever and abdominal pain. What is the most likely diagnosis?

Accepted Answer

Chorioamnionitis

Answer

Uterine rupture

Answer

Premature rupture of membranes

Answer

Placental abruption

Question 45

During a vaginal delivery, the baby's head is born but the front shoulder remains stuck behind the pubic bone. What is the most likely diagnosis?

Accepted Answer

Shoulder dystocia

Answer

Cephalopelvic disproportion

Answer

Placental abruption

Answer

Uterine rupture

Question 46

Which of the following maneuvers is NOT recommended for managing shoulder dystocia?

Accepted Answer

Fundal pressure

Answer

McRoberts maneuver

Answer

Delivery of the posterior arm

Answer

Suprapubic pressure

Question 47

A 25-year-old woman experiences vaginal bleeding after giving birth. She has a soft uterus and significant blood loss. What is the most likely diagnosis?

Accepted Answer

Postpartum hemorrhage

Answer

Placental abruption

Answer

Uterine rupture

Answer

Disseminated intravascular coagulation

Question 48

A 30-year-old woman is delivering vaginally.  Suddenly, she experiences a sharp pain in her abdomen, and her blood pressure drops. What is the most likely diagnosis?

Accepted Answer

Uterine rupture

Answer

Premature rupture of membranes

Answer

Placental abruption

Answer

Postpartum hemorrhage

Question 49

A 36-year-old woman had a previous Cesarean delivery. She is in labor now and wants to try a vaginal birth after Cesarean (VBAC). What is the most important factor to consider when evaluating whether a VBAC is possible?

Accepted Answer

The location and type of previous Cesarean incision

Answer

Parity of the mother

Answer

Gestational age of the fetus

Question 50

A 29-year-old woman is in labor and the baby is positioned feet-first (breech). Which of the following is the most appropriate management option?

Accepted Answer

Cesarean delivery

Answer

External cephalic version

Answer

Induction of labor

Answer

Vaginal delivery with forceps