**Multiple Choice**
1. Which hormone is primarily responsible for
initiating uterine contractions during labour?
- a) Progesterone
- b) Oestrogen
- c) Oxytocin
- d) Prolactin
**Answer:** c) Oxytocin
2. What is the normal range for foetal heart rate
during labour?
- a) 60–100 bpm
- b) 110–160 bpm
- c) 170–200 bpm
- d) 200–220 bpm
**Answer:** b) 110–160 bpm
3. Which of the following is a sign of the onset
of true labour?
- a) Irregular contractions
- b) Contractions relieved by rest
- c) Progressive cervical dilation
- d) No change in cervical effacement
**Answer:** c) Progressive cervical dilation
4. The first stage of labour ends with:
- a) Delivery of the baby
- b) Full cervical dilation
- c) Expulsion of the placenta
- d) Rupture of membranes
**Answer:** b) Full cervical dilation
5. What is the most common presentation of the
foetus at delivery?
- a) Breech
- b) Face
- c) Vertex
- d) Shoulder
**Answer:** c) Vertex
6. Which of the following is NOT a
recommended pain relief method in labour?
- a) Epidural anaesthesia
- b) Paracetamol
- c) General anaesthesia (routine use)
- d) Entonox (gas and air)
**Answer:** c) General anaesthesia (routine
use)
7. The second stage of labour refers to:
- a) Onset of contractions to full dilation
- b) Full dilation to delivery of baby
- c) Delivery of baby to delivery of placenta
- d) Rupture of membranes to delivery
**Answer:** b) Full dilation to delivery of
baby
8. Which instrument is commonly used to
monitor labour progress?
- a) Sphygmomanometer
- b) Partograph
- c) Otoscope
- d) Glucometer
**Answer:** b) Partograph[9]
9. What is the primary risk of prolonged rupture
of membranes?
- a) Hypertension
- b) Infection
- c) Haemorrhage
- d) Preterm labour
**Answer:** b) Infection
10. The term "station" in labour refers to:
- a) Foetal heart rate
- b) Position of the placenta
- c) Descent of the foetal head in relation to
the ischial spines
- d) Maternal blood pressure
**Answer:** c) Descent of the foetal head in
relation to the ischial spines
**True or False**
11. The latent phase is part of the first stage of
labour.
- **Answer:** True