16. When do you have your patient call you ?

a. 5-1-1: contractions approximately every 5 minutes lasting for 1 min for 1 hour
b. Sudden gush of fluid from the vagina or a constant leakage/wtness
c. Vaginal bleeding (bloody show)
d. Decrease in fetal movement (kick counts should be 10 kicks in 2 hours)
e. All of the above

17. The three components of the cervical exam are

a. Dilatation, presentation, and effacement
b. Effacement, station, and position
c. Dilatation, effacement, and station
d. Station, dilatation, and descent
e. Presentation, station, and dilatation

18. Regarding stages of labor

a. First stage of labor ends with delivery of fetus
b. Second stage of labor is divded into latent and active phase
c. Third stage of labor lasts one hours
d. Third stage of labor begins immadiately after delivery of the infant and ends with
placental delivery

19. Intrapartum CTG a finding of late decceleration is

a. Relfied by maternal position on left side
b. Compression of fetal head mediated by vagina
c. Caused by umbilical cord compression
d. Is not worrisome if non recurrent
e. Is mostly due to placental insufficiency

20. HR variability, accelerations

a. Variability is the result of push pull of sympathetic and para sympathetic
b. Acceleration is >2 elevation of baseline FHR above 25 bpm in 30 min period
c. Acceleration with absent variability is reassuring trace
d. Moderate variability and lasck of acceleration is worrisome

21. Contraction stress test is considered positive if late decceleration occur in

a. 50% or more of contraction
b. All of contraction
c. 25% or more of contraction
d. One out of tree contraction