CPM Labor, Birth & Immediate Postpartum 2

Question 1

In a vertex birth, which cardinal movement occurs immediately after extension of the fetal head?

Accepted Answer

Restitution

Answer

After the head is born by extension, it untwists back into alignment with the shoulders, which is called restitution.

Question 2

The second stage of labor begins at which point?

Accepted Answer

Complete cervical dilation

Answer

The second stage runs from complete (10 cm) dilation until the baby is born.

Question 3

Which finding is NOT a typical sign of placental separation?

Accepted Answer

The cord retracting back into the vagina

Answer

When the placenta separates, the cord lengthens outward; if the cord pulls back in, the placenta has not separated.

Question 4

A presenting part at station 0 is located at the level of which landmark?

Accepted Answer

Ischial spines

Answer

Station 0 means the leading bony part is level with the ischial spines.

Question 5

Which of the following is NOT a component of the Bishop score?

Accepted Answer

Fetal heart rate baseline

Answer

The Bishop score uses dilation, effacement, station, consistency, and cervical position, not fetal heart rate.

CPM - Certified Professional Midwife Practice Test