NARM Labor and Delivery — Questions and Answers
Question 1: What are the three stages of labor?
- Cervical dilation, delivery of baby, delivery of placenta (Correct answer)
- Contractions, delivery, recovery
- Early, active, transition
- Admission, delivery, discharge
Correct answer: Cervical dilation, delivery of baby, delivery of placenta
Labor has three distinct stages from start to completion.
Question 2: What is normal fetal heart rate during labor?
- 110-160 beats per minute (Correct answer)
- 60-80 bpm
- 180-220 bpm
- 200-240 bpm
Correct answer: 110-160 beats per minute
Normal range is faster than an adult heart rate.
Question 3: What is shoulder dystocia?
- Babys shoulder stuck behind pubic bone during delivery - emergency (Correct answer)
- Normal delivery part
- Breech type
- Mothers shoulder issue
Correct answer: Babys shoulder stuck behind pubic bone during delivery - emergency
This emergency occurs when the baby gets stuck during delivery.
Question 4: How to distinguish true from false labor?
- True: regular progressive contractions with cervical change; false: irregular, no change (Correct answer)
- They are identical
- False is painful, true is not
- True starts in back only
Correct answer: True: regular progressive contractions with cervical change; false: irregular, no change
Progressive cervical change is the key difference.
Question 5: What is meconium-stained fluid?
- Fetal stool in amniotic fluid indicating possible distress and aspiration risk (Correct answer)
- Normal fluid
- Bloody fluid
- Fluid with vernix
Correct answer: Fetal stool in amniotic fluid indicating possible distress and aspiration risk
Fetal stool in fluid can signal distress and create breathing risks.
Question 6: What is intermittent auscultation?
- Periodic fetal heart rate monitoring during labor using doppler (Correct answer)
- Mothers heartbeat check
- Fluid level check
- Contraction measurement
Correct answer: Periodic fetal heart rate monitoring during labor using doppler
Periodic listening assesses fetal well-being during labor.
What are the three stages of labor?