Midwifery and Obstetrical Nursing Practice Questions 8/2025: Day 175

Your Path to Midwifery Mastery

Hey, nursing superstars! Ready to dominate NORCET, RRB, KGMU, SGPGI, DSSSB, or JIPMER in 2025? Day 175 at logyanlo.in brings you a Midwifery and Obstetrical Nursing Question Bank loaded with high-yield notes on Amniocentesis, Cord Prolapse, Shoulder Dystocia, Postpartum Hemorrhage (PPH), and Active Management of Third Stage Labor. These topics are exam gold- straight from the heart of obstetrical care! Let’s dive in and make these concepts your superpower. With our Nursing Test Series 2025, you’re not just studying- you’re paving the way for top ranks!

Loading Quiz...

Why Midwifery and Obstetrical Nursing Matters

Midwifery and Obstetrical Nursing is a heavy-hitter in your exam prep. Here’s why:

• Exam Weightage: 15–20% of NORCET and RRB questions focus on labor complications and diagnostics.
• Clinical Relevance: From cord prolapse to PPH, these are real-world maternal emergencies.
• Critical Thinking: Spotting risks like fetal hypoxia or uterine atony saves lives.
• Your Edge: Mastering these sets you apart in SGPGI, JIPMER, and beyond.
  logyanlo.in’s Test Series is your go-to for acing 2025 with confidence!

Key Topics in Midwifery and Obstetrical Nursing

Amniocentesis

Quick Fact

Amniocentesis is a prenatal test sampling amniotic fluid for fetal abnormalities.

Complete Coverage

• Definition: Invasive procedure to obtain amniotic fluid for genetic or fetal health testing.
• Pathophysiology: Needle (transabdominal) aspirates fluid containing fetal cells, enzymes.
• Indications: Chromosomal disorders (Down syndrome), neural tube defects, lung maturity.
• Clinical Signs: Performed at 15–20 weeks gestation; ultrasound-guided.
• Diagnostics:
  • Karyotyping: Detects aneuploidy (e.g., trisomy 21).
  • AFP (alpha-fetoprotein): Elevated in spina bifida.
  • L/S ratio: Assesses lung maturity (>2:1 indicates maturity).
• Complications: Miscarriage (0.5–1%), infection, amniotic fluid leak, fetal injury.
• Risk Factors: Advanced maternal age (>35), abnormal ultrasound, family history.
• Monitoring: Fetal heart rate, maternal cramping, bleeding post-procedure.
• Exam Tip: Know amniocentesis risks and AFP for NORCET questions.
• Why It Matters: Critical for diagnosing fetal anomalies, guiding pregnancy management.

Cord Prolapse

Quick Fact

Cord prolapse is when the umbilical cord slips below the fetus, risking hypoxia.

Complete Coverage

• Definition: Umbilical cord descends through cervix before or with fetus, often during labor.
• Pathophysiology: Cord compression → reduced blood flow → fetal hypoxia, bradycardia.
• Clinical Signs: Fetal heart rate deceleration (<110 bpm), cord visible/palpable in vagina.
• Risk Factors: Premature rupture of membranes, polyhydramnios, breech presentation.
• Diagnostics:
  • Fetal monitoring: Variable decelerations, bradycardia.
  • Vaginal exam: Palpates cord or pulsation.
  • Ultrasound: Confirms cord position (if time permits).
• Complications: Fetal hypoxia, brain damage, stillbirth, emergency C-section.
• Types: Overt (cord visible), occult (cord beside presenting part).
• Monitoring: Continuous fetal heart rate, maternal vital signs, labor progression.
• Exam Pearl: Know fetal bradycardia as key sign for RRB questions.
• Why It Matters: Obstetric emergency requiring immediate delivery to save fetus.

Shoulder Dystocia

Quick Fact

Shoulder dystocia is when the fetal shoulder is impacted behind the pubic symphysis.

Complete Coverage

• Definition: Obstructed vaginal delivery due to fetal shoulder trapped behind maternal pelvis.
• Pathophysiology: Anterior shoulder impacted → delayed delivery → risk of hypoxia.
• Clinical Signs: “Turtle sign” (head retracts), failure to deliver shoulders post-head.
• Risk Factors: Macrosomia (>4000g), maternal diabetes, prolonged second stage, obesity.
• Diagnostics:
  • Clinical diagnosis during delivery (no imaging).
  • Fetal monitoring: Detects distress (bradycardia).
• Complications: Brachial plexus injury (Erb’s palsy), clavicle fracture, fetal hypoxia.
• Associated Conditions: Gestational diabetes, post-term pregnancy.
• Monitoring: Fetal heart rate, maternal exhaustion, time since head delivery.
• Exam Tip: Know “turtle sign” and macrosomia for SGPGI questions.
• Why It Matters: Life-threatening for fetus, requires rapid resolution.

Postpartum Hemorrhage (PPH)

Quick Fact

PPH is excessive bleeding (>500 mL vaginal, >1000 mL C-section) post-delivery.

Complete Coverage

• Definition: Blood loss exceeding 500 mL (vaginal) or 1000 mL (C-section) within 24 hours post-delivery.
• Pathophysiology: Uterine atony (70%), trauma, retained placenta, coagulopathy → uncontrolled bleeding.
• Clinical Signs: Heavy vaginal bleeding, boggy uterus, hypovolemic shock (tachycardia, hypotension).
• Risk Factors: Prolonged labor, multiple gestation, grand multiparity, fibroids.
• Diagnostics:
  • Visual estimation of blood loss (often underestimated).
  • Labs: ↓ Hemoglobin, ↑ INR (coagulopathy).
  • Ultrasound: Detects retained products.
• Complications: Shock, DIC, hysterectomy, maternal death.
• Types: Primary (within 24 hours), secondary (24 hours–6 weeks).
• Monitoring: Vital signs, fundal height, lochia volume, urine output.
• Exam Pearl: Know uterine atony as primary cause for JIPMER questions.
• Why It Matters: Leading cause of maternal mortality, requires urgent stabilization.

Active Management of Third Stage Labor

Quick Fact

Active management of third stage labor reduces PPH risk by aiding placental delivery.

Complete Coverage

• Definition: Controlled process to expedite placental delivery and prevent PPH.
• Pathophysiology: Uterine contraction → placental separation → expulsion, minimizing bleeding.
• Components:
  • Oxytocin (10 IU IM/IV post-delivery).
  • Controlled cord traction (Brandt-Andrews maneuver).
  • Uterine massage post-placenta delivery.
• Clinical Signs: Firm uterus, minimal bleeding, placenta delivered within 5–30 minutes.
• Diagnostics: Visual inspection of placenta (completeness), monitoring blood loss.
• Complications: Retained placenta, uterine inversion, PPH (if mismanaged).
• Risk Factors for Failure: Uterine atony, abnormal placentation (e.g., placenta accreta).
• Monitoring: Uterine tone, bleeding volume, maternal vital signs.
• Exam Tip: Know oxytocin dose and cord traction for DSSSB questions.
• Why It Matters: Reduces PPH incidence by 60%, critical for maternal safety.

Why logyanlo.in?

We’re your exam buddy! Our Test Series offers:

• Free NORCET & RRB 2025 question banks with crystal-clear notes.
• Mobile-friendly quizzes for anytime, anywhere prep.
• Mock tests tailored for KGMU, SGPGI, DSSSB, JIPMER.
• High-yield content to master midwifery and obstetrical emergencies.
• Join our Telegram/WhatsApp groups for tips and peer support!

Conclusion: Your 2025 Triumph Awaits

Ready to ace NORCET & RRB 2025? Day 175’s Midwifery and Obstetrical Nursing Question Bank at logyanlo.in is your key to mastering amniocentesis, cord prolapse, shoulder dystocia, PPH, and active management of third stage labor. These notes are crafted to make you exam-ready with no fluff—just pure, rank-winning content! Dive into our Daily Question Bank for free practice and claim your top spot!

Call to Action

Jump into the Nursing Test Series 2025! Hit the Daily Question Bank for free daily quizzes and secure your dream rank!