Here are 20 important MCQs related to the Partograph, commonly asked in nursing exams:

1. Basic Concepts of Partograph

1. What is the main purpose of a partograph?
a) To monitor fetal movements
b) To assess maternal hydration
c) To monitor the progress of labor and detect complications early
d) To measure maternal blood pressure

Answer: c) To monitor the progress of labor and detect complications early

2. When should the partograph be started?
a) At the onset of pregnancy
b) At 2 cm cervical dilation
c) When the cervix is 4 cm dilated and the woman is in active labor
d) When the fetal head is engaged

Answer: c) When the cervix is 4 cm dilated and the woman is in active labor

2. Components of Partograph

3. What is recorded on the x-axis of the partograph?
a) Cervical dilation
b) Time in hours
c) Fetal heart rate
d) Uterine contractions

Answer: b) Time in hours

4. What is plotted on the y-axis of the partograph?
a) Cervical dilation in cm
b) Maternal blood pressure
c) Pulse rate
d) Contractions

Answer: a) Cervical dilation in cm

5. The fetal heart rate should be monitored every:
a) 30 minutes
b) 1 hour
c) 15 minutes
d) 2 hours

Answer: a) 30 minutes

3. Interpretation of Partograph

6. The alert line on the partograph indicates:
a) The expected rate of cervical dilation
b) The need for immediate delivery
c) Fetal distress
d) The risk of postpartum hemorrhage

Answer: a) The expected rate of cervical dilation

7. The action line on the partograph is drawn at:
a) 2 hours after the alert line
b) 4 hours after the alert line
c) 6 hours after the alert line
d) 8 hours after the alert line

Answer: b) 4 hours after the alert line

4. Fetal and Maternal Monitoring

8. The normal range for fetal heart rate during labor is:
a) 100–120 bpm
b) 110–160 bpm
c) 90–110 bpm
d) 130–180 bpm

Answer: b) 110–160 bpm

9. What does meconium-stained amniotic fluid indicate?
a) Normal labor
b) Fetal distress
c) Maternal dehydration
d) Premature rupture of membranes

Answer: b) Fetal distress

10. How often should uterine contractions be assessed during active labor?
a) Every 10 minutes
b) Every 15 minutes
c) Every 30 minutes
d) Every hour

Answer: b) Every 15 minutes

5. Labor Progression & Management

11. A normal rate of cervical dilation in primigravida is:
a) 0.5 cm per hour
b) 1 cm per hour
c) 1.5 cm per hour
d) 2 cm per hour

Answer: b) 1 cm per hour

12. A normal rate of cervical dilation in multigravida is:
a) 0.5 cm per hour
b) 1 cm per hour
c) 1.5 cm per hour
d) 2 cm per hour

Answer: c) 1.5 cm per hour

6. Complications Detected by Partograph

13. A labor that exceeds 12 hours and does not progress is called:
a) Normal labor
b) Preterm labor
c) Prolonged labor
d) Active labor

Answer: c) Prolonged labor

14. Which condition is indicated by an increase in maternal pulse and fetal tachycardia?
a) Normal labor
b) Fetal distress
c) Pre-eclampsia
d) Hyperemesis gravidarum

Answer: b) Fetal distress

7. WHO Guidelines & Nursing Interventions

15. According to WHO, a partograph should be used in:
a) All laboring women
b) Only women with high-risk pregnancies
c) Only primigravida mothers
d) Only women in the second stage of labor

Answer: a) All laboring women

16. What is the most common indication for labor augmentation when using a partograph?
a) Fetal distress
b) Delayed cervical dilation beyond the alert line
c) Increased uterine contractions
d) Maternal request

Answer: b) Delayed cervical dilation beyond the alert line

8. Medications and Interventions

17. What is the main drug used to augment labor when labor progression is slow?
a) Oxytocin
b) Misoprostol
c) Magnesium sulfate
d) Nifedipine

Answer: a) Oxytocin

18. If a patient’s labor has crossed the action line, the next step is:
a) Continue monitoring
b) Encourage ambulation
c) Consider intervention (e.g., oxytocin or C-section)
d) Discharge the patient

Answer: c) Consider intervention (e.g., oxytocin or C-section)

9. Advanced Concepts & Case Scenarios

19. A woman in labor has a fetal heart rate of 100 bpm and meconium-stained liquor. What is the most appropriate action?
a) Continue monitoring and wait
b) Encourage walking
c) Prepare for immediate delivery or C-section
d) Increase IV fluids

Answer: c) Prepare for immediate delivery or C-section

20. What is the ideal frequency of blood pressure monitoring during labor?
a) Every 15 minutes
b) Every 30 minutes
c) Every 2 hours
d) Every 4 hours

Answer: b) Every 30 minutes