All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. Her previous pregnancies and their outcomes
• B. Her preferred time for daily exercise
• C. Her usual choice of infant clothing
• D. Her preferred hospital visiting hours

Explanation: Previous pregnancies may reveal risks such as pre-eclampsia, postpartum haemorrhage, preterm birth or caesarean delivery.

• A. 12 November 2026
• B. 5 November 2026
• C. 12 December 2026
• D. 29 October 2026

Explanation: Naegele's rule adds seven days and subtracts three months from the first day of the last menstrual period, then adds one year.

• A. Serial measurement of symphysis-fundal height
• B. Measurement of the mother's chest circumference
• C. Daily measurement of the mother's body temperature
• D. Single measurement of the mother's arm span

Explanation: Serial symphysis-fundal height measurements help identify growth restriction or excessive growth when interpreted with gestational age.

• A. Arrange urgent obstetric referral without vaginal examination
• B. Perform a digital vaginal examination to assess cervical dilatation
• C. Advise bed rest at home and review her after one week
• D. Encourage oral fluids and continue the routine antenatal assessment

Explanation: Antepartum bleeding with pain may indicate a serious obstetric complication and requires urgent assessment and referral.

• A. Haemoglobin concentration
• B. Serum amylase level
• C. Sputum acid-fast bacillus test
• D. Serum creatine kinase level

Explanation: Haemoglobin concentration is used to detect and monitor anaemia in pregnancy, which is common and may increase maternal and fetal risk.

• A. Severe headache with blurred vision
• B. Mild increase in appetite
• C. Occasional painless fetal movement
• D. Slight breast tenderness in early pregnancy

Explanation: Severe headache and blurred vision are warning symptoms of possible severe hypertension or pre-eclampsia and require prompt blood pressure…

• A. Provide a recommended tetanus-containing vaccine schedule
• B. Give a live rubella vaccine during the third trimester
• C. Delay all immunisation until after delivery
• D. Give antibiotics routinely at every antenatal visit

Explanation: A recommended tetanus-containing vaccine schedule helps develop maternal antibodies that can protect the newborn from neonatal tetanus.

• A. I should eat a varied diet and take prescribed iron and folate supplements
• B. I should avoid pulses because they cause anaemia in pregnancy
• C. I should stop eating vegetables if I develop nausea
• D. I should replace meals with tea to prevent excessive weight gain

Explanation: A varied diet supplies energy and nutrients, while prescribed iron and folate support maternal blood formation and fetal development.

• A. Arrange urgent assessment and referral for possible pre-eclampsia
• B. Reassure her that the finding is normal in late pregnancy
• C. Ask her to return at the next scheduled antenatal visit
• D. Advise her to restrict all oral fluids until delivery

Explanation: Marked hypertension with proteinuria suggests pre-eclampsia and needs urgent assessment for maternal and fetal complications.

• A. A woman with a documented twin pregnancy
• B. A woman at 20 weeks with normal blood pressure
• C. A woman with mild morning nausea and normal examination
• D. A woman with normal fetal growth and no medical history

Explanation: Twin pregnancy increases the risks of anaemia, preterm birth, fetal growth problems and other complications, so it requires closer…

• A. Measuring blood pressure and checking for oedema
• B. Testing visual acuity and assessing hearing
• C. Checking muscle power and joint movement
• D. Measuring chest expansion and peak flow

Explanation: Blood pressure and oedema assessment help identify hypertension and fluid retention that may complicate pregnancy.

• A. Serum bilirubin testing
• B. Blood group and Rh typing
• C. Thyroid antibody testing
• D. Serum amylase testing

Explanation: ABO and Rh typing identifies women who may need assessment and management for blood group incompatibility, especially Rh sensitisation.

• A. Advise her to return at the next scheduled visit
• B. Assess the report promptly and arrange fetal evaluation
• C. Tell her that movement normally stops near term
• D. Recommend increased dietary calcium and rest

Explanation: A clear reduction in fetal movement may indicate fetal compromise and requires prompt assessment according to local referral arrangements.

• A. Perform a routine vaginal examination immediately
• B. Assess her condition and arrange urgent obstetric review
• C. Advise her to drink fluids and continue normal activity
• D. Tell her to wait until regular contractions begin

Explanation: A sudden gush may indicate rupture of the membranes, which requires assessment of maternal and fetal wellbeing and timely referral.

• A. They prevent every infection during pregnancy
• B. They reduce anaemia risk and support fetal development
• C. They guarantee that the baby will have a normal birth weight
• D. They replace the need for a balanced pregnancy diet

Explanation: Iron supports maternal haemoglobin production, while folic acid supports early fetal neural development and helps prevent folate…

• A. About 10 weeks
• B. About 15 weeks
• C. About 20 weeks
• D. About 25 weeks

Explanation: Gestational age is counted from the first day of the last menstrual period.

• A. Mild nausea after breakfast
• B. Occasional painless leg cramps
• C. Severe headache with blurred vision
• D. Increased urinary frequency in early pregnancy

Explanation: Severe headache with blurred vision may indicate severe hypertensive disease and needs urgent assessment for maternal and fetal safety.

• A. It detects every sexually transmitted infection
• B. It can help identify protein or glucose abnormalities
• C. It confirms the exact gestational age of the fetus
• D. It measures the strength of uterine contractions

Explanation: Urinalysis can identify protein, glucose and other abnormalities that may require further assessment.

• A. Document it and provide no further follow-up
• B. Reassess the dates and arrange further evaluation
• C. Start labour induction at the same visit
• D. Advise strict bed rest until delivery

Explanation: A discrepancy may result from inaccurate dates, fetal growth restriction or another pregnancy problem, so the dates should be reviewed and…

• A. Avoid all physical activity throughout pregnancy
• B. Use safe water, nutritious food and regular hand hygiene
• C. Take antibiotics regularly even without an infection
• D. Stop attending antenatal visits when symptoms improve

Explanation: Safe water, adequate nutrition and hand hygiene reduce preventable illness and support a healthy pregnancy.