All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. They suppress ovulation and thicken cervical mucus
• B. They destroy sperm after ejaculation in the vagina
• C. They block implantation by causing uterine infection
• D. They prevent the release of semen from the penis

Explanation: Combined pills contain oestrogen and progestin, which mainly suppress ovulation and also thicken cervical mucus.

• A. Bone mineral density may decrease during use
• B. Permanent infertility usually follows the injections
• C. Severe hypertension occurs in nearly every user
• D. Protection against sexually transmitted infections increases

Explanation: Depot medroxyprogesterone acetate may cause a reversible reduction in bone mineral density, so counselling should include lifestyle and…

• A. Arrange pregnancy assessment and check for device displacement
• B. Tell her that missing threads are always harmless
• C. Advise her to push the device back into position
• D. Recommend removing the device without an examination

Explanation: Absent threads with a missed period may indicate pregnancy, expulsion, perforation, or retracted threads.

• A. Levonorgestrel emergency contraception
• B. Combined pills continued for three months
• C. A routine antibiotic course
• D. A daily iron supplement alone

Explanation: Levonorgestrel emergency contraception is used as soon as possible after unprotected intercourse and is effective within the recommended…

• A. Refer for assessment of the abnormal bleeding
• B. Insert the implant and ignore the bleeding
• C. Give an oestrogen dose without assessment
• D. Advise permanent sterilisation immediately

Explanation: Unexplained vaginal bleeding should be assessed before implant insertion because important causes, including pregnancy or cervical and…

• A. I understand that the method is intended to be permanent
• B. I can have the tubes reopened whenever I choose
• C. The procedure protects me from HIV infection
• D. My periods will definitely stop after the procedure

Explanation: Tubal sterilisation is intended to provide permanent contraception, so the client must understand its permanence and available…

• A. Pregnancy is most likely around ovulation
• B. Pregnancy is impossible during the first cycle day
• C. Pregnancy cannot occur after intercourse before ovulation
• D. Pregnancy is most likely only after the next menstruation

Explanation: Fertility is highest during the days surrounding ovulation because sperm may survive for several days and the ovum remains viable for a…

• A. Discuss her informed choice and method timing before discharge
• B. Select a method without asking about her preference
• C. Delay all contraception until menstruation returns
• D. Advise that breastfeeding prevents pregnancy for one year

Explanation: Postpartum counselling should respect informed choice and consider breastfeeding, medical eligibility, timing, and the woman's…

• A. Male condoms
• B. Combined oral pills
• C. Contraceptive implant
• D. Calendar method

Explanation: The contraceptive implant is a long-acting reversible method with very high effectiveness because it does not depend on daily or…

• A. Advise her to rest with the leg elevated
• B. Tell her to take the next pill with food
• C. Arrange urgent medical assessment for possible thrombosis
• D. Reassure her that mild leg discomfort is expected

Explanation: Unilateral calf pain and swelling may indicate deep vein thrombosis, a serious complication associated with combined hormonal…

• A. Continue the implant without any additional method
• B. Use a nonhormonal method or another suitable method during treatment
• C. Double the implant dose to overcome the interaction
• D. Remove the implant because it causes tuberculosis treatment failure

Explanation: Rifampicin induces liver enzymes and can reduce the effectiveness of some hormonal implants.

• A. It routinely causes an early medical abortion
• B. It prevents or delays ovulation before pregnancy is established
• C. It destroys an implanted embryo in the uterus
• D. It is used to treat infertility after conception

Explanation: Emergency contraceptive pills mainly prevent or delay ovulation and do not terminate an established pregnancy.

• A. It releases estrogen to stop all menstrual bleeding
• B. It thickens cervical mucus and changes the endometrium
• C. It blocks both fallopian tubes permanently
• D. It destroys sperm throughout the entire bloodstream

Explanation: The levonorgestrel intrauterine system releases a progestin that thickens cervical mucus and makes the endometrium unsuitable for…

• A. The pills remain fully effective during any illness
• B. She should use additional contraception while absorption may be affected
• C. She should take two pills every hour until symptoms stop
• D. She should stop all contraception permanently

Explanation: Vomiting or severe diarrhoea can prevent absorption of oral contraceptive hormones and reduce protection.

• A. It protects against HIV and other sexually transmitted infections
• B. It is intended as a permanent method of contraception
• C. It causes immediate menopause after the procedure
• D. It can always be reversed successfully when desired

Explanation: Tubal sterilisation is intended to be permanent, so the decision requires voluntary informed consent and discussion of alternatives.

• A. Start it today because breastfeeding prevents blood clots
• B. Delay it and discuss a progestin-only or nonhormonal method
• C. Use it only on days when intercourse is expected
• D. Take two pills daily to improve milk production

Explanation: Combined hormonal contraception is generally avoided early after birth because postpartum venous thromboembolism risk is increased, and…

• A. Menstrual bleeding may become heavier and cramps may increase
• B. Menstruation always stops permanently after insertion
• C. The device usually causes severe fever every month
• D. Bleeding becomes lighter because copper suppresses ovulation

Explanation: A copper intrauterine device may cause heavier or longer menstrual bleeding and increased cramping, especially during the first months.

• A. She must wait until three normal periods have occurred
• B. Fertility usually returns quickly after removal
• C. Pregnancy is impossible for one year after removal
• D. She needs emergency contraception before attempting pregnancy

Explanation: The contraceptive effect of an implant ends after removal, and fertility usually returns quickly.

• A. Combined oral contraceptive pills
• B. Depot medroxyprogesterone acetate
• C. A progestin contraceptive implant
• D. A copper intrauterine device

Explanation: The copper intrauterine device is nonhormonal and provides highly effective, reversible contraception.

• A. Use an oil-based lubricant with the condom
• B. Use a water-based or silicone-based lubricant
• C. Apply two condoms together for extra protection
• D. Store condoms in a wallet until they are needed

Explanation: Water-based or silicone-based lubricants reduce friction without weakening latex.