All Free Midwifery and Obstetric Nursing MCQs with Answers
Every Midwifery and Obstetric Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
450 questions · page 11 of 23
- A. Bacterial vaginosis
- B. Vulvovaginal candidiasis
- C. Trichomoniasis
- D. Pelvic inflammatory disease
Explanation: Vulvovaginal candidiasis commonly causes marked itching, vulval soreness and thick white discharge without a strong odour.
Correct answer: Vulvovaginal candidiasis- A. Apply a warm pack to the lower abdomen
- B. Obtain prescribed specimens before antibiotics
- C. Encourage oral fluids and bed rest
- D. Administer an analgesic before assessment
Explanation: Specimens should be collected as prescribed before antibiotics when this can be done without delaying urgent treatment, because results…
Correct answer: Obtain prescribed specimens before antibiotics- A. Cyclic pelvic pain and painful intercourse
- B. Heavy or prolonged menstrual bleeding
- C. Painful defecation during menstruation
- D. Chronic pelvic pain with infertility
Explanation: Fibroids commonly cause heavy or prolonged menstrual bleeding because they affect the uterine muscle and endometrial surface.
Correct answer: Heavy or prolonged menstrual bleeding- A. I tighten my buttocks while holding my breath
- B. I contract the muscles that stop urine flow
- C. I perform rapid contractions only when pain starts
- D. I relax my pelvic muscles whenever I lift objects
Explanation: Pelvic floor exercises involve contracting the muscles used to stop urine flow, then relaxing them regularly without holding the breath.
Correct answer: I contract the muscles that stop urine flow- A. Explain the procedure after positioning her
- B. Leave the door open for staff observation
- C. Provide privacy and explain each step beforehand
- D. Ask a relative to remain without seeking permission
Explanation: The nurse should provide privacy, explain the procedure in understandable language and confirm consent before positioning or examination.
Correct answer: Provide privacy and explain each step beforehand- A. Mild lower abdominal cramping
- B. Pulse rate of 118 beats per minute
- C. Fatigue after routine activity
- D. Mild nausea before meals
Explanation: A rapid pulse with pallor and dizziness may indicate significant blood loss and reduced circulating volume, so it requires prompt…
Correct answer: Pulse rate of 118 beats per minute- A. Place it in the correct labelled container
- B. Leave it uncovered at the bedside
- C. Add antiseptic solution to the specimen
- D. Send it without the patient's identifiers
Explanation: The specimen must be placed in the correct container and labelled accurately according to laboratory policy so that it can be processed…
Correct answer: Place it in the correct labelled container- A. Endometrial-like tissue grows outside the uterus
- B. The cervix remains permanently closed
- C. The ovaries stop producing reproductive hormones
- D. The vagina becomes infected after each period
Explanation: Endometriosis is the presence of endometrial-like tissue outside the uterine cavity, commonly causing inflammation, adhesions and cyclic…
Correct answer: Endometrial-like tissue grows outside the uterus- A. Inspect the dressing and assess vaginal bleeding
- B. Ask about the usual menstrual pattern
- C. Discuss future contraceptive choices
- D. Encourage a high-fibre evening meal
Explanation: The immediate priority is to assess for postoperative haemorrhage by checking vital signs, the incision and vaginal bleeding.
Correct answer: Inspect the dressing and assess vaginal bleeding- A. It confirms whether her fallopian tubes are open
- B. It assesses sperm count, movement and form
- C. It measures the thickness of her endometrium
- D. It identifies the day of her ovulation
Explanation: Semen analysis evaluates sperm concentration, motility and morphology, making it an important initial investigation of the male partner.
Correct answer: It assesses sperm count, movement and form- A. Bacterial vaginosis
- B. Trichomoniasis
- C. Vulvovaginal candidiasis
- D. Genital herpes infection
Explanation: Bacterial vaginosis commonly causes a thin gray or white discharge with a fishy odour.
Correct answer: Bacterial vaginosis- A. I should avoid alcohol during treatment and shortly afterward
- B. I should stop the medicine when the discharge improves
- C. I should use vaginal douching after each dose
- D. I should avoid treatment for my sexual partner
Explanation: Alcohol should be avoided during metronidazole treatment and for the recommended period afterward because a severe disulfiram-like…
Correct answer: I should avoid alcohol during treatment and shortly afterward- A. Applying local heat to the lower abdomen
- B. Limiting all oral fluids during menstruation
- C. Remaining on complete bed rest throughout the cycle
- D. Using vaginal cleansing solutions each morning
Explanation: A heating pad or warm compress can relax pelvic muscles and reduce menstrual cramping.
Correct answer: Applying local heat to the lower abdomen- A. Arrange a pregnancy test
- B. Begin iron supplementation immediately
- C. Recommend daily pelvic floor exercises
- D. Advise a low-calorie diet for one month
Explanation: Pregnancy must be excluded first in any reproductive-age woman with secondary amenorrhoea.
Correct answer: Arrange a pregnancy test- A. Mild cramping and light spotting may occur afterward
- B. The procedure requires removal of the entire uterus
- C. Heavy bleeding is expected for several weeks afterward
- D. The patient must remain fasting for three complete days
Explanation: Endometrial biopsy may cause brief cramping and light spotting because a small tissue sample is taken through the cervix.
Correct answer: Mild cramping and light spotting may occur afterward- A. Report the findings for assessment of infection
- B. Tell her to leave the pessary in place indefinitely
- C. Advise her to insert a second pessary for support
- D. Reassure her that foul discharge is always expected
Explanation: Foul-smelling discharge and pelvic discomfort may indicate vaginal infection, ulceration, or a pessary-related complication and require…
Correct answer: Report the findings for assessment of infection- A. Arrange prompt medical evaluation for possible ovarian disease
- B. Reassure her that these are normal menstrual changes
- C. Recommend vaginal douching for symptom relief
- D. Advise her to delay assessment until menopause begins
Explanation: Persistent bloating, pelvic pressure, early satiety and urinary symptoms can occur with ovarian pathology, including ovarian cancer.
Correct answer: Arrange prompt medical evaluation for possible ovarian disease- A. Bleeding after sexual intercourse
- B. Mild breast tenderness before menstruation
- C. Brief fatigue after a busy day
- D. Clear discharge during mid-cycle
Explanation: Postcoital bleeding is an important warning symptom of cervical disease and requires clinical assessment.
Correct answer: Bleeding after sexual intercourse- A. Any vaginal bleeding after menopause
- B. Occasional mild hot flushes
- C. A small increase in appetite
- D. Mild breast tenderness before sleep
Explanation: Any vaginal bleeding after menopause is abnormal and should be investigated because it may indicate endometrial or cervical disease.
Correct answer: Any vaginal bleeding after menopause- A. Place her supine, assess circulation and call for urgent help
- B. Offer oral fluids and ask her to walk slowly
- C. Apply a warm pack and reassess her after one hour
- D. Arrange a routine outpatient appointment for next week
Explanation: The symptoms suggest a ruptured ectopic pregnancy with internal bleeding.
Correct answer: Place her supine, assess circulation and call for urgent help