All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. Take it only after pain becomes severe
• B. Take it with food and avoid exceeding the prescribed dose
• C. Stop it immediately if menstrual bleeding becomes lighter
• D. Use it together with another NSAID for better relief

Explanation: Ibuprofen reduces prostaglandin-related pain and is best taken with food to reduce gastric irritation.

• A. Apply a warm compress to the lower abdomen
• B. Encourage oral fluids and observe her response
• C. Keep her nil by mouth and notify the gynaecology team
• D. Provide a high-fibre meal to prevent constipation

Explanation: Ovarian torsion can compromise blood flow and usually requires urgent surgical assessment.

• A. A regular cycle with mild breast tenderness
• B. Twelve months without menstruation in a woman of typical age
• C. One missed period after emotional stress
• D. Mild cramps on the first day of bleeding

Explanation: Natural menopause is identified retrospectively after 12 consecutive months without menstruation when another cause is not present.

• A. Teach her to avoid coughing after surgery
• B. Confirm consent and document her baseline urinary function
• C. Give a laxative immediately before transfer to theatre
• D. Restrict all oral fluids for 24 hours before surgery

Explanation: Consent and baseline assessment, including urinary function, are important before gynaecological surgery.

• A. I can lift heavy buckets once the incision feels comfortable
• B. I should report fever, heavy bleeding or foul-smelling discharge
• C. I should insert tampons if vaginal spotting continues
• D. I can resume vaginal intercourse as soon as pain improves

Explanation: Fever, heavy bleeding and foul-smelling discharge may indicate infection or postoperative haemorrhage and require review.

• A. Ovarian hormone production
• B. Patency and shape of the fallopian tubes
• C. Sperm concentration and motility
• D. Thickness of the vaginal epithelium

Explanation: Hysterosalpingography uses contrast imaging to assess the uterine cavity and whether the fallopian tubes are open.

• A. Ignore mild bleeding because it is always expected
• B. Attend scheduled reviews and report pain, bleeding or unusual discharge
• C. Wash the pessary with strong disinfectant every morning
• D. Keep the pessary in place permanently without follow-up

Explanation: Regular review helps assess vaginal tissue, pessary position and the need for cleaning or replacement.

• A. Irregular ovulation can result from hormonal imbalance
• B. The uterus produces excessive menstrual blood every month
• C. The cervix permanently blocks the menstrual flow
• D. The ovaries always stop producing all hormones

Explanation: Polycystic ovary syndrome commonly involves irregular or absent ovulation, which causes irregular menstrual cycles.

• A. Collect the specimen after cleansing the vagina with antiseptic
• B. Use the supplied sterile swab and avoid touching the swab tip
• C. Place the swab on the bedside table before labelling it
• D. Send the specimen without patient identification to preserve privacy

Explanation: The sterile swab tip must remain uncontaminated, and the specimen should be placed in the correct container, labelled and sent promptly.

• A. Offer a warm blanket and reassess in four hours
• B. Give a live vaccine to strengthen immunity
• C. Notify the oncology team promptly and follow neutropenic fever protocol
• D. Advise her to take leftover antibiotics from home

Explanation: Fever and chills during chemotherapy may indicate a serious infection in a patient with reduced neutrophil function.

• A. Keep the area clean and dry and provide prescribed analgesia
• B. Apply topical corticosteroid cream to the lesions
• C. Encourage sexual intercourse to prevent vaginal narrowing
• D. Use scented vaginal washes to reduce local irritation

Explanation: Genital herpes lesions are painful, so gentle hygiene, dryness and prescribed analgesia support comfort and reduce secondary infection.

• A. Use warm sitz baths several times daily
• B. Apply an ice pack continuously to the cyst
• C. Insert a vaginal pessary to support the gland
• D. Begin oral antibiotics without further assessment

Explanation: Warm sitz baths can promote comfort and drainage in a small, uncomplicated Bartholin cyst.

• A. Complete the entire prescribed antibiotic course
• B. Stop treatment when the pelvic pain disappears
• C. Use vaginal douches after each antibiotic dose
• D. Resume intercourse before the treatment is finished

Explanation: Completing treatment helps eradicate infection and reduces complications such as infertility and chronic pelvic pain.

• A. Severe abdominal pain with rapid abdominal enlargement
• B. Mild breast tenderness during the first treatment cycle
• C. A small amount of clear cervical mucus
• D. Mild nausea after taking the tablet

Explanation: Severe abdominal pain and rapid abdominal enlargement may indicate ovarian hyperstimulation or ovarian enlargement and require prompt…

• A. Insufflated carbon dioxide can irritate the diaphragm
• B. The symptom proves that a pulmonary embolism has occurred
• C. The pain means that the urinary bladder was perforated
• D. The symptom is caused by excessive postoperative vaginal bleeding

Explanation: Residual carbon dioxide used during laparoscopy can irritate the diaphragm and cause referred shoulder pain.

• A. Limit time near the patient and avoid unnecessary visitors
• B. Allow pregnant visitors to stay at the bedside for support
• C. Remove the radioactive source if the patient reports discomfort
• D. Provide unlimited bedside time for all family members

Explanation: When a temporary radioactive source is in place, radiation exposure is reduced by limiting time, increasing distance and using shielding…

• A. Heavy vaginal bleeding with dizziness
• B. Mild lower abdominal cramping
• C. A small amount of dark vaginal spotting
• D. Brown discharge for one or two days

Explanation: Heavy bleeding with dizziness may indicate significant blood loss and requires immediate assessment of circulation.

• A. Avoid heavy lifting and prevent constipation
• B. Perform repeated straining exercises each morning
• C. Delay urination to strengthen pelvic muscles
• D. Use tight abdominal clothing throughout the day

Explanation: Avoiding heavy lifting and preventing constipation reduce pressure on the pelvic floor.

• A. Arrange testing and treatment for recent sexual partners
• B. Advise her that partner assessment is unnecessary if symptoms settle
• C. Recommend vaginal douching after each sexual contact
• D. Tell her that condoms are not needed after one antibiotic dose

Explanation: Gonorrhoea requires partner notification, testing and treatment to prevent reinfection and further transmission.

• A. It allows magnified examination of the cervix and directed biopsy
• B. It measures the size and position of the ovaries
• C. It checks whether the fallopian tubes are open
• D. It confirms pregnancy by viewing the uterine cavity

Explanation: Colposcopy uses magnification to examine abnormal cervical areas and allows a directed biopsy when needed.