All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. Increase caffeine intake during the premenstrual week
• B. Keep a symptom diary and use regular exercise
• C. Remain on bed rest until menstruation begins
• D. Take antibiotics whenever symptoms develop

Explanation: Recording symptoms helps confirm their cyclical pattern, while regular exercise may reduce premenstrual symptoms.

• A. Drink several glasses of water before examination
• B. Empty the bladder before examination
• C. Apply vaginal cream before examination
• D. Avoid bathing for 24 hours before examination

Explanation: An empty bladder improves comfort and allows the examiner to assess the pelvic organs more accurately.

• A. Take the tablet with tea to improve absorption
• B. Expect stools to become darker during treatment
• C. Stop the medicine when menstrual bleeding decreases
• D. Take the tablet only when feeling tired

Explanation: Oral iron can cause dark stools and gastrointestinal discomfort, and treatment should continue as prescribed to replenish iron stores.

• A. Menstruation will begin within one hour
• B. An increase in luteinising hormone has occurred
• C. Implantation has already occurred in the uterus
• D. Ovarian reserve has been permanently exhausted

Explanation: The kit detects the luteinising hormone surge, which usually occurs shortly before ovulation.

• A. Assessment for raised prolactin and pituitary disease
• B. Immediate treatment with vaginal antifungal medicine
• C. Routine pelvic floor exercises without further assessment
• D. Reassurance that these findings confirm menopause

Explanation: Amenorrhoea with galactorrhoea and headache may indicate hyperprolactinaemia, sometimes related to a pituitary lesion, so medical…

• A. Advise her to take the next tablet with food
• B. Assess her immediately for possible pulmonary embolism
• C. Tell her that mild breathlessness is an expected effect
• D. Recommend increased fluid intake and routine follow-up

Explanation: Sudden chest pain and shortness of breath may indicate pulmonary embolism, a serious complication requiring urgent assessment.

• A. Discuss her concerns privately and explain expected effects
• B. Tell her that symptoms should not be discussed during treatment
• C. Ask family members to explain the treatment instead
• D. Avoid answering questions to prevent increasing anxiety

Explanation: Private, clear counselling supports dignity, informed participation and early reporting of complications.

• A. Explain the procedure and verify informed consent
• B. Scrub the lesion vigorously to remove all discharge
• C. Apply a topical anaesthetic without checking the prescription
• D. Tell the patient that biopsy results are always benign

Explanation: The nurse should explain the procedure within the nursing role, provide privacy and verify that informed consent is present.

• A. Use a water-based lubricant and seek clinical assessment
• B. Use perfumed soap internally before intercourse
• C. Restrict all fluids during the day
• D. Begin antibiotics without examination

Explanation: Reduced oestrogen after menopause can cause vaginal dryness and discomfort, and water-based lubricants may reduce friction.

• A. Offer a full meal immediately before the procedure
• B. Confirm fasting status, consent and allergy history
• C. Encourage vigorous exercise before transfer
• D. Insert a vaginal medication without a prescription

Explanation: Before anaesthesia, the nurse confirms fasting status, informed consent, allergies and other required safety checks.

• A. Painful contractions with progressive cervical change
• B. Irregular contractions relieved by walking
• C. Cervical mucus discharge without contractions
• D. Backache without cervical dilatation

Explanation: True labour causes regular painful contractions that produce progressive cervical effacement and dilatation.

• A. Opening of the cervical canal
• B. Thinning and shortening of the cervix
• C. Descent of the presenting fetal part
• D. Separation of the placenta from the uterus

Explanation: Effacement is the thinning and shortening of the cervix, expressed as a percentage.

• A. Left occipitoanterior position
• B. Right sacrotransverse position
• C. Left occipitoposterior position
• D. Right sacrotransverse breech position

Explanation: The occipitoanterior position, especially left occipitoanterior, usually allows the smallest useful diameter of the fetal head to enter…

• A. A baseline of 140 beats per minute
• B. A baseline of 125 beats per minute
• C. A baseline of 170 beats per minute
• D. A baseline of 110 beats per minute

Explanation: A persistent fetal heart rate above 160 beats per minute is fetal tachycardia and requires assessment and reporting.

• A. To estimate the mother's blood loss
• B. To identify abnormal progress of labour
• C. To calculate the newborn's Apgar score
• D. To determine the newborn's birth weight

Explanation: The partograph helps the care team recognise slow or abnormal labour progress and decide when further assessment is needed.

• A. Administering a prophylactic uterotonic after birth
• B. Applying fundal pressure before placental separation
• C. Pulling firmly on the cord without uterine support
• D. Waiting for heavy bleeding before giving medication

Explanation: A prophylactic uterotonic, commonly oxytocin, is given after birth to promote uterine contraction and reduce postpartum haemorrhage.

• A. Checking that the placenta and membranes are complete
• B. Measuring the mother's height and head circumference
• C. Assessing the fetal lie inside the uterus
• D. Determining the newborn's gestational age by weight

Explanation: The placenta and membranes must be inspected for completeness because retained fragments can cause continued bleeding or infection.

• A. Encourage breathing, relaxation, and position changes
• B. Keep the woman flat in bed throughout labour
• C. Discourage her support person from speaking to her
• D. Withhold fluids until the placenta is delivered

Explanation: Breathing techniques, relaxation, massage, mobility, and position changes can reduce anxiety and improve coping during labour.

• A. Massage the uterine fundus and assess the bleeding
• B. Offer a warm drink and reassess after one hour
• C. Encourage walking to improve uterine drainage
• D. Place the woman in a sitting position for comfort

Explanation: A soft uterus with rapid bleeding suggests uterine atony, a circulation emergency that can cause postpartum haemorrhage.

• A. Regular painful contractions begin
• B. The cervix becomes fully dilated
• C. The placenta separates from the uterus
• D. The membranes rupture spontaneously

Explanation: The second stage begins when the cervix is fully dilated and continues until the baby is born.