All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. Longitudinal lie
• B. Transverse lie
• C. Oblique lie
• D. Unstable lie

Explanation: In a longitudinal lie, the long axis of the fetus is parallel to the long axis of the uterus.

• A. Cephalic presentation
• B. Breech presentation
• C. Shoulder presentation
• D. Face presentation

Explanation: Breech presentation occurs when the buttocks or feet present first. Cephalic presentation has the head presenting, while shoulder…

• A. Minus two station
• B. Minus one station
• C. Zero station
• D. Plus two station

Explanation: The ischial spines are the reference point for station, and a presenting part at their level is recorded as zero station.

• A. Assess the fetal heart rate
• B. Offer the woman oral fluids
• C. Begin fundal massage
• D. Prepare the postnatal bed

Explanation: The fetal heart rate is checked immediately after membrane rupture because cord compression or cord prolapse can cause sudden fetal…

• A. Assess bladder distension and urine output
• B. Encourage unassisted walking to the bathroom
• C. Restrict all oral fluids until birth
• D. Place the woman flat without a pillow

Explanation: Epidural analgesia can reduce bladder sensation and lower-limb strength, increasing the risk of urinary retention and falls.

• A. Supine with the legs kept straight
• B. Upright or side-lying with comfort support
• C. Prone with the abdomen compressed
• D. Flat on the abdomen with hips extended

Explanation: Upright or side-lying positions can promote comfort, pelvic movement and fetal descent while reducing aortocaval compression.

• A. The uterus becomes soft and broad
• B. The umbilical cord lengthens visibly
• C. The mother's pulse becomes slower
• D. The fetal head begins to crown

Explanation: Placental separation is suggested by a firm, globular uterus, lengthening of the cord and a gush of blood.

• A. Dry the newborn thoroughly and maintain warmth
• B. Separate the newborn for routine bathing
• C. Suction the mouth and nose routinely
• D. Weigh the newborn before skin-to-skin contact

Explanation: Drying and maintaining warmth help prevent neonatal heat loss, and uninterrupted skin-to-skin contact supports adaptation and early…

• A. Engagement of the fetal head
• B. Descent of the fetal shoulders
• C. Extension of the fetal trunk
• D. Expulsion of the placenta

Explanation: Engagement means the widest diameter of the presenting part has passed through the pelvic inlet.

• A. It begins with regular contractions and ends with full cervical dilatation
• B. It begins with full cervical dilatation and ends with birth of the baby
• C. It begins with birth of the baby and ends with placental delivery
• D. It begins with placental delivery and ends with maternal recovery

Explanation: The first stage extends from the onset of true labour until the cervix is fully dilated.

• A. Caput succedaneum
• B. Cephalohaematoma
• C. Subgaleal haemorrhage
• D. Meningocele

Explanation: Caput succedaneum is soft scalp oedema caused by pressure during labour and may cross suture lines.

• A. Suboccipitobregmatic diameter
• B. Occipitofrontal diameter
• C. Mentovertical diameter
• D. Submentobregmatic diameter

Explanation: Good flexion presents the suboccipitobregmatic diameter, which is favourable for vaginal birth.

• A. Assess the woman and inform the responsible clinician
• B. Apply fundal pressure to speed fetal descent
• C. Begin pushing before complete dilatation
• D. Record the finding and wait until delivery

Explanation: Crossing the action line suggests slow progress and requires assessment for causes such as poor contractions, malposition or obstruction.

• A. Position her laterally and seek urgent assistance
• B. Encourage her to walk around the room
• C. Offer a warm drink and reassess in one hour
• D. Continue routine observations without intervention

Explanation: Hypotension with tachycardia and dizziness may indicate compromised circulation, so safety and circulation take priority.

• A. It may depress the newborn's breathing
• B. It reliably prevents postpartum haemorrhage
• C. It causes permanent cervical narrowing
• D. It guarantees complete loss of pain

Explanation: Opioids can cross the placenta and cause neonatal respiratory depression, especially when given shortly before birth.

• A. Crowning
• B. Engagement
• C. Lightening
• D. Ballottement

Explanation: Crowning occurs when the fetal head remains visible at the vulva and no longer recedes between contractions.

• A. Clamp and cut after delayed cord clamping
• B. Milk the cord forcefully toward the baby
• C. Pull on the cord to deliver the placenta
• D. Cut the cord before assessing the newborn

Explanation: When the newborn is stable, delayed cord clamping allows continued placental blood transfer and is recommended in current newborn care…

• A. Assess uterine tone and vaginal blood loss regularly
• B. Measure cervical dilatation every fifteen minutes
• C. Check fetal lie and presentation repeatedly
• D. Assess for increasing contractions before discharge

Explanation: Regular assessment of uterine tone and vaginal blood loss helps identify early postpartum haemorrhage.

• A. Complete cervical dilatation
• B. Birth of the newborn
• C. Delivery of the placenta
• D. Complete uterine involution

Explanation: The third stage begins immediately after the baby is born and ends when the placenta and membranes are delivered.

• A. 90 beats per minute
• B. 105 beats per minute
• C. 135 beats per minute
• D. 175 beats per minute

Explanation: A baseline fetal heart rate of 110 to 160 beats per minute is generally considered reassuring.