All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. Increase the oxytocin infusion rate
• B. Stop the oxytocin infusion temporarily
• C. Apply fundal pressure during contractions
• D. Ask the woman to push with each contraction

Explanation: Seven contractions in 10 minutes indicate uterine tachysystole, which can reduce placental blood flow.

• A. Shortened clotting time and high fibrinogen
• B. Prolonged clotting time and low fibrinogen
• C. Normal clotting time and high platelets
• D. Low clotting time and high fibrinogen

Explanation: DIC consumes clotting factors and fibrinogen, causing prolonged clotting times and thrombocytopenia.

• A. Previous caesarean birth with placenta previa
• B. Previous uncomplicated vaginal birth
• C. Mild nausea during the first trimester
• D. A family history of twin pregnancy

Explanation: Placenta previa over a previous caesarean scar strongly increases the risk of abnormal placental attachment, including accreta.

• A. Phototherapy unit and feeding tube
• B. Resuscitation bag and correctly sized mask
• C. Urinary catheter and specimen container
• D. Adult nebulizer and peak-flow meter

Explanation: An ineffective-breathing newborn may need positive-pressure ventilation, so a neonatal bag and correctly sized mask are essential.

• A. Packed red blood cells
• B. Platelet concentrate
• C. Fresh frozen plasma
• D. Cryoprecipitate

Explanation: Packed red blood cells replace red cell mass and improve oxygen delivery during major blood loss.

• A. Uterine balloon tamponade
• B. Routine vaginal examination
• C. Oral iron replacement
• D. Immediate pelvic floor exercises

Explanation: A uterine balloon tamponade can apply pressure inside the uterus and control severe atonic bleeding when initial treatment is…

• A. Apply external aortic compression
• B. Place the woman flat on her back
• C. Encourage oral fluids only
• D. Apply a warm pack to the abdomen

Explanation: External aortic compression can temporarily reduce blood flow to the pelvis during severe postpartum haemorrhage when definitive care is…

• A. Begin CPR with manual left uterine displacement
• B. Wait for fetal monitoring before starting CPR
• C. Place the woman in a fully supine position
• D. Give oral fluids before assessing circulation

Explanation: High-quality CPR must begin immediately, while manual left uterine displacement reduces aortocaval compression from the gravid uterus.

• A. Prepare for urgent birth and blood replacement
• B. Encourage walking to improve labour progress
• C. Perform repeated digital vaginal examinations
• D. Delay intervention until bleeding becomes visible

Explanation: Placental abruption can cause concealed maternal haemorrhage and fetal compromise, so the team should prepare for urgent birth while…

• A. Open the airway and assist ventilation
• B. Measure her temperature again
• C. Offer sips of clear water
• D. Document the estimated blood loss

Explanation: An ineffective airway and breathing problem takes priority under the ABC approach, even when haemorrhage is also present.

• A. Scanty white discharge with no odour
• B. Bright or dark red discharge with small clots
• C. Heavy bleeding that saturates a pad in 15 minutes
• D. Foul-smelling greenish discharge with fever

Explanation: Lochia rubra is normally red and contains blood, decidual tissue and mucus during the first three to four days.

• A. Apply a warm compress to the perineum
• B. Massage the uterine fundus and call for help
• C. Encourage oral fluids and reassess in 30 minutes
• D. Place the woman in a sitting position for comfort

Explanation: A boggy uterus with heavy bleeding indicates possible uterine atony, a circulation emergency.

• A. Mild perineal discomfort while sitting
• B. Lochia changing from red to pink
• C. Temperature of 38°C with uterine tenderness
• D. Passing flatus on the first postpartum day

Explanation: Fever with uterine tenderness may indicate puerperal infection, such as endometritis, and requires prompt assessment.

• A. Assess bladder distension and encourage voiding
• B. Restrict fluids until bladder control returns
• C. Insert an indwelling catheter immediately
• D. Tell her that urinary retention is expected

Explanation: The nurse should first assess for bladder distension and promote privacy, mobility and normal voiding.

• A. Apply an ice pack wrapped in cloth intermittently
• B. Scrub the wound firmly after every urination
• C. Keep the woman on strict bed rest for 48 hours
• D. Apply talcum powder directly over the incision

Explanation: A wrapped cold pack can reduce pain and swelling during the first 24 hours.

• A. I will feed the baby only when my breasts feel full
• B. I will offer breastfeeds about 8 to 12 times each day
• C. I will give formula at night so my milk can collect
• D. I will limit each breastfeed to exactly five minutes

Explanation: Newborns usually breastfeed on demand, commonly about 8 to 12 times in 24 hours.

• A. It provides passive protection through immune factors
• B. It contains more fat than mature milk for rapid weight gain
• C. It prevents all neonatal infections after one feeding
• D. It has no nutritional value until mature milk appears

Explanation: Colostrum is rich in immunoglobulin A and other protective factors, and it provides concentrated early nutrition.

• A. The baby sucks only on the nipple tip
• B. The mother's nipple is pinched and painful after feeding
• C. The baby's mouth is wide open with more areola visible above
• D. The baby's lips are pursed and the cheeks are deeply dimpled

Explanation: With good attachment, the mouth is wide open, the chin is close to the breast, and more areola is usually visible above the upper lip.

• A. Stop breastfeeding from the affected breast until redness disappears
• B. Continue breastfeeding or expressing milk and seek clinical assessment
• C. Bind both breasts tightly to prevent further milk production
• D. Apply strong pressure over the red area during every feed

Explanation: Fever with a painful localized red area suggests mastitis and needs clinical assessment, often including antibiotic treatment.

• A. Mild afterpains during breastfeeding
• B. Foul-smelling lochia with uterine tenderness
• C. Small amount of pink lochia on day four
• D. Mild perineal discomfort when sitting

Explanation: Foul-smelling lochia with uterine tenderness suggests infection of the uterine lining, especially when accompanied by fever.