All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. Ovary
• B. Ampulla of the uterine tube
• C. Cervix
• D. Endometrium

Explanation: Fertilisation usually occurs in the ampulla, the wider part of the uterine tube, when sperm meets the ovum.

• A. Implantation of the blastocyst
• B. Shedding of the endometrium
• C. Ovulation after an LH surge
• D. Formation of the placenta

Explanation: Ovulation usually occurs near the middle of a regular menstrual cycle and follows a surge in luteinising hormone.

• A. Follicle-stimulating hormone
• B. Luteinising hormone
• C. Progesterone
• D. Human chorionic gonadotropin

Explanation: A rapid rise in luteinising hormone causes the mature ovarian follicle to rupture and release the oocyte.

• A. It secretes progesterone to support the endometrium
• B. It releases sperm into the uterine tube
• C. It produces the menstrual flow directly
• D. It forms the fetal neural tube

Explanation: The corpus luteum develops from the ruptured follicle and secretes progesterone.

• A. Epididymis
• B. Seminiferous tubules
• C. Prostate gland
• D. Vas deferens

Explanation: Spermatogenesis occurs within the seminiferous tubules of the testes. The epididymis stores and helps mature sperm, while the vas deferens…

• A. Ureter
• B. Vas deferens
• C. Urethral meatus
• D. Seminal vesicle

Explanation: The vas deferens is a muscular duct that transports sperm from the epididymis toward the ejaculatory duct.

• A. Fertilisation occurs in the uterus and implantation occurs in the ovary
• B. Fertilisation is sperm entry into the oocyte, followed by implantation in the endometrium
• C. Fertilisation is attachment to the endometrium, followed by ovulation
• D. Fertilisation and implantation are two names for the same event

Explanation: Fertilisation is the union of sperm and oocyte, usually in the ampulla of the uterine tube.

• A. Thick mucus that blocks sperm movement
• B. Thin, clear, stretchy mucus that allows sperm passage
• C. Dry mucus caused by high progesterone after ovulation
• D. Bloody mucus caused by normal implantation

Explanation: Rising oestrogen makes cervical mucus thin, clear, and stretchy, which helps sperm pass through the cervix.

• A. Primary oocyte
• B. Zygote before cell division
• C. Blastocyst
• D. Mature sperm cell

Explanation: The blastocyst reaches the uterus and implants in the endometrium approximately several days after fertilisation.

• A. Pubic symphysis
• B. Sacrum
• C. Clavicle
• D. Patella

Explanation: The sacrum forms the posterior part of the pelvic cavity and contributes to the pelvic inlet and outlet.

• A. Ovarian follicle
• B. Corpus luteum
• C. Broad ligament
• D. Fimbriae of the tube

Explanation: The developing oocyte is surrounded by follicular cells within an ovarian follicle.

• A. Before birth
• B. At the start of menstruation
• C. Only after sperm penetration
• D. Immediately before ovulation

Explanation: The secondary oocyte remains paused in meiosis II and completes it only when a sperm penetrates the oocyte.

• A. Production of testosterone
• B. Maturation and storage of sperm
• C. Secretion of most seminal fluid
• D. Formation of sperm from stem cells

Explanation: The epididymis stores sperm and allows them to mature and gain motility.

• A. Prostate gland
• B. Seminal vesicle
• C. Bulbourethral gland
• D. Pituitary gland

Explanation: The seminal vesicles produce much of the semen and provide fructose as an energy source for sperm.

• A. Follicle-stimulating hormone
• B. Oestrogen from the follicle
• C. Progesterone from the corpus luteum
• D. Luteinising hormone from the pituitary

Explanation: Progesterone changes the proliferative endometrium into a secretory lining that can support implantation.

• A. It stimulates ovarian follicle development
• B. It causes immediate shedding of the endometrium
• C. It maintains the corpus luteum throughout pregnancy
• D. It causes the sperm acrosome reaction

Explanation: FSH stimulates the growth and development of ovarian follicles during the follicular phase.

• A. Fimbriae of the infundibulum
• B. Cervical canal
• C. Round ligament
• D. Uterine muscle

Explanation: The finger-like fimbriae at the end of the uterine tube move over the ovary and help guide the ovum into the tube.

• A. Implantation
• B. Capacitation
• C. Menstruation
• D. Cleavage

Explanation: Capacitation is a functional maturation process that occurs in the female reproductive tract and prepares sperm for the acrosome reaction.

• A. Formation of the placenta
• B. Repeated cleavage divisions of the zygote
• C. Development of the fetal circulation
• D. Formation of the neural tube

Explanation: The zygote first undergoes rapid mitotic cleavage divisions as it travels toward the uterus.

• A. Levator ani muscle group
• B. Pectineal line
• C. Obturator foramen
• D. Iliac crest

Explanation: The levator ani muscles form a major part of the pelvic floor and support the pelvic organs.