All Free Midwifery and Obstetric Nursing MCQs with Answers
Every Midwifery and Obstetric Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
450 questions · page 8 of 23
- A. Acute fatty liver of pregnancy
- B. HELLP syndrome
- C. Gestational thrombocytopenia
- D. Intrahepatic cholestasis
Explanation: HELLP means haemolysis, elevated liver enzymes and low platelets, and it is associated with severe hypertensive disease.
Correct answer: HELLP syndrome- A. Cervical insufficiency
- B. Placental abruption
- C. Preterm labour
- D. Threatened miscarriage
Explanation: Cervical insufficiency causes painless cervical shortening or dilatation, often leading to a second-trimester loss or early preterm birth.
Correct answer: Cervical insufficiency- A. Congenital cataracts
- B. Fetal or neonatal infection
- C. Maternal red-cell sensitisation
- D. Neural tube closure defect
Explanation: Listeria infection during pregnancy can cross the placenta and cause fetal loss, preterm birth, stillbirth or serious neonatal infection.
Correct answer: Fetal or neonatal infection- A. Hydrocephalus with intracranial calcifications
- B. Bilateral renal agenesis with anhydramnios
- C. Limb shortening with absent long bones
- D. Persistent fetal tachycardia without structural changes
Explanation: Congenital toxoplasmosis is classically associated with hydrocephalus, intracranial calcifications and chorioretinitis.
Correct answer: Hydrocephalus with intracranial calcifications- A. Well-controlled hypothyroidism
- B. Gestational diabetes mellitus
- C. Iron deficiency anaemia
- D. Mild physiological leukocytosis
Explanation: Maternal diabetes can cause fetal hyperglycaemia and increased fetal urine production, contributing to polyhydramnios.
Correct answer: Gestational diabetes mellitus- A. To destroy maternal platelets
- B. To prevent maternal Rh sensitisation
- C. To increase fetal red-cell production
- D. To treat established fetal anaemia
Explanation: Abdominal trauma can allow fetal red cells to enter the maternal circulation.
Correct answer: To prevent maternal Rh sensitisation- A. Chronic hypertension alone
- B. Superimposed pre-eclampsia
- C. Gestational hypertension
- D. White-coat hypertension
Explanation: New proteinuria and maternal organ dysfunction in a woman with chronic hypertension suggest pre-eclampsia superimposed on chronic…
Correct answer: Superimposed pre-eclampsia- A. Complete miscarriage
- B. Incomplete miscarriage
- C. Missed miscarriage
- D. Threatened miscarriage
Explanation: Incomplete miscarriage occurs when some, but not all, products of conception have been expelled, with continued bleeding and an open…
Correct answer: Incomplete miscarriage- A. Congenital limb deformity
- B. Perinatal hepatitis B infection
- C. Neonatal iron deficiency
- D. Congenital hypothyroidism
Explanation: Hepatitis B can pass from mother to infant, particularly around the time of birth, and may lead to chronic infection in the newborn.
Correct answer: Perinatal hepatitis B infection- A. Intrahepatic cholestasis of pregnancy
- B. Atopic dermatitis of pregnancy
- C. Impetigo of pregnancy
- D. Contact dermatitis from clothing
Explanation: Intrahepatic cholestasis of pregnancy commonly causes severe pruritus on the palms and soles without a primary rash and may increase fetal…
Correct answer: Intrahepatic cholestasis of pregnancy- A. It remains reliable until menstruation returns or the infant reaches 6 months
- B. It remains reliable until breastfeeding becomes less frequent after 12 months
- C. It prevents pregnancy even when regular formula feeds are given
- D. It requires the mother to record her basal temperature every morning
Explanation: LAM is effective only when all three conditions are present: amenorrhoea, exclusive or nearly exclusive breastfeeding, and an infant…
Correct answer: It remains reliable until menstruation returns or the infant reaches 6 months- A. Copper intrauterine device
- B. Combined oral contraceptive pill
- C. Male external condom
- D. Depot medroxyprogesterone acetate
Explanation: External condoms provide a physical barrier that reduces transmission of HIV and many sexually transmitted infections.
Correct answer: Male external condom- A. Advise her to continue the pills and take extra iron
- B. Stop the combined pill and refer her for another method
- C. Tell her to double the pill dose during each headache
- D. Reassure her that this is an expected harmless effect
Explanation: Visual symptoms followed by headache suggest migraine with aura, in which combined estrogen-containing contraception is generally…
Correct answer: Stop the combined pill and refer her for another method- A. Irregular bleeding may occur, and return of fertility can be delayed
- B. It protects against HIV and other sexually transmitted infections
- C. It must be taken every day at the same time to work
- D. It usually causes immediate permanent infertility after one injection
Explanation: Irregular bleeding is common with injectable progestin contraception, and the return to fertility may be delayed after stopping it.
Correct answer: Irregular bleeding may occur, and return of fertility can be delayed- A. It releases progestin that mainly prevents ovulation and thickens cervical mucus
- B. It releases copper that destroys sperm and changes the uterine lining
- C. It blocks the fallopian tubes by causing permanent scarring
- D. It prevents implantation by removing the monthly menstrual lining
Explanation: Hormonal implants continuously release a progestin that suppresses ovulation and thickens cervical mucus, which limits sperm passage.
Correct answer: It releases progestin that mainly prevents ovulation and thickens cervical mucus- A. Copper intrauterine device
- B. Depot medroxyprogesterone acetate
- C. Routine combined oral pills for one month
- D. Tubal sterilisation at the next menstrual period
Explanation: A copper intrauterine device can be inserted within 5 days of unprotected intercourse and is the most effective emergency contraceptive…
Correct answer: Copper intrauterine device- A. Progestin-only implant
- B. Combined estrogen-progestin pill
- C. Combined contraceptive vaginal ring
- D. Combined estrogen-progestin patch
Explanation: A progestin-only implant can be used postpartum and is compatible with breastfeeding.
Correct answer: Progestin-only implant- A. Mild cramps during the first day after insertion
- B. Light spotting during the first few months
- C. Fever with lower abdominal tenderness and foul discharge
- D. A menstrual period that is slightly heavier than usual
Explanation: Fever, pelvic pain and foul discharge suggest pelvic infection and require prompt assessment and treatment.
Correct answer: Fever with lower abdominal tenderness and foul discharge- A. It protects against sexually transmitted infections for life
- B. It is intended to be permanent and should be chosen voluntarily
- C. It can be reversed easily whenever pregnancy is desired
- D. It prevents pregnancy by stopping menstrual bleeding permanently
Explanation: Tubal sterilisation is intended to be permanent, so informed and voluntary consent is essential before the procedure.
Correct answer: It is intended to be permanent and should be chosen voluntarily- A. Dry vulva with no change in cervical secretions
- B. Thick, cloudy mucus that feels sticky
- C. Clear, slippery mucus that stretches between the fingers
- D. Mucus that appears only after menstruation has ended
Explanation: Near ovulation, cervical mucus becomes clear, slippery and stretchy because of rising estrogen.
Correct answer: Clear, slippery mucus that stretches between the fingers