All Free Midwifery and Obstetric Nursing MCQs with Answers

• A. Continue the pill and recheck blood pressure yearly
• B. Stop the combined pill and discuss another method
• C. Double the pill dose to prevent pregnancy
• D. Change to a copper intrauterine device immediately

Explanation: Severe hypertension is a contraindication to estrogen-containing combined pills because they may increase cardiovascular and stroke risk.

• A. Take the missed pill as soon as she remembers
• B. Stop the packet and wait for the next cycle
• C. Take emergency contraception in every such case
• D. Avoid all hormonal contraception for one month

Explanation: After one missed active combined pill, it should be taken as soon as remembered and the remaining pills continued at the usual time.

• A. Copper intrauterine device
• B. Levonorgestrel intrauterine system
• C. Calendar method
• D. Male sterilisation

Explanation: The levonorgestrel intrauterine system releases progestogen locally and commonly reduces menstrual blood loss and cramps.

• A. Mild cramps during the first few days
• B. Slight increase in menstrual flow
• C. Inability to feel the device strings
• D. Mild spotting after intercourse once

Explanation: Inability to feel the strings can indicate expulsion, displacement, or rarely perforation, so the woman should use another method and…

• A. Protection begins immediately after the procedure
• B. A semen test confirms when contraception may stop
• C. The procedure protects both partners from HIV
• D. The operation always causes permanent loss of sexual desire

Explanation: Sperm may remain in the reproductive tract after vasectomy, so another contraceptive method is needed until semen analysis confirms…

• A. Insertion of a copper intrauterine device
• B. Starting a combined pill packet
• C. Taking a routine progestin-only pill
• D. Receiving a depot contraceptive injection

Explanation: A copper intrauterine device can be used as emergency contraception within five days of unprotected intercourse and is highly effective.

• A. No further action is needed
• B. Repeat the emergency contraceptive dose
• C. Wait for the next menstrual period
• D. Begin antibiotics for stomach irritation

Explanation: Vomiting soon after oral emergency contraception may prevent adequate absorption, so the dose should be repeated according to the product…

• A. Ovulation induction prevents conception for one year
• B. Infertility treatment is intended to help achieve pregnancy
• C. Fertility treatment permanently blocks the fallopian tubes
• D. Treatment for infertility prevents sexually transmitted infections

Explanation: Infertility treatment, such as ovulation induction, is used to help a person conceive and is not contraception.

• A. Advise her to massage the area daily
• B. Assess promptly for a local or systemic infection
• C. Tell her this is expected for several months
• D. Remove the implant at home using clean scissors

Explanation: Fever with spreading redness, warmth and pus suggests infection and requires prompt clinical assessment and treatment.

• A. Avoid unprotected intercourse during the fertile days
• B. Have unprotected intercourse only during mid-cycle
• C. Use temperature readings only after menstruation starts
• D. Assume pregnancy cannot occur during irregular cycles

Explanation: The couple should avoid unprotected intercourse during the predicted fertile window or use another method then.

• A. Take one pill at the same time every day
• B. Stop the pills during each monthly bleeding
• C. Take two pills whenever intercourse is planned
• D. Begin the pack only after the next ovulation

Explanation: Progestin-only pills should be taken consistently at about the same time each day because delayed doses can reduce contraceptive…

• A. Current pelvic inflammatory disease
• B. History of uncomplicated vaginal birth
• C. Mild menstrual cramps before insertion
• D. Previous use of oral contraceptive pills

Explanation: An active pelvic infection should be treated before an intrauterine device is inserted because insertion may worsen or spread the…

• A. Return to fertility may be delayed for several months
• B. Fertility always returns within twenty-four hours
• C. Permanent infertility usually follows the final injection
• D. Ovulation returns only after a surgical reversal

Explanation: Depot medroxyprogesterone acetate is reversible, but ovulation and fertility may take several months to return after the last injection.

• A. Irregular bleeding can occur and does not usually mean failure
• B. The implant must be removed because spotting proves infection
• C. The woman should take extra implant rods to stop the bleeding
• D. The bleeding confirms that ovulation is occurring every month

Explanation: Irregular spotting or bleeding is a common effect of progestin implants and does not usually indicate reduced contraceptive effectiveness.

• A. Use a new condom for every act of intercourse
• B. Put the condom on after genital contact has begun
• C. Reuse the condom if it has no visible tear
• D. Apply oil-based lubricant to prevent breakage

Explanation: A new condom is needed for every act and should be put on before genital contact.

• A. It releases copper that impairs sperm and fertilisation
• B. It suppresses ovulation by releasing daily oestrogen
• C. It blocks the fallopian tubes through permanent scarring
• D. It prevents pregnancy by treating a uterine infection

Explanation: Copper creates a local contraceptive effect that impairs sperm movement and function and reduces the likelihood of fertilisation.

• A. Confirm voluntary informed consent before the procedure
• B. Tell her that sterilisation can be reversed whenever she wishes
• C. Explain that the procedure protects against sexually transmitted infections
• D. Schedule the procedure without further discussion because she has delivered

Explanation: Permanent contraception requires voluntary, informed consent, including discussion of permanence, alternatives, benefits, and risks.

• A. It does not provide continuing protection for later intercourse
• B. It protects against every later act until the next period
• C. It replaces regular contraception for the rest of the cycle
• D. It prevents sexually transmitted infections during later intercourse

Explanation: Emergency contraception acts for the episode of intercourse that has already occurred and does not provide ongoing protection.

• A. A sustained rise of about 0.2 to 0.5°C
• B. A sudden fall of about 1.0°C
• C. A temperature that stays unchanged
• D. A rise that lasts only one reading

Explanation: Progesterone released after ovulation causes a small sustained rise in basal temperature, usually about 0.2 to 0.5°C.

• A. Use additional contraception during treatment
• B. Continue the pill without any extra precaution
• C. Stop the antibiotic until the pill course ends
• D. Take two combined pills every day during treatment

Explanation: Rifampicin can increase hepatic metabolism of combined oral contraceptive hormones and reduce contraceptive effectiveness.