Free Antenatal Care MCQs with Answers

50 Antenatal Care MCQs from Midwifery and Obstetric Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

Routine care during pregnancy includes booking history, physical examination, laboratory investigations, nutritional advice, immunisation, fetal growth assessment and scheduled antenatal visits. It also covers recognition of danger signs, calculation of gestational age and estimated delivery date, and the difference between uncomplicated surveillance and referral for high-risk pregnancy.

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50 questions · page 1 of 3

  • A. Her previous pregnancies and their outcomes
  • B. Her preferred time for daily exercise
  • C. Her usual choice of infant clothing
  • D. Her preferred hospital visiting hours

Explanation: Previous pregnancies may reveal risks such as pre-eclampsia, postpartum haemorrhage, preterm birth or caesarean delivery.

Correct answer: Her previous pregnancies and their outcomes
  • A. 12 November 2026
  • B. 5 November 2026
  • C. 12 December 2026
  • D. 29 October 2026

Explanation: Naegele's rule adds seven days and subtracts three months from the first day of the last menstrual period, then adds one year.

Correct answer: 12 November 2026
  • A. Serial measurement of symphysis-fundal height
  • B. Measurement of the mother's chest circumference
  • C. Daily measurement of the mother's body temperature
  • D. Single measurement of the mother's arm span

Explanation: Serial symphysis-fundal height measurements help identify growth restriction or excessive growth when interpreted with gestational age.

Correct answer: Serial measurement of symphysis-fundal height
Hard
  • A. Arrange urgent obstetric referral without vaginal examination
  • B. Perform a digital vaginal examination to assess cervical dilatation
  • C. Advise bed rest at home and review her after one week
  • D. Encourage oral fluids and continue the routine antenatal assessment

Explanation: Antepartum bleeding with pain may indicate a serious obstetric complication and requires urgent assessment and referral.

Correct answer: Arrange urgent obstetric referral without vaginal examination
  • A. Haemoglobin concentration
  • B. Serum amylase level
  • C. Sputum acid-fast bacillus test
  • D. Serum creatine kinase level

Explanation: Haemoglobin concentration is used to detect and monitor anaemia in pregnancy, which is common and may increase maternal and fetal risk.

Correct answer: Haemoglobin concentration
Fairly easy
  • A. Severe headache with blurred vision
  • B. Mild increase in appetite
  • C. Occasional painless fetal movement
  • D. Slight breast tenderness in early pregnancy

Explanation: Severe headache and blurred vision are warning symptoms of possible severe hypertension or pre-eclampsia and require prompt blood pressure…

Correct answer: Severe headache with blurred vision
  • A. Provide a recommended tetanus-containing vaccine schedule
  • B. Give a live rubella vaccine during the third trimester
  • C. Delay all immunisation until after delivery
  • D. Give antibiotics routinely at every antenatal visit

Explanation: A recommended tetanus-containing vaccine schedule helps develop maternal antibodies that can protect the newborn from neonatal tetanus.

Correct answer: Provide a recommended tetanus-containing vaccine schedule
  • A. I should eat a varied diet and take prescribed iron and folate supplements
  • B. I should avoid pulses because they cause anaemia in pregnancy
  • C. I should stop eating vegetables if I develop nausea
  • D. I should replace meals with tea to prevent excessive weight gain

Explanation: A varied diet supplies energy and nutrients, while prescribed iron and folate support maternal blood formation and fetal development.

Correct answer: I should eat a varied diet and take prescribed iron and folate supplements
  • A. Arrange urgent assessment and referral for possible pre-eclampsia
  • B. Reassure her that the finding is normal in late pregnancy
  • C. Ask her to return at the next scheduled antenatal visit
  • D. Advise her to restrict all oral fluids until delivery

Explanation: Marked hypertension with proteinuria suggests pre-eclampsia and needs urgent assessment for maternal and fetal complications.

Correct answer: Arrange urgent assessment and referral for possible pre-eclampsia
Fairly easy
  • A. A woman with a documented twin pregnancy
  • B. A woman at 20 weeks with normal blood pressure
  • C. A woman with mild morning nausea and normal examination
  • D. A woman with normal fetal growth and no medical history

Explanation: Twin pregnancy increases the risks of anaemia, preterm birth, fetal growth problems and other complications, so it requires closer…

Correct answer: A woman with a documented twin pregnancy
  • A. Measuring blood pressure and checking for oedema
  • B. Testing visual acuity and assessing hearing
  • C. Checking muscle power and joint movement
  • D. Measuring chest expansion and peak flow

Explanation: Blood pressure and oedema assessment help identify hypertension and fluid retention that may complicate pregnancy.

Correct answer: Measuring blood pressure and checking for oedema
  • A. Serum bilirubin testing
  • B. Blood group and Rh typing
  • C. Thyroid antibody testing
  • D. Serum amylase testing

Explanation: ABO and Rh typing identifies women who may need assessment and management for blood group incompatibility, especially Rh sensitisation.

Correct answer: Blood group and Rh typing
Hard
  • A. Advise her to return at the next scheduled visit
  • B. Assess the report promptly and arrange fetal evaluation
  • C. Tell her that movement normally stops near term
  • D. Recommend increased dietary calcium and rest

Explanation: A clear reduction in fetal movement may indicate fetal compromise and requires prompt assessment according to local referral arrangements.

Correct answer: Assess the report promptly and arrange fetal evaluation
Hard
  • A. Perform a routine vaginal examination immediately
  • B. Assess her condition and arrange urgent obstetric review
  • C. Advise her to drink fluids and continue normal activity
  • D. Tell her to wait until regular contractions begin

Explanation: A sudden gush may indicate rupture of the membranes, which requires assessment of maternal and fetal wellbeing and timely referral.

Correct answer: Assess her condition and arrange urgent obstetric review
  • A. They prevent every infection during pregnancy
  • B. They reduce anaemia risk and support fetal development
  • C. They guarantee that the baby will have a normal birth weight
  • D. They replace the need for a balanced pregnancy diet

Explanation: Iron supports maternal haemoglobin production, while folic acid supports early fetal neural development and helps prevent folate…

Correct answer: They reduce anaemia risk and support fetal development
Very hard
  • A. About 10 weeks
  • B. About 15 weeks
  • C. About 20 weeks
  • D. About 25 weeks

Explanation: Gestational age is counted from the first day of the last menstrual period.

Correct answer: About 15 weeks
Moderate
  • A. Mild nausea after breakfast
  • B. Occasional painless leg cramps
  • C. Severe headache with blurred vision
  • D. Increased urinary frequency in early pregnancy

Explanation: Severe headache with blurred vision may indicate severe hypertensive disease and needs urgent assessment for maternal and fetal safety.

Correct answer: Severe headache with blurred vision
  • A. It detects every sexually transmitted infection
  • B. It can help identify protein or glucose abnormalities
  • C. It confirms the exact gestational age of the fetus
  • D. It measures the strength of uterine contractions

Explanation: Urinalysis can identify protein, glucose and other abnormalities that may require further assessment.

Correct answer: It can help identify protein or glucose abnormalities
  • A. Document it and provide no further follow-up
  • B. Reassess the dates and arrange further evaluation
  • C. Start labour induction at the same visit
  • D. Advise strict bed rest until delivery

Explanation: A discrepancy may result from inaccurate dates, fetal growth restriction or another pregnancy problem, so the dates should be reviewed and…

Correct answer: Reassess the dates and arrange further evaluation
  • A. Avoid all physical activity throughout pregnancy
  • B. Use safe water, nutritious food and regular hand hygiene
  • C. Take antibiotics regularly even without an infection
  • D. Stop attending antenatal visits when symptoms improve

Explanation: Safe water, adequate nutrition and hand hygiene reduce preventable illness and support a healthy pregnancy.

Correct answer: Use safe water, nutritious food and regular hand hygiene

Antenatal Care MCQs: common questions

Are these Antenatal Care MCQs free?

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How many Antenatal Care MCQs are on this page?

There are 50 Antenatal Care MCQs in the Midwifery and Obstetric Nursing bank, shown ten to a page with the correct answer and an explanation on each.

Does every Antenatal Care MCQ have an explanation?

Yes. Each Antenatal Care question shows the correct option and a written explanation of why it is correct, so a wrong answer teaches you something rather than just being marked wrong.

Can I take a timed Antenatal Care test?

Yes. The practice button on this page starts a free Antenatal Care test drawn from the Midwifery and Obstetric Nursing bank. It marks each answer instantly, gives you a score at the end, and can be retaken as many times as you like.