Free Gynaecological Nursing MCQs with Answers

• A. Bacterial vaginosis
• B. Vulvovaginal candidiasis
• C. Trichomoniasis
• D. Pelvic inflammatory disease

Explanation: Vulvovaginal candidiasis commonly causes marked itching, vulval soreness and thick white discharge without a strong odour.

• A. Apply a warm pack to the lower abdomen
• B. Obtain prescribed specimens before antibiotics
• C. Encourage oral fluids and bed rest
• D. Administer an analgesic before assessment

Explanation: Specimens should be collected as prescribed before antibiotics when this can be done without delaying urgent treatment, because results…

• A. Cyclic pelvic pain and painful intercourse
• B. Heavy or prolonged menstrual bleeding
• C. Painful defecation during menstruation
• D. Chronic pelvic pain with infertility

Explanation: Fibroids commonly cause heavy or prolonged menstrual bleeding because they affect the uterine muscle and endometrial surface.

• A. I tighten my buttocks while holding my breath
• B. I contract the muscles that stop urine flow
• C. I perform rapid contractions only when pain starts
• D. I relax my pelvic muscles whenever I lift objects

Explanation: Pelvic floor exercises involve contracting the muscles used to stop urine flow, then relaxing them regularly without holding the breath.

• A. Explain the procedure after positioning her
• B. Leave the door open for staff observation
• C. Provide privacy and explain each step beforehand
• D. Ask a relative to remain without seeking permission

Explanation: The nurse should provide privacy, explain the procedure in understandable language and confirm consent before positioning or examination.

• A. Mild lower abdominal cramping
• B. Pulse rate of 118 beats per minute
• C. Fatigue after routine activity
• D. Mild nausea before meals

Explanation: A rapid pulse with pallor and dizziness may indicate significant blood loss and reduced circulating volume, so it requires prompt…

• A. Place it in the correct labelled container
• B. Leave it uncovered at the bedside
• C. Add antiseptic solution to the specimen
• D. Send it without the patient's identifiers

Explanation: The specimen must be placed in the correct container and labelled accurately according to laboratory policy so that it can be processed…

• A. Endometrial-like tissue grows outside the uterus
• B. The cervix remains permanently closed
• C. The ovaries stop producing reproductive hormones
• D. The vagina becomes infected after each period

Explanation: Endometriosis is the presence of endometrial-like tissue outside the uterine cavity, commonly causing inflammation, adhesions and cyclic…

• A. Inspect the dressing and assess vaginal bleeding
• B. Ask about the usual menstrual pattern
• C. Discuss future contraceptive choices
• D. Encourage a high-fibre evening meal

Explanation: The immediate priority is to assess for postoperative haemorrhage by checking vital signs, the incision and vaginal bleeding.

• A. It confirms whether her fallopian tubes are open
• B. It assesses sperm count, movement and form
• C. It measures the thickness of her endometrium
• D. It identifies the day of her ovulation

Explanation: Semen analysis evaluates sperm concentration, motility and morphology, making it an important initial investigation of the male partner.

• A. Bacterial vaginosis
• B. Trichomoniasis
• C. Vulvovaginal candidiasis
• D. Genital herpes infection

Explanation: Bacterial vaginosis commonly causes a thin gray or white discharge with a fishy odour.

• A. I should avoid alcohol during treatment and shortly afterward
• B. I should stop the medicine when the discharge improves
• C. I should use vaginal douching after each dose
• D. I should avoid treatment for my sexual partner

Explanation: Alcohol should be avoided during metronidazole treatment and for the recommended period afterward because a severe disulfiram-like…

• A. Applying local heat to the lower abdomen
• B. Limiting all oral fluids during menstruation
• C. Remaining on complete bed rest throughout the cycle
• D. Using vaginal cleansing solutions each morning

Explanation: A heating pad or warm compress can relax pelvic muscles and reduce menstrual cramping.

• A. Arrange a pregnancy test
• B. Begin iron supplementation immediately
• C. Recommend daily pelvic floor exercises
• D. Advise a low-calorie diet for one month

Explanation: Pregnancy must be excluded first in any reproductive-age woman with secondary amenorrhoea.

• A. Mild cramping and light spotting may occur afterward
• B. The procedure requires removal of the entire uterus
• C. Heavy bleeding is expected for several weeks afterward
• D. The patient must remain fasting for three complete days

Explanation: Endometrial biopsy may cause brief cramping and light spotting because a small tissue sample is taken through the cervix.

• A. Report the findings for assessment of infection
• B. Tell her to leave the pessary in place indefinitely
• C. Advise her to insert a second pessary for support
• D. Reassure her that foul discharge is always expected

Explanation: Foul-smelling discharge and pelvic discomfort may indicate vaginal infection, ulceration, or a pessary-related complication and require…

• A. Arrange prompt medical evaluation for possible ovarian disease
• B. Reassure her that these are normal menstrual changes
• C. Recommend vaginal douching for symptom relief
• D. Advise her to delay assessment until menopause begins

Explanation: Persistent bloating, pelvic pressure, early satiety and urinary symptoms can occur with ovarian pathology, including ovarian cancer.

• A. Bleeding after sexual intercourse
• B. Mild breast tenderness before menstruation
• C. Brief fatigue after a busy day
• D. Clear discharge during mid-cycle

Explanation: Postcoital bleeding is an important warning symptom of cervical disease and requires clinical assessment.

• A. Any vaginal bleeding after menopause
• B. Occasional mild hot flushes
• C. A small increase in appetite
• D. Mild breast tenderness before sleep

Explanation: Any vaginal bleeding after menopause is abnormal and should be investigated because it may indicate endometrial or cervical disease.

• A. Place her supine, assess circulation and call for urgent help
• B. Offer oral fluids and ask her to walk slowly
• C. Apply a warm pack and reassess her after one hour
• D. Arrange a routine outpatient appointment for next week

Explanation: The symptoms suggest a ruptured ectopic pregnancy with internal bleeding.