Free Gynaecological Nursing MCQs with Answers
50 Gynaecological Nursing 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.
Gynaecological nursing covers assessment and care for menstrual disorders, vaginal infections, pelvic inflammatory disease, infertility, endometriosis, fibroids, uterine prolapse and reproductive tract cancers. It includes pelvic examination, specimen collection, preoperative and postoperative care, medication support, privacy and counselling, and distinguishes gynaecological conditions from normal pregnancy-related changes.
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50 questions · page 2 of 3
- A. Take it only after pain becomes severe
- B. Take it with food and avoid exceeding the prescribed dose
- C. Stop it immediately if menstrual bleeding becomes lighter
- D. Use it together with another NSAID for better relief
Explanation: Ibuprofen reduces prostaglandin-related pain and is best taken with food to reduce gastric irritation.
Correct answer: Take it with food and avoid exceeding the prescribed dose- A. Apply a warm compress to the lower abdomen
- B. Encourage oral fluids and observe her response
- C. Keep her nil by mouth and notify the gynaecology team
- D. Provide a high-fibre meal to prevent constipation
Explanation: Ovarian torsion can compromise blood flow and usually requires urgent surgical assessment.
Correct answer: Keep her nil by mouth and notify the gynaecology team- A. A regular cycle with mild breast tenderness
- B. Twelve months without menstruation in a woman of typical age
- C. One missed period after emotional stress
- D. Mild cramps on the first day of bleeding
Explanation: Natural menopause is identified retrospectively after 12 consecutive months without menstruation when another cause is not present.
Correct answer: Twelve months without menstruation in a woman of typical age- A. Teach her to avoid coughing after surgery
- B. Confirm consent and document her baseline urinary function
- C. Give a laxative immediately before transfer to theatre
- D. Restrict all oral fluids for 24 hours before surgery
Explanation: Consent and baseline assessment, including urinary function, are important before gynaecological surgery.
Correct answer: Confirm consent and document her baseline urinary function- A. I can lift heavy buckets once the incision feels comfortable
- B. I should report fever, heavy bleeding or foul-smelling discharge
- C. I should insert tampons if vaginal spotting continues
- D. I can resume vaginal intercourse as soon as pain improves
Explanation: Fever, heavy bleeding and foul-smelling discharge may indicate infection or postoperative haemorrhage and require review.
Correct answer: I should report fever, heavy bleeding or foul-smelling discharge- A. Ovarian hormone production
- B. Patency and shape of the fallopian tubes
- C. Sperm concentration and motility
- D. Thickness of the vaginal epithelium
Explanation: Hysterosalpingography uses contrast imaging to assess the uterine cavity and whether the fallopian tubes are open.
Correct answer: Patency and shape of the fallopian tubes27. A woman with a vaginal pessary asks how to reduce the risk of complications. Which advice is best?
- A. Ignore mild bleeding because it is always expected
- B. Attend scheduled reviews and report pain, bleeding or unusual discharge
- C. Wash the pessary with strong disinfectant every morning
- D. Keep the pessary in place permanently without follow-up
Explanation: Regular review helps assess vaginal tissue, pessary position and the need for cleaning or replacement.
Correct answer: Attend scheduled reviews and report pain, bleeding or unusual discharge- A. Irregular ovulation can result from hormonal imbalance
- B. The uterus produces excessive menstrual blood every month
- C. The cervix permanently blocks the menstrual flow
- D. The ovaries always stop producing all hormones
Explanation: Polycystic ovary syndrome commonly involves irregular or absent ovulation, which causes irregular menstrual cycles.
Correct answer: Irregular ovulation can result from hormonal imbalance- A. Collect the specimen after cleansing the vagina with antiseptic
- B. Use the supplied sterile swab and avoid touching the swab tip
- C. Place the swab on the bedside table before labelling it
- D. Send the specimen without patient identification to preserve privacy
Explanation: The sterile swab tip must remain uncontaminated, and the specimen should be placed in the correct container, labelled and sent promptly.
Correct answer: Use the supplied sterile swab and avoid touching the swab tip- A. Offer a warm blanket and reassess in four hours
- B. Give a live vaccine to strengthen immunity
- C. Notify the oncology team promptly and follow neutropenic fever protocol
- D. Advise her to take leftover antibiotics from home
Explanation: Fever and chills during chemotherapy may indicate a serious infection in a patient with reduced neutrophil function.
Correct answer: Notify the oncology team promptly and follow neutropenic fever protocol- A. Keep the area clean and dry and provide prescribed analgesia
- B. Apply topical corticosteroid cream to the lesions
- C. Encourage sexual intercourse to prevent vaginal narrowing
- D. Use scented vaginal washes to reduce local irritation
Explanation: Genital herpes lesions are painful, so gentle hygiene, dryness and prescribed analgesia support comfort and reduce secondary infection.
Correct answer: Keep the area clean and dry and provide prescribed analgesia- A. Use warm sitz baths several times daily
- B. Apply an ice pack continuously to the cyst
- C. Insert a vaginal pessary to support the gland
- D. Begin oral antibiotics without further assessment
Explanation: Warm sitz baths can promote comfort and drainage in a small, uncomplicated Bartholin cyst.
Correct answer: Use warm sitz baths several times daily- A. Complete the entire prescribed antibiotic course
- B. Stop treatment when the pelvic pain disappears
- C. Use vaginal douches after each antibiotic dose
- D. Resume intercourse before the treatment is finished
Explanation: Completing treatment helps eradicate infection and reduces complications such as infertility and chronic pelvic pain.
Correct answer: Complete the entire prescribed antibiotic course- A. Severe abdominal pain with rapid abdominal enlargement
- B. Mild breast tenderness during the first treatment cycle
- C. A small amount of clear cervical mucus
- D. Mild nausea after taking the tablet
Explanation: Severe abdominal pain and rapid abdominal enlargement may indicate ovarian hyperstimulation or ovarian enlargement and require prompt…
Correct answer: Severe abdominal pain with rapid abdominal enlargement- A. Insufflated carbon dioxide can irritate the diaphragm
- B. The symptom proves that a pulmonary embolism has occurred
- C. The pain means that the urinary bladder was perforated
- D. The symptom is caused by excessive postoperative vaginal bleeding
Explanation: Residual carbon dioxide used during laparoscopy can irritate the diaphragm and cause referred shoulder pain.
Correct answer: Insufflated carbon dioxide can irritate the diaphragm- A. Limit time near the patient and avoid unnecessary visitors
- B. Allow pregnant visitors to stay at the bedside for support
- C. Remove the radioactive source if the patient reports discomfort
- D. Provide unlimited bedside time for all family members
Explanation: When a temporary radioactive source is in place, radiation exposure is reduced by limiting time, increasing distance and using shielding…
Correct answer: Limit time near the patient and avoid unnecessary visitors37. A woman returns after a cervical biopsy. Which finding should she report to the nurse immediately?
- A. Heavy vaginal bleeding with dizziness
- B. Mild lower abdominal cramping
- C. A small amount of dark vaginal spotting
- D. Brown discharge for one or two days
Explanation: Heavy bleeding with dizziness may indicate significant blood loss and requires immediate assessment of circulation.
Correct answer: Heavy vaginal bleeding with dizziness- A. Avoid heavy lifting and prevent constipation
- B. Perform repeated straining exercises each morning
- C. Delay urination to strengthen pelvic muscles
- D. Use tight abdominal clothing throughout the day
Explanation: Avoiding heavy lifting and preventing constipation reduce pressure on the pelvic floor.
Correct answer: Avoid heavy lifting and prevent constipation- A. Arrange testing and treatment for recent sexual partners
- B. Advise her that partner assessment is unnecessary if symptoms settle
- C. Recommend vaginal douching after each sexual contact
- D. Tell her that condoms are not needed after one antibiotic dose
Explanation: Gonorrhoea requires partner notification, testing and treatment to prevent reinfection and further transmission.
Correct answer: Arrange testing and treatment for recent sexual partners- A. It allows magnified examination of the cervix and directed biopsy
- B. It measures the size and position of the ovaries
- C. It checks whether the fallopian tubes are open
- D. It confirms pregnancy by viewing the uterine cavity
Explanation: Colposcopy uses magnification to examine abnormal cervical areas and allows a directed biopsy when needed.
Correct answer: It allows magnified examination of the cervix and directed biopsy