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 3 of 3

  • A. Increase caffeine intake during the premenstrual week
  • B. Keep a symptom diary and use regular exercise
  • C. Remain on bed rest until menstruation begins
  • D. Take antibiotics whenever symptoms develop

Explanation: Recording symptoms helps confirm their cyclical pattern, while regular exercise may reduce premenstrual symptoms.

Correct answer: Keep a symptom diary and use regular exercise
  • A. Drink several glasses of water before examination
  • B. Empty the bladder before examination
  • C. Apply vaginal cream before examination
  • D. Avoid bathing for 24 hours before examination

Explanation: An empty bladder improves comfort and allows the examiner to assess the pelvic organs more accurately.

Correct answer: Empty the bladder before examination
  • A. Take the tablet with tea to improve absorption
  • B. Expect stools to become darker during treatment
  • C. Stop the medicine when menstrual bleeding decreases
  • D. Take the tablet only when feeling tired

Explanation: Oral iron can cause dark stools and gastrointestinal discomfort, and treatment should continue as prescribed to replenish iron stores.

Correct answer: Expect stools to become darker during treatment
Hard
  • A. Menstruation will begin within one hour
  • B. An increase in luteinising hormone has occurred
  • C. Implantation has already occurred in the uterus
  • D. Ovarian reserve has been permanently exhausted

Explanation: The kit detects the luteinising hormone surge, which usually occurs shortly before ovulation.

Correct answer: An increase in luteinising hormone has occurred
  • A. Assessment for raised prolactin and pituitary disease
  • B. Immediate treatment with vaginal antifungal medicine
  • C. Routine pelvic floor exercises without further assessment
  • D. Reassurance that these findings confirm menopause

Explanation: Amenorrhoea with galactorrhoea and headache may indicate hyperprolactinaemia, sometimes related to a pituitary lesion, so medical…

Correct answer: Assessment for raised prolactin and pituitary disease
Moderate
  • A. Advise her to take the next tablet with food
  • B. Assess her immediately for possible pulmonary embolism
  • C. Tell her that mild breathlessness is an expected effect
  • D. Recommend increased fluid intake and routine follow-up

Explanation: Sudden chest pain and shortness of breath may indicate pulmonary embolism, a serious complication requiring urgent assessment.

Correct answer: Assess her immediately for possible pulmonary embolism
  • A. Discuss her concerns privately and explain expected effects
  • B. Tell her that symptoms should not be discussed during treatment
  • C. Ask family members to explain the treatment instead
  • D. Avoid answering questions to prevent increasing anxiety

Explanation: Private, clear counselling supports dignity, informed participation and early reporting of complications.

Correct answer: Discuss her concerns privately and explain expected effects
  • A. Explain the procedure and verify informed consent
  • B. Scrub the lesion vigorously to remove all discharge
  • C. Apply a topical anaesthetic without checking the prescription
  • D. Tell the patient that biopsy results are always benign

Explanation: The nurse should explain the procedure within the nursing role, provide privacy and verify that informed consent is present.

Correct answer: Explain the procedure and verify informed consent
  • A. Use a water-based lubricant and seek clinical assessment
  • B. Use perfumed soap internally before intercourse
  • C. Restrict all fluids during the day
  • D. Begin antibiotics without examination

Explanation: Reduced oestrogen after menopause can cause vaginal dryness and discomfort, and water-based lubricants may reduce friction.

Correct answer: Use a water-based lubricant and seek clinical assessment
Moderate
  • A. Offer a full meal immediately before the procedure
  • B. Confirm fasting status, consent and allergy history
  • C. Encourage vigorous exercise before transfer
  • D. Insert a vaginal medication without a prescription

Explanation: Before anaesthesia, the nurse confirms fasting status, informed consent, allergies and other required safety checks.

Correct answer: Confirm fasting status, consent and allergy history