Midwifery Exam Mastery: A Complete Study Guide with High-Yield Questions, Detailed Answers, OSCE Clinical Stations, Obstetric Practice, Newborn Care, and Professional Competency Review ebook

MIDWIFERY EXAM MASTERY:

A Complete Study Guide with High-Yield Questions, Detailed Answers, OSCE Clinical Stations, Obstetric Practice, Newborn Care, and Professional Competency Review

ALL RIGHTS RESERVED

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the copyright holder.

Copyright © Jonathan Stephens

First Published, 2026

Noogul Digital Publishing

Contents

ALL RIGHTS RESERVED

SECTION ONE

FOUNDATIONS OF MIDWIFERY AND NURSING PRACTICE: ESSENTIAL SCIENCES, RESEARCH, AND PROFESSIONAL COMPETENCY REVIEW

This section provides a comprehensive foundation for excellence in midwifery and nursing practice, bringing together the essential knowledge required for academic success, professional examinations, and safe clinical care. Carefully structured through hundreds of multiple-choice questions and evidence-based explanations, it explores key concepts in anatomy and physiology, nutrition, pharmacology, research methodology, reproductive health, maternal and newborn care, nursing management, mental health, entrepreneurship, and professional ethics. Readers are guided through the principles that underpin effective healthcare delivery, from understanding human body systems and pregnancy physiology to applying research findings, clinical reasoning, and patient-centered care. Special emphasis is placed on midwifery practice, labour and delivery, newborn assessment, family planning, reproductive health, and professional accountability. Designed for student midwives, nursing students, examination candidates, and practicing healthcare professionals, this section serves as both a learning resource and a high-yield revision tool. By integrating theoretical knowledge with examination-focused practice questions, it equips readers with the competence, confidence, and critical thinking skills necessary to excel in licensing examinations and provide safe, evidence-based care in diverse healthcare settings.

SECTION TWO

ADVANCED MIDWIFERY PRACTICE AND MATERNAL-NEWBORN CARE: CLINICAL COMPETENCY REVIEW AND LICENSING EXAMINATION GUIDE

These section takes readers beyond the fundamentals and into the practical realities of modern midwifery and nursing care. Through a carefully curated collection of examination-focused questions and evidence-based answers, this section explores critical aspects of antenatal, intrapartum, postpartum, neonatal, reproductive, and community health practice. Readers will strengthen their understanding of labour management, fetal monitoring, obstetric emergencies, family planning, newborn assessment, breastfeeding, maternal complications, infection prevention, nutrition, pharmacology, mental health, leadership, entrepreneurship, and community-based healthcare interventions. The content is designed to sharpen clinical judgment, reinforce essential competencies, and prepare learners for real-life decision-making in diverse healthcare settings. With a strong emphasis on professional examinations and competency-based learning, this section serves as an indispensable revision companion for student midwives, nursing students, newly qualified practitioners, and healthcare professionals seeking excellence in maternal and child healthcare. It bridges the gap between classroom knowledge and clinical application, empowering readers with the confidence, critical thinking skills, and practical expertise required for successful licensing examinations and safe, effective patient care.

SECTION THREE

INTEGRATED MIDWIFERY PRACTICE, REPRODUCTIVE HEALTH, AND CLINICAL MANAGEMENT

An intensive clinical review designed to transform knowledge into professional competence. Covering a broad spectrum of advanced midwifery and nursing concepts, this section presents carefully structured examination questions and answers that mirror the complexity of licensing and professional qualifying examinations. Readers will explore maternal and fetal physiology, antenatal and postnatal care, labour and delivery management, obstetric emergencies, neonatal assessment, reproductive health, family planning, pharmacology, nutrition, mental health, research methodology, nursing informatics, leadership, entrepreneurship, and community health practice. The content emphasizes critical thinking, evidence-based decision-making, and the application of theoretical knowledge to real-life clinical situations. Ideal for student midwives, nursing students, educators, and practicing healthcare professionals, this section serves as both a comprehensive revision guide and a practical clinical reference. By integrating foundational principles with advanced concepts and examination-focused learning, it equips readers with the confidence, competence, and professional readiness required to excel in licensing examinations and deliver safe, high-quality maternal and newborn healthcare in diverse clinical settings.

SECTION FOUR

ESSENTIAL CONCEPTS IN MATERNAL, CHILD, AND COMMUNITY HEALTHCARE

Section Four offers a rich and engaging collection of carefully selected review questions that bridge theory and practice across the diverse disciplines of midwifery and healthcare. From nutrition, pharmacology, reproductive health, maternal and newborn care to psychiatry, nursing management, research, entrepreneurship, and health informatics, this section provides learners with an opportunity to reinforce critical concepts essential for professional excellence. Designed to enhance examination success and clinical competence, the chapter presents practical scenarios and evidence-based knowledge that strengthen decision-making, problem-solving, and patient care skills. Readers will gain valuable insights into normal and abnormal health conditions, leadership principles, communication strategies, healthcare technology, and contemporary issues affecting women, children, families, and communities. Whether you are a student preparing for qualifying examinations, a practitioner seeking knowledge refreshment, or an educator looking for a reliable revision resource, this section serves as a comprehensive guide to mastering the foundational and advanced competencies required in modern healthcare practice.

SECTON FIVE

MASTERING CLINICAL PRACTICE IN MIDWIFERY, NURSING, AND HEALTH SCIENCES

These section covers diverse areas such as obstetrics, maternal and child health, anatomy and physiology, nutrition, pharmacology, psychiatry, primary healthcare, emergency care, nursing management, and community health, this section serves as a valuable resource for reinforcing knowledge and improving clinical reasoning. Designed to support students, educators, and healthcare professionals, it transforms complex theoretical concepts into practical learning experiences that promote critical thinking, problem-solving, and evidence-based practice. Readers will strengthen their understanding of normal and abnormal health conditions, reproductive health, neonatal care, disease prevention, patient management, and professional nursing responsibilities. Whether preparing for professional examinations, licensing assessments, interviews, or clinical practice, this chapter provides an effective self-assessment and revision tool that builds confidence, enhances competence, and promotes excellence in healthcare delivery.

SECTION SIX

ADVANCING EXCELLENCE IN MIDWIFERY, NURSING, AND PRIMARY HEALTHCARE PRACTICE

A dynamic and comprehensive exploration of the knowledge, skills, and competencies required for effective midwifery, nursing, and primary healthcare practice. Through a carefully curated collection of review questions and practical applications, readers are guided through critical areas including maternal and child health, reproductive health, community nursing, anatomy and physiology, pharmacology, emergency care, healthcare management, research methods, psychology, and professional ethics. Designed to bridge the gap between classroom learning and clinical practice, this chapter promotes critical thinking, evidence-based decision-making, and professional competence. Readers will strengthen their understanding of patient assessment, health promotion, disease prevention, labour and delivery management, child development, leadership principles, and contemporary healthcare challenges. Ideal for students preparing for qualifying examinations, healthcare professionals seeking knowledge reinforcement, and educators supporting academic excellence, this chapter serves as a valuable resource for developing the confidence, expertise, and practical skills required to excel in modern healthcare environments and deliver quality patient-centered care.

SECTION SEVEN

MATERNAL AND NEWBORN HEALTH: EXPLORING REPRODUCTIVE PROCESSES, OBSTETRIC CARE, AND MIDWIFERY PRACTICE

This section provides an in-depth exploration of essential concepts surrounding maternal, reproductive, and newborn health, serving as a comprehensive guide for understanding the complex processes involved in pregnancy, childbirth, and early life care. The section highlights key areas such as female and male reproductive anatomy, fertilization, fetal development, antenatal care, labour management, obstetric emergencies, and postpartum care. It also examines important health conditions affecting pregnancy, including hypertension, pre-eclampsia, anaemia, infections, and complications related to labour and delivery. Beyond clinical knowledge, the section emphasizes nursing responsibilities, communication, management principles, research application, and evidence-based healthcare practices. Through its wide coverage of maternal and child health, this section equips readers with the knowledge required to appreciate the critical role of healthcare professionals in promoting safe motherhood, protecting newborn wellbeing, and improving health outcomes across communities.

SECTION EIGHT

OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE): BRIDGING CLINICAL KNOWLEDGE WITH COMPETENT MATERNAL AND NEWBORN CARE

This section presents a comprehensive guide to the Objective Structured Clinical Examination (OSCE), designed to strengthen the clinical competence, confidence, and practical decision-making abilities of healthcare students and professionals. The chapter provides structured coverage of essential clinical skills and procedures required in maternal, reproductive, and newborn care, including obstetric assessments, management of labour, fetal positioning, newborn evaluation, breastfeeding support, family planning counselling, and emergency care principles. It integrates theoretical understanding with practical application, emphasizing accurate assessment, safe clinical techniques, effective communication, and evidence-based practice. Through carefully developed examination-focused materials, this chapter prepares learners to demonstrate proficiency in real-life clinical situations while promoting safe motherhood, quality patient care, and professional excellence. It serves as an essential bridge between classroom learning and the realities of clinical practice, equipping readers with the skills necessary for successful OSCE performance and competent healthcare delivery.

MECHANISM OF LABOUR FOR BREECH (RSA)

This section explores the clinical principles surrounding breech presentation, including its types, causes, diagnosis, management approaches, and complications. It highlights essential midwifery skills required for safe breech delivery, fetal assessment, and appropriate interventions during labour to promote maternal and newborn safety.

BREECH PRESENTATION

MANUAL VACUUM ASPIRATION

This section provides an overview of manual vacuum aspiration procedures, including indications, equipment, techniques, safety measures, and post-procedure care. It emphasizes compassionate reproductive healthcare, infection prevention, counselling, and effective management of women requiring post-abortion services.

NEUROLOGICAL ASSESSMENT OF THE NEWBORN REFLEXES

This section focuses on newborn neurological evaluation, including reflexes, developmental assessment, congenital abnormalities, neonatal conditions, and early identification of health concerns. It supports effective newborn care through timely assessment and appropriate clinical interventions.

BREASTFEEDING

This section highlights the importance of breastfeeding practices, colostrum, breast milk benefits, breastfeeding support, and the role of healthcare providers in promoting successful breastfeeding. It emphasizes maternal education, infant nutrition, and improved newborn health outcomes.

FAMILY PLANNING METHODS

This section provides comprehensive knowledge of contraceptive options, including natural, barrier, hormonal, intrauterine, and permanent methods. It focuses on informed decision-making, counselling skills, effectiveness, advantages, limitations, and reproductive health promotion.

OCCIPITO-POSTERIOR POSITION {LONG INTERNAL ROTATION}

This section examines occipito-posterior fetal positions, their causes, diagnosis, and influence on labour progression. It explains fetal rotation mechanisms, maternal positioning, possible complications, and the role of the midwife in supporting safe delivery.

NEWBORN

This section provides essential insights into newborn assessment, growth, development, and common neonatal conditions. It explores important congenital abnormalities and their distinguishing features, neonatal adaptations after birth, fetal development, and physiological changes in the newborn period. Readers will gain knowledge of conditions such as intrauterine growth restriction, caput succedaneum, haemorrhagic disease of the newborn, and hormonal influences on neonatal health. Practical concepts including kangaroo mother care, newborn bonding, and early identification of developmental abnormalities are highlighted, making this section a valuable resource for students and healthcare professionals involved in maternal and newborn care.

MECHANISM OF LEFT OCCIPITO POSTERIOR (LOP) LONG ROTATION

This section examines occipito-posterior fetal positions, their causes, diagnosis, and influence on labour progression. It explains fetal rotation mechanisms, maternal positioning, possible complications, and the role of the midwife in supporting safe delivery.

ACTIVE MANAGEMENT OF 3RD STAGE OF LABOUR

This section explains evidence-based practices for managing the third stage of labour, including uterotonic administration, controlled cord traction, prevention of postpartum haemorrhage, and maternal monitoring after placental delivery.

THE GYNECOID PELVIS

This section discusses the anatomy and characteristics of the female pelvis, its relevance to childbirth, pelvic measurements, and different pelvic types. It emphasizes the importance of pelvic assessment in understanding labour progression and delivery outcomes.

THE FETAL SKULL

This section explores the structure of the fetal skull, sutures, fontanelles, diameters, moulding, and their significance during labour. It provides essential knowledge for assessing fetal position, engagement, and progress of labour.

MECHANISM OF LABOUR LOA AND ROA

This section explains the normal mechanisms of labour involving left and right occipito-anterior positions. It covers cardinal movements, fetal head rotation, engagement, descent, and delivery processes essential for understanding normal childbirth.

MECHANISM OF LABOUR (OCCIPITO POSTERIOR POSITION)

This section focuses on persistent occipito-posterior positions, including diagnosis, contributing factors, labour challenges, and management approaches. It enhances understanding of abnormal fetal positioning and strategies to support successful vaginal birth.

THE FEMALE BREAST

This section describes breast anatomy, physiology, milk production, breast assessment, and clinical examination techniques. It highlights the role of healthcare providers in promoting breast health, breastfeeding success, and early detection of abnormalities.

ABDOMINAL EXAMINATION

This section presents the principles and procedures of abdominal examination in pregnancy, including preparation, palpation techniques, fetal lie, presentation, position, growth assessment, and communication with the pregnant woman during clinical assessment.

SECTION ONE

FOUNDATIONS OF MIDWIFERY AND NURSING PRACTICE: ESSENTIAL SCIENCES, RESEARCH, AND PROFESSIONAL COMPETENCY REVIEW

Overview

This section provides a comprehensive foundation for excellence in midwifery and nursing practice, bringing together the essential knowledge required for academic success, professional examinations, and safe clinical care. Carefully structured through hundreds of multiple-choice questions and evidence-based explanations, it explores key concepts in anatomy and physiology, nutrition, pharmacology, research methodology, reproductive health, maternal and newborn care, nursing management, mental health, entrepreneurship, and professional ethics. Readers are guided through the principles that underpin effective healthcare delivery, from understanding human body systems and pregnancy physiology to applying research findings, clinical reasoning, and patient-centered care. Special emphasis is placed on midwifery practice, labour and delivery, newborn assessment, family planning, reproductive health, and professional accountability. Designed for student midwives, nursing students, examination candidates, and practicing healthcare professionals, this section serves as both a learning resource and a high-yield revision tool. By integrating theoretical knowledge with examination-focused practice questions, it equips readers with the competence, confidence, and critical thinking skills necessary to excel in licensing examinations and provide safe, evidence-based care in diverse healthcare settings.

Nutrient needed for blood formation is:

A. Iron

B. Calcium

C. Sodium

D. Potassium

ANSWER: A

Green leafy vegetables are rich in:

A. Vitamins and minerals

B. Fat only

C. Sugar only

D. Starch only

ANSWER: A

A patient with severe dehydration may show:

A. Increased urine output

B. Dry skin and thirst

C. Excess sweating only

D. High appetite

ANSWER: B

Oxygen therapy is given to patients with:

A. Fever only

B. Difficulty breathing

C. Hair loss

D. Fractures only

ANSWER: B

The aim of research is to:

A. Create confusion

B. Generate knowledge

C. Waste resources

D. Delay decisions

ANSWER: B

Descriptive research is used to:

A. Describe situations or events

B. Manipulate variables

C. Test drugs only

D. Perform surgery

ANSWER: A

The female reproductive organ where the baby develops is the:

A. Ovary

B. Cervix

C. Uterus

D. Vulva

ANSWER: C

The release of ovum from the ovary is called:

A. Menstruation

B. Fertilization

C. Ovulation

D. Implantation

ANSWER: C

The inflammation of joints is called:

A. Arthritis

B. Gastritis

C. Nephritis

D. Dermatitis

ANSWER: A

The medical term for nose bleeding is:

A. Hemoptysis

B. Epistaxis

C. Melena

D. Hematuria

ANSWER: B

The title of a research should be:

A. Vague

B. Clear and concise

C. Too long

D. Unrelated to study

ANSWER: B

Correlation research examines:

A. Cause and effect only

B. Relationship between variables

C. Drug reactions only

D. Patient records only

ANSWER: B

Data analysis in qualitative research often involves:

A. Coding themes

B. Measuring blood pressure

C. Drawing anatomy diagrams

D. Drug administration

ANSWER: A

A census involves studying:

A. Part of the population

B. Entire population

C. One participant

D. Only males

ANSWER: B

The pulse is commonly checked at the:

A. Femur

B. Radial artery

C. Tibia

D. Skull

ANSWER: B

CPR stands for:

A. Cardio Pulmonary Resuscitation

B. Cardiac Pressure Regulation

C. Clinical Patient Review

D. Controlled Pulse Response

ANSWER: A

The best food for infants is:

A. Cow milk

B. Water

C. Breast milk

D. Pap

ANSWER: C

The body stores excess carbohydrate as:

A. Vitamins

B. Protein

C. Fat

D. Water

ANSWER: C

Which vitamin is produced by sunlight on the skin?

A. Vitamin A

B. Vitamin B

C. Vitamin C

D. Vitamin D

ANSWER: D

Exclusive breastfeeding should continue for:

A. 2 months

B. 4 months

C. 6 months

D. 1 year

ANSWER: C

The union of sperm and ovum is known as:

A. Implantation

B. Fertilization

C. Lactation

D. Gestation

ANSWER: B

Pregnancy is also called:

A. Lactation

B. Gestation

C. Ovulation

D. Menstruation

ANSWER: B

Anatomy is the study of:

A. Body functions

B. Body structure

C. Diseases

D. Drugs

ANSWER: B

Management is the process of:

A. Sleeping and resting

B. Planning, organizing, directing, and controlling activities

C. Punishing workers

D. Avoiding responsibilities

ANSWER: B

An abstract in research is:

A. A detailed chapter

B. A summary of the study

C. A bibliography

D. A questionnaire

ANSWER: B

Ethical approval for research is usually obtained from:

A. Family members

B. Ethics committee

C. Respondents only

D. Laboratory staff

ANSWER: B

Entrepreneurship refers to:

A. Government employment only

B. The process of starting and managing a business

C. Farming only

D. Teaching only

ANSWER: B

A patient on bed rest is at risk of developing:

A. Pressure sores

B. Improved circulation only

C. Hypertension only

D. Cataract

ANSWER: A

The inflammation of the stomach lining is:

A. Gastritis

B. Hepatitis

C. Appendicitis

D. Nephritis

ANSWER: A

Psychiatric nursing is concerned with the care of patients with:

A. Bone diseases only

B. Mental health disorders

C. Eye diseases only

D. Skin diseases only

ANSWER: B

Pharmacology is the study of:

A. Human anatomy

B. Drugs and their effects on the body

C. Nursing procedures only

D. Diseases only

ANSWER: B

Lack of adequate food intake leads to:

A. Overnutrition

B. Undernutrition

C. Obesity

D. Hypertension only

ANSWER: B

Food rich in fiber helps to prevent:

A. Constipation

B. Fever

C. Malaria

D. Cough

ANSWER: A

A normal infant is one who is born:

A. Before 28 weeks

B. With no visible abnormalities

C. With severe infection

D. With birth injury

ANSWER: B

Reproductive health refers to:

A. Only absence of disease

B. Complete physical, mental, and social wellbeing in reproductive system

C. Only childbirth

D. Only family planning

ANSWER: B

The normal duration of pregnancy is:

A. 20 weeks

B. 30 weeks

C. 40 weeks

D. 50 weeks

ANSWER: C

The first stage of labour ends with:

A. Delivery of placenta

B. Full cervical dilation

C. Delivery of baby

D. Breastfeeding

ANSWER: B

Nutrition is the study of:

A. Diseases only

B. Food and its effect on health

C. Exercise only

D. Drugs only

ANSWER: B

Fundamentals of midwifery mainly deals with:

A. Child psychology

B. Care of mother and baby

C. Eye treatment

D. Dental care

ANSWER: B

A dependent variable depends on the:

A. Research title

B. Independent variable

C. Questionnaire

D. Population

ANSWER: B

Data collected through face-to-face questioning is called:

A. Interview

B. Observation

C. Experiment

D. Census

ANSWER: A

The branch of nursing that deals with pregnancy and childbirth is called:

A. Pediatrics

B. Midwifery

C. Psychiatry

D. Surgery

ANSWER: B

Physiology is the study of:

A. Body structure only

B. Body functions

C. Microorganisms

D. Nutrition only

ANSWER: B

Teaching is defined as:

A. The act of giving information and guiding learning

B. Punishing students

C. Reading books only

D. Writing examinations only

ANSWER: A

Dialysis is done for patients with:

A. Heart failure

B. Kidney failure

C. Asthma

D. Diabetes only

ANSWER: B

The inability to control urine is called:

A. Retention

B. Incontinence

C. Hematuria

D. Dysuria

ANSWER: B

A midwife entrepreneur is a midwife who:

A. Owns or manages a healthcare business

B. Works only in government hospitals

C. Avoids patient care

D. Teaches mathematics only

ANSWER: A

Mental health is defined as a state of:

A. Physical weakness

B. Complete emotional and social wellbeing

C. Constant sadness

D. Mental illness only

ANSWER: B

An example of a mineral is:

A. Protein

B. Calcium

C. Fat

D. Glucose

ANSWER: B

Fish is a good source of:

A. Protein

B. Carbohydrate

C. Vitamin C

D. Starch

ANSWER: A

The study of how drugs act on the body is called:

A. Pharmacokinetics

B. Pharmacodynamics

C. Pathology

D. Microbiology

ANSWER: B

The normal gestational age of an infant is:

A. 20 28 weeks

B. 28 32 weeks

C. 37 42 weeks

D. 44 46 weeks

ANSWER: C

The reproductive system is responsible for:

A. Digestion

B. Reproduction

C. Circulation

D. Respiration

ANSWER: B

The nutrient mainly responsible for body building is:

A. Carbohydrate

B. Protein

C. Fat

D. Vitamin

ANSWER: B

The second stage of labour begins with:

A. Placental separation

B. Rupture of membrane

C. Full cervical dilation

D. Breastfeeding

ANSWER: C

The third stage of labour ends with:

A. Delivery of baby

B. Delivery of placenta

C. Breastfeeding

D. Ovulation

ANSWER: B

Anemia is a deficiency of:

A. White blood cells

B. Red blood cells or hemoglobin

C. Platelets only

D. Plasma only

ANSWER: B

The nurse should position an unconscious patient in:

A. Supine position only

B. Lateral position

C. Standing position

D. Sitting position only

ANSWER: B

A midwife is a person trained to:

A. Perform laboratory tests only

B. Assist women during pregnancy and childbirth

C. Treat eye diseases

D. Dispense drugs only

ANSWER: B

The methodology section explains:

A. Findings only

B. How the study was conducted

C. References only

D. Recommendations only

ANSWER: B

Statistics are used in research to:

A. Entertain readers

B. Organize and interpret data

C. Avoid conclusions

D. Replace questionnaires

ANSWER: B

Pregnancy normally lasts for about:

A. 20 weeks

B. 28 weeks

C. 40 weeks

D. 50 weeks

ANSWER: C

The basic unit of life is the:

A. Tissue

B. Organ

C. Cell

D. System

ANSWER: C

The largest organ in the human body is the:

A. Liver

B. Skin

C. Heart

D. Kidney

ANSWER: B

The soft spot on a baby s skull is called:

A. Sutures

B. Fontanelle

C. Placenta

D. Meconium

ANSWER: B

The temporary organ connecting mother and fetus is the:

A. Ovary

B. Placenta

C. Cervix

D. Vagina

ANSWER: B

One function of management is:

A. Planning

B. Fighting

C. Sleeping

D. Gossiping

ANSWER: A

Planning involves:

A. Setting goals and deciding how to achieve them

B. Ignoring objectives

C. Avoiding decisions

D. Punishing workers

ANSWER: A

One importance of entrepreneurship in midwifery is:

A. Job creation

B. Increased unemployment

C. Poor healthcare delivery

D. Delayed services

ANSWER: A

Dietetics is the study of:

A. Food management and therapeutic diets

B. Diseases only

C. Exercise only

D. Surgery

ANSWER: A

A therapeutic diet is given to:

A. Healthy people only

B. Sick people according to condition

C. Athletes only

D. Children only

ANSWER: B

A business plan is:

A. A patient chart

B. A written guide for business operations

C. A hospital report only

D. A treatment sheet

ANSWER: B

A person who sees or hears things that are not real is experiencing:

A. Delusion

B. Hallucination

C. Illusion

D. Confusion

ANSWER: B

The inflammation of the kidney is called:

A. Nephritis

B. Hepatitis

C. Gastritis

D. Cystitis

ANSWER: A

Surgery performed to remove the breast is:

A. Hysterectomy

B. Appendectomy

C. Mastectomy

D. Nephrectomy

ANSWER: C

A false fixed belief is called:

A. Hallucination

B. Delusion

C. Illusion

D. Obsession

ANSWER: B

Pharmacokinetics involves:

A. Effect of drugs on body

B. Movement of drugs in the body

C. Surgery techniques

D. Blood pressure measurement

ANSWER: B

The route of drug administration through the mouth is:

A. Intravenous

B. Oral

C. Intramuscular

D. Subcutaneous

ANSWER: B

A research question guides the:

A. Research process

B. Budget only

C. Printing only

D. References only

ANSWER: A

Confidentiality in research means:

A. Revealing participant information publicly

B. Keeping participant information private

C. Ignoring ethics

D. Publishing names

ANSWER: B

The purpose of a dressing is to:

A. Cause infection

B. Protect the wound

C. Delay healing

D. Increase bleeding

ANSWER: B

The nurse s primary responsibility is to:

A. Diagnose diseases independently

B. Promote patient health and care

C. Prescribe drugs only

D. Perform surgery only

ANSWER: B

A premature infant is one born before:

A. 20 weeks

B. 30 weeks

C. 37 weeks

D. 42 weeks

ANSWER: C

A post-term infant is one born after:

A. 35 weeks

B. 37 weeks

C. 40 weeks

D. 42 weeks

ANSWER: D

The male reproductive cell is:

A. Ovum

B. Sperm

C. Zygote

D. Embryo

ANSWER: B

A variable is:

A. A constant value

B. Something that can change

C. A conclusion

D. A bibliography

ANSWER: B

The discussion section of research explains:

A. Meaning of findings

B. Data collection only

C. Sampling only

D. References only

ANSWER: A

The female reproductive cell is:

A. Sperm

B. Ovum

C. Fetus

D. Placenta

ANSWER: B

The main source of energy in the body is:

A. Vitamins

B. Minerals

C. Carbohydrates

D. Water

ANSWER: C

Which nutrient helps in body protection against diseases?

A. Vitamins

B. Fats

C. Proteins

D. Starch

ANSWER: A

The nutrient that helps wound healing is:

A. Protein

B. Water

C. Salt

D. Sugar

ANSWER: A

Which of the following foods is rich in fat?

A. Butter

B. Orange

C. Rice

D. Beans

ANSWER: A

The baby receives nutrients through the:

A. Cervix

B. Umbilical cord

C. Ovary

D. Vulva

ANSWER: B

Antenatal care refers to care given:

A. Before pregnancy

B. During pregnancy

C. During labour

D. After delivery

ANSWER: B

The female reproductive organ where the baby develops is the:

A. Ovary

B. Cervix

C. Uterus

D. Vulva

ANSWER: C

The release of ovum from the ovary is called:

A. Menstruation

B. Fertilization

C. Ovulation

D. Implantation

ANSWER: C

The first stage of labour begins with:

A. Delivery of placenta

B. Full cervical dilation

C. Regular uterine contractions

D. Delivery of baby

ANSWER: C

A good research objective should be:

A. Unclear

B. Specific and measurable

C. Impossible to achieve

D. Too broad

ANSWER: B

Long-term storage of research records is important for:

A. Verification and future reference

B. Decoration

C. Advertising only

D. Entertainment

ANSWER: A

The organ that nourishes the fetus is the:

A. Ovary

B. Placenta

C. Cervix

D. Vagina

ANSWER: B

The overall aim of complicated midwifery care is to:

A. Prevent maternal and fetal complications

B. Delay labour

C. Increase surgery only

D. Avoid antenatal care

ANSWER: A

The organ responsible for pumping blood is the:

A. Brain

B. Lung

C. Heart

D. Kidney

ANSWER: C

The normal number of chambers in the human heart is:

A. Two

B. Three

C. Four

D. Five

ANSWER: C

A deficiency disease caused by lack of vitamin B1 is:

A. Beriberi

B. Scurvy

C. Rickets

D. Goiter

ANSWER: A

The main function of vitamins is to:

A. Build muscles only

B. Regulate body processes

C. Cause obesity

D. Produce heat only

ANSWER: B

The bones of the body form the:

A. Muscular system

B. Nervous system

C. Skeletal system

D. Digestive system

ANSWER: C

Assisted vaginal delivery may involve the use of:

A. Forceps or vacuum extractor

B. Scalpel only

C. Thermometer

D. Catheter only

ANSWER: A

Severe headache in pregnancy may indicate:

A. Good health

B. Hypertension

C. Fever only

D. Hunger

ANSWER: B

The process by which the uterus returns to normal size after delivery is called:

A. Lactation

B. Ovulation

C. Involution

D. Implantation

ANSWER: C

A woman with repeated miscarriages may be experiencing:

A. Habitual abortion

B. Placenta previa

C. Hyperemesis

D. Eclampsia

ANSWER: A

Research recommendations are based on:

A. Assumptions only

B. Study findings

C. Personal emotions only

D. Rumors

ANSWER: B

Postnatal care is care given:

A. During pregnancy

B. Before conception

C. After delivery

D. During menstruation

ANSWER: C

The first milk produced after delivery is called:

A. Formula milk

B. Colostrum

C. Mature milk

D. Artificial milk

ANSWER: B

Scientific research must be:

A. Biased

B. Systematic and objective

C. Secretive

D. Emotional

ANSWER: B

The common cause of puerperal sepsis is:

A. Infection

B. High blood sugar

C. Excess sleep

D. Obesity

ANSWER: A

The body obtains energy from:

A. Carbohydrates and fats

B. Water only

C. Vitamins only

D. Minerals only

ANSWER: A

The healthiest method of feeding a newborn is:

A. Bottle feeding only

B. Exclusive breastfeeding

C. Giving water first

D. Giving glucose water

ANSWER: B

Organizing means:

A. Arranging resources effectively

B. Delaying work

C. Ignoring duties

D. Causing confusion

ANSWER: A

The baby s first stool is known as:

A. Colostrum

B. Meconium

C. Lochia

D. Vernix

ANSWER: B

The process of cervical thinning is called:

A. Rotation

B. Dilation

C. Effacement

D. Implantation

ANSWER: C

Colostrum is rich in:

A. Fat only

B. Antibodies

C. Water only

D. Sugar only

ANSWER: B

Exclusive breastfeeding should last for:

A. 2 months

B. 4 months

C. 6 months

D. 12 months

ANSWER: C

The best method to prevent tetanus in pregnancy is:

A. Proper immunization

B. Antibiotics only

C. Exercise only

D. Surgery

ANSWER: A

The normal fetal heart rate is:

A. 60 80 bpm

B. 90 100 bpm

C. 110 160 bpm

D. 180 200 bpm

ANSWER: C

The true pelvis is divided into

A. A brim, a cavity and an outlet

B. A brim, cavity and two outlets

C. A brim and a canal

D. A brim, cavity and a plane

ANSWER: A

Each of the innominate bones is composed of........ parts

A. 2

B. 3

C. 4

D. 5

ANSWER: B

The four(4) pelvic joints are

A. One symphysis pubis, two sacroiliac joints, one sacrococcygeal joint

B. Two sacrococcygeal joints, one symphysis pubis, and one sacroiliac joint

C. One symphysis pubis, two sacrojoint, and one sacrococcygeal joint

D. Two sacrococcygeal joints, one symphysis pubis and one sacroiliac joint

ANSWER: A

The following ligaments hold pelvic joints together EXCEPT

A. Interpubic ligament

B. Sacroiliac ligament

C. Falciform ligament

D. Sacrococcygeal ligament

ANSWER: C

The brim is round EXCEPT where the............. projects into it

A. Ischial spines

B. Sacral promontory

C. Ala of the sacrum

D. Illiopectineal eminence

ANSWER: B

The anatomical conjugate of the pelvis measures.............cm

A. 10

B. 11

C. 12

D. 13

ANSWER: C

The inner lining of the vagina is made up of............ epithelium

A. Squamous

B. Transitional

C. Columnar

D. Cubical

ANSWER: A

The shape of the cervical canal is

A. Oval

B. Spindle

C. Triangular

D. Cylindrical

ANSWER: B

The muscle coat of the uterine tube consists of

A. An inner circular layer and an outer longitudinal layer

B. An outer circular layer, middle oblique and inner longitudinal layer

C. An outer circular layer and inner longitudinal layer

D. An outer longitudinal layer, middle oblique and inner circular layer

ANSWER: A

The uterus is A. ................... organ

A. Hollow muscular

B. Round

C. Hollow square

D. Hollow round

ANSWER: A

The three main parts of the uterus are

A. Uterine tubes, body and fundus

B. Cervix, body and external Os

C. Cervix, body and fundus

D. Internal Os, body and fundus

ANSWER: C

The uterus is........... shaped

A. Square

B. Triangular

C. Pear

D. Cubic

ANSWER: C

The anterior fontanelle in the fetal skull ossifies at............ months

A. 10

B. 12

C. 16

D. 18

ANSWER: D

The first twisted portion of the nephron is called

A. Distal convoluted tubule

B. Proximal convoluted tubule

C. Junctional tubule

D. Loop of Henle

ANSWER: B

The hormone produced by the kidney is known as

A. Erythropoietin

B. Antidiuretic

C. Oestrogen

D. Relaxin

ANSWER: A

The main function of rugae in the bladder is to

A. Expel urine

B. Strengthen the bladder

C. Expand the bladder

D. Constrict the bladder

ANSWER: C

The following are the layers of the decidua EXCEPT

A. Basal layer

B. Parietal layer

C. Capsularis layer

D. Compact layer

ANSWER: D

Human chorionic gonadotrophic hormone is produced by . Layer of the chorionic villi

A. Trophoblastic

B. Syncytiotrophoblast

C. Blastocyst

D. Cytoplasm

ANSWER: A

The umbilical arteries in the fetal circulation are located under the surface of the

A. Abdominal muscles

B. Liver

C. Foramen ovale

D. Abdominal arteries

ANSWER: A

On examination of the placenta, the midwife discovers that one of the lobes is missing. The first line of action should be

A. Perform manual removal of the lobe

B. Inform the doctor

C. Encourage the woman to push

D. Advise her to be calm, that it will fall off

ANSWER: A

Duvall s family development theory consist of

A. 4 stages

B. 5 stages

C. 6 stages

D. 8 stages

ANSWER: D

Which of the following internal variables influences the health of a pregnant woman

A. Cognitive dimension

B. Standard of living

C. Cultural belief

D. Social support

ANSWER: C

In which phase of Peplau s interpersonal model does the individual feel an integral part of the helping environment?

A. Orientation

B. Resolution

C. Identification

D. Exploitation

ANSWER: B

The following are stimuli of respiration in the newborn EXCEPT

A. Mild hypercapnia

B. Hypoxia

C. Acidosis

D. Alkalosis

ANSWER: D

The normal temperature of the labour room is between

A. 21-24? c

B. 21-27? c

C. 22-37? c

D. 25-30? c

ANSWER: A

At birth, the PH of the gastric content of a newborn is

A. Achlorhydric

B. Alkaline

C. Acidic

D. Neutral

ANSWER: C

Majority of the brown fat in the newborn are located around the

A. Back

B. Hand

C. Abdomen

D. Neck between the scapular

ANSWER: D

A term baby has sufficient brown fat to meet minimum heat needs at

A. 2-3 days

B. 2-4 days

C. 2-6 days

D. 3-5 days

ANSWER: B

Which of the following immunoglobulins crosses the placental barrier

A. IgM

B. IgA

C. IgG

D. IgC

ANSWER: C

The normal colour of meconium is

A. Greenish black

B. Reddish black

C. Blackish brown

D. Blackish yellow

ANSWER: A

Another name for moro reflex is

A. Startle reflex

B. Tonic reflex

C. Clonic reflex

D. Babinski reflex

ANSWER: A

The following are characteristics of a full term baby EXCEPT

A. Pulse rate of 60-80 beats per minute

B. Cries immediately after birth

C. Weighs 3-3.5kg

D. Respiration of 30-40 cycles per minute

ANSWER: A

The following are immunizations administered to baby at birth EXCEPT

A. BCG

B. HBV

C. OPVo

D. Measles

ANSWER: D

Pentavalent vaccine is given

A. At birth, 4 weeks and 6 weeks

B. At 4 weeks, 10 weeks and 14 weeks

C. At 6 weeks, 10 weeks and 14 weeks

D. At 6 weeks, 8 weeks and 14 weeks

ANSWER: C

Babies can differentiate the mother s face from strangers at

A. 2 weeks

B. 3 weeks

C. 4 weeks

D. 5 weeks

ANSWER: A

The umbilical stump becomes necrosed and separated by a process known as

A. Dry gangrene

B. Moist gangrene

C. Necrosis

D. Gangrene

ANSWER: A

Vitamin K injection is given to newborn baby in order to increase the level of

A. Prostaglandin

B. Prothrombin

C. potassium

D. platelet

ANSWER: B

Fine downy hair found on the skin of the newborn is called

A. Vernix caseosa

B. Wharton s jelly

C. Lanugo

D. Creases

ANSWER: C

Feeds given to babies in place of breast milk are called

A. Additional feeds

B. Complementary feeds

C. Artificial feeds

D. Supplementary feeds

ANSWER: D

The following factors are relevant for fertilization in a woman EXCEPT

A. Balanced diet

B. Conducive fallopian tube

C. Uterus must allow implantation

D. Unobstructed migration of spermatozoa

ANSWER: A

A 15 year old girl comes to you to complain about irregular menstruation with pain and discomfort on the breast. What will you suspect?

A. Pregnancy

B. Oligomenorrhea

C. Pre-menstrual tension

D. Intermittent menstruation

ANSWER: C

The biological characteristics of an individual which makes him or her identify self as male or female

A. Self-concept

B. Sexual identity

C. Gender role

D. Sex role identity

ANSWER: B

The following are counselling skills in women friendly clinic EXCEPT

A. Questioning

B. Reflecting

C. Judging

D. Active listening

ANSWER: C

The total number of still births and deaths occurring within the first week of life is known as

A. Neonatal mortality

B. Perinatal mortality

C. Stillbirth

D. Intra partum mortality

ANSWER: B

Reproductive health was described as a concept during which of the following conferences

A. International Conference of Health and Development

B. International Congress on Population Development

C. Safe motherhood initiative

D. International Conference on Population and Development

ANSWER: D

The condition in which there is an opening between the bladder and the vagina after childbirth is known as

A. Recto-vaginal fistula

B. Bladder-vaginal fistula

C. Urethro-vaginal fistula

D. Vesico-vaginal fistula

ANSWER: D

The most important factor in reducing maternal mortality rate is to

A. Improve blood transfusion service

B. Improve National Health services

C. Provide better obstetric care

D. Improve nutrition and housing

ANSWER: B

The process of managing infertility in which ova are retrieved, fertilized and placed in the fallopian tubes is called

A. Gamete Intrafallopian Transfer

B. Zygote Intra-fallopian Transfer

C. Intra-cytoplasmic Sperm Injection

D. In-vitro Fertilization

ANSWER: B

A midwife should only use vacuum aspiration for pregnancy below how many weeks of gestation

A. 8 weeks

B. 12 weeks

C. 14 weeks

D. 16 weeks

ANSWER: B