This is Obstetric and Gynecology Nursing mcq set-2 containing mcq from question 11 to 20 in the series of hundreds Obstetric and Gynecology Nursing MCQ which are very important for staff nurse, AIIMS, PGIMER nursing recruitment examinations. MCQ are given below:
(a) Succenturiate A succenturiate placenta involves the presence of an accessory lobe of placental tissue connected to the main placenta by blood vessels. This does not involve the umbilical cord insertion through membranes, making this incorrect.
(b) Battledore A battledore placenta occurs when the umbilical cord is attached to the margin (edge) of the placenta, resembling a racket. This does not describe insertion through the membranes, so it is incorrect.
(c) Marginal In marginal insertion, the umbilical cord attaches at the edge of the placenta. This is not related to the cord passing through membranes, making it incorrect.
(d) Velamentous In velamentous cord insertion, the umbilical cord is inserted into the fetal membranes (amnion and chorion) before reaching the placenta. The vessels travel through the membranes unprotected, making this the correct answer.
Correct Answer: (d) Velamentous.
Obstetric and Gynecology Nursing MCQ Question 12:-
Which of the following clinical presentation would a nurse expect while assessing a patient with abruption placenta? [AIIMS Bhopal Grade-I 2018]
(a) Rigid, board-like abdomen (b) edema in legs (c) excessive vaginal bleeding (d) premature rupture of membranes
Ans: (c) excessive vaginal bleeding ✔
Rationale for Each Option:
(a) Rigid, board-like abdomen A rigid, board-like abdomen is a significant finding in placental abruption due to uterine muscle spasm and concealed hemorrhage. While important, it is not the most consistent or prominent symptom compared to vaginal bleeding. This is not the best answer here.
(b) Edema in legs Leg edema is typically associated with conditions like preeclampsia or venous insufficiency in pregnancy and is unrelated to placental abruption. This is incorrect.
(c) Excessive vaginal bleeding Excessive vaginal bleeding is a hallmark and common clinical presentation of placental abruption. This symptom results from the partial or complete detachment of the placenta from the uterine wall, leading to external or concealed hemorrhage. This is the correct answer.
(d) Premature rupture of membranes (PROM) PROM can be associated with placental abruption but is not a direct or consistent clinical presentation. It is a potential risk factor, not a symptom. This is incorrect.
Correct Answer: (c) Excessive vaginal bleeding.
Obstetric and Gynecology Nursing MCQ Question 13:-
The extreme of meaning of the cervix during the first trimester is known as
(a) Chadwick’s sign This refers to the bluish discoloration of the cervix, vagina, and vulva due to increased vascularity in early pregnancy. While it is a notable sign during the first trimester, it does not describe the softening of the cervix. Incorrect.
(b) Ostrander’s sign This is not a recognized obstetric sign and may be a distractor. Incorrect.
(c) Piskacek’s sign This refers to the asymmetrical enlargement of the uterus due to implantation at the site of the pregnancy during the early first trimester. It is not related to cervical softening. Incorrect.
(d) Goodell’s sign This describes the softening of the cervix due to increased vascularization and hormonal changes in early pregnancy. It is commonly observed during the first trimester. This is the correct answer.
Correct Answer: (d) Goodell’s sign.
Obstetric and Gynecology Nursing MCQ Question 14:-
Which of the biochemical marker detected in a mother’s blood in a neural tube defect?
(a) Alpha-fetoprotein (AFP) Alpha-fetoprotein is a key biochemical marker detected in maternal blood (via the quadruple test or triple screen) and amniotic fluid. Elevated levels of AFP are strongly associated with open neural tube defects (e.g., spina bifida, anencephaly). This is the correct answer.
(b) Ascorbic acid Ascorbic acid (Vitamin C) is not related to neural tube defect detection. It is primarily involved in tissue repair and immune function. Incorrect.
(c) Alkaline phosphatase Alkaline phosphatase is an enzyme associated with liver, bone, and placental function. It is not a marker for neural tube defects. Incorrect.
(d) Amino acid Amino acids are involved in protein synthesis and metabolic processes. They are not specific markers for neural tube defects. Incorrect.
Correct Answer: (a) Alpha-fetoprotein.
Obstetric and Gynecology Nursing MCQ Question 15:-
The classical method used in in bringing down an arm in breech presentation is called [AIIMS Bhopal Grade-I 2018]
(a) Retgen’s maneuver This maneuver is used to deliver the fetal head in breech delivery by applying pressure on the perineum and assisting the delivery of the head. It is not used for bringing down an arm. Incorrect.
(b) Lovset’s maneuver This maneuver is specifically used to bring down the arms in a breech presentation. It involves rotating the fetal trunk to free and deliver the arms during breech delivery. This is the correct answer.
(c) Crede’s maneuver This maneuver is used to assist the expulsion of the placenta by applying controlled pressure on the uterus. It is unrelated to breech delivery or bringing down the arm. Incorrect.
(d) Pinard’s maneuver This maneuver is used to deliver the legs in a breech presentation by flexing and abducting the thigh. It is not used for bringing down the arm. Incorrect.
Obstetric and Gynecology Nursing MCQ Question 16:-
The index for finding effectiveness of contraception is [AIIMS Bhopal Grade-I 2018]
(a) Pearl (b) Ponderal (c) Lorentz (d) broca
Ans: (a) Pearl ✔
Rationale for Each Option:
(a) Pearl The Pearl Index is the standard method for measuring the effectiveness of contraceptive methods. It calculates the number of unintended pregnancies per 100 woman-years of exposure. This is the correct answer.
(b) Ponderal The Ponderal Index is used to assess body mass and nutritional status, particularly in newborns. It is unrelated to contraception. Incorrect.
(c) Lorentz The Lorentz formula is used to calculate the ideal body weight of an individual. It has no connection to contraceptive effectiveness. Incorrect.
(d) Broca The Broca Index is another formula to determine ideal body weight based on height. It is not related to contraception. Incorrect.
Correct Answer: (a) Pearl.
Obstetric and Gynecology Nursing MCQ Question 17:-
The primary purpose of administering magnesium sulfate intravenously for a patient who has premature rupture of membrane and has contraction in every 10 minutes is to [AIIMS Bhopal Grade-I 2018]
(a) Provide sedation (b) maintain blood pressure (c) inhibit contraction (d) improve fetal lung function
Ans: (c) inhibit contraction ✔
Rationale for Each Option:
(a) Provide sedation While magnesium sulfate has some calming effects on the central nervous system, its primary use in this scenario is not sedation. Incorrect.
(b) Maintain blood pressure Magnesium sulfate is not primarily used to maintain blood pressure. It is more commonly used to prevent seizures in preeclampsia rather than directly managing blood pressure. Incorrect.
(c) Inhibit contraction Magnesium sulfate is a tocolytic agent that helps inhibit uterine contractions. In the case of premature rupture of membranes (PROM) and preterm labor, it is administered to delay labor and allow time for further interventions, such as administering corticosteroids for fetal lung maturity. This is the correct answer.
(d) Improve fetal lung function Fetal lung function is improved by administering corticosteroids, such as betamethasone or dexamethasone, not magnesium sulfate. Incorrect.
Correct Answer: (c) Inhibit contraction.
Obstetric and Gynecology Nursing MCQ Question 18:-
Which of the following is the reason for the development of hydramnios in a woman with gestational diabetes? [AIIMS Bhopal Grade-I 2018]
(a) Hyperplasia of blood vessels (b) fetal diuresis (c) absence of swallowing reflex in foetus (d) increased transudation
Ans: (b) fetal diuresis ✔
Rationale for Each Option:
(a) Hyperplasia of blood vessels Hyperplasia of blood vessels is not related to the development of hydramnios. It is more commonly associated with vascular changes in conditions like preeclampsia or diabetic complications. Incorrect.
(b) Fetal diuresis In gestational diabetes, fetal hyperglycemia occurs due to increased maternal blood sugar levels crossing the placenta. This leads to fetal osmotic diuresis (increased urine production by the fetus), which contributes to the accumulation of amniotic fluid and the development of hydramnios. This is the correct answer.
(c) Absence of swallowing reflex in fetus While an absent swallowing reflex can lead to hydramnios, it is typically associated with neurological or structural abnormalities in the fetus (e.g., anencephaly, esophageal atresia) rather than gestational diabetes. Incorrect.
(d) Increased transudation Increased transudation (fluid leaking through membranes or tissues) is not a recognized mechanism for hydramnios in gestational diabetes. Incorrect.
Correct Answer: (b) Fetal diuresis.
Obstetric and Gynecology Nursing MCQ Question 19:-
The condition where the uterus turns Inside out is known as [AIIMS Bhopal Grade-I 2018]
(a) Retro version (b) prolapse (c) anteversion (d) inversion
Ans: (d) inversion ✔
Rationale for Each Option:
(a) Retroversion Retroversion refers to the position of the uterus where it tilts backward (toward the spine). It is a normal anatomical variation and does not involve the uterus turning inside out. Incorrect.
(b) Prolapse Prolapse refers to the descent of the uterus into the vaginal canal due to weakening of pelvic support structures. It does not involve the uterus turning inside out. Incorrect.
(c) Anteversion Anteversion refers to the normal forward tilt of the uterus relative to the vagina. It is a common anatomical position, not related to the uterus turning inside out. Incorrect.
(d) Inversion Inversion of the uterus is a rare and serious condition where the uterus turns inside out, typically occurring during or after childbirth. This is the correct term for the condition described. This is the correct answer.
Correct Answer: (d) Inversion.
Obstetric and Gynecology Nursing MCQ Question 20:-
Localised edema or collection of fluid on the fetal scalp that develops during labour is known as [AIIMS Bhopal Grade-I 2018]
(a) caput succedaneum (b) Crowning (c) moulding (d) cephalhematoma
Ans: (a) caput succedaneum ✔
Rationale for Each Option:
(a) Caput succedaneum Caput succedaneum is a localized swelling or edema of the fetal scalp that occurs due to the pressure exerted during labor, particularly during the passage through the birth canal. This condition is characterized by fluid accumulation, and the swelling can cross suture lines. This is the correct answer.
(b) Crowning Crowning refers to the moment during childbirth when the baby’s head is visible at the opening of the vagina, indicating that the head has descended through the birth canal. It is not related to fluid collection. Incorrect.
(c) Moulding Moulding is the shaping of the fetal head as it passes through the birth canal due to the pressure exerted on the skull bones. It does not involve fluid collection. Incorrect.
(d) Cephalhematoma Cephalhematoma is the collection of blood between the fetal skull and the periosteum (membrane covering the bones) due to pressure during delivery. Unlike caput succedaneum, it does not cross suture lines and involves blood, not fluid. Incorrect.
