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✓ 150 QUESTIONS ✓ A+ GRADED ✓ 100% VERIFIED ✓ 2026/2027 UPDATED
Midwifery Comprehensive Examination | Core Domains: Antenatal Care, Maternal Physiology & Assessment, Intrapartum Care & Labor
Management, Postpartum Care, Newborn Assessment, Obstetric Emergencies, Pharmacology in Midwifery, Maternal–Fetal Health, Infection
Prevention, and Safe Clinical Decision-Making in Maternity Care | Midwifery Program–Aligned Format
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Question 1
What is the recommended frequency of prenatal visits for a low-risk pregnancy during the first 28 weeks?
A) Every week
B) Every 2 weeks
C) Every 4 weeks
D) Every 6 weeks
Correct Answer: C) Every 4 weeks
Rationale:
, For low-risk pregnancies, prenatal visits are scheduled every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then weekly until delivery.
This schedule allows appropriate monitoring while reducing unnecessary visits.
Antenatal Care
Question 2
Which hormone is primarily responsible for maintaining pregnancy during the first trimester?
A) Estrogen
B) Progesterone
C) Human chorionic gonadotropin (hCG)
D) Prolactin
Correct Answer: B) Progesterone
Rationale:
Progesterone maintains the uterine lining and prevents contractions during early pregnancy. The corpus luteum produces progesterone until the placenta
takes over around 10-12 weeks.
Maternal Physiology
Question 3
What is the normal range for fetal heart rate?
A) 80-120 bpm
B) 110-160 bpm
C) 160-200 bpm
D) 60-100 bpm
Correct Answer: B) 110-160 bpm
Rationale:
Normal fetal heart rate is 110-160 beats per minute. Rates below 110 indicate bradycardia; above 160 indicate tachycardia. Both require assessment for
cause.
Newborn Assessment
, Question 4
Which sign indicates the onset of true labor?
A) Braxton Hicks contractions
B) Regular, progressive contractions with cervical change
C) Lightening
D) Bloody show alone
Correct Answer: B) Regular, progressive contractions with cervical change
Rationale:
True labor is characterized by regular, progressive contractions that increase in frequency, duration, and intensity, accompanied by cervical dilation and
effacement. Other signs may occur before labor.
Intrapartum Care
Question 5
What is the Apgar score range that indicates a newborn needs immediate resuscitation?
A) 8-10
B) 5-7
C) 0-3
D) 4-6
Correct Answer: C) 0-3
Rationale:
Apgar scores of 0-3 indicate severe distress requiring immediate resuscitation. Scores 4-6 need stimulation and oxygen. Scores 7-10 indicate good
condition requiring routine care.
Newborn Assessment
Question 6
Which position is BEST for a woman in labor to promote fetal descent?
A) Supine
, B) Upright or squatting
C) Lithotomy
D) Trendelenburg
Correct Answer: B) Upright or squatting
Rationale:
Upright positions (standing, squatting, kneeling) use gravity to promote fetal descent and may shorten labor. Supine position can compress the vena
cava and slow labor progress.
Intrapartum Care
Question 7
What is the primary concern with meconium-stained amniotic fluid?
A) Infection risk
B) Fetal aspiration
C) Maternal hemorrhage
D) Umbilical cord prolapse
Correct Answer: B) Fetal aspiration
Rationale:
Meconium aspiration can cause respiratory distress in newborns. Thick meconium requires suctioning before the first breath. Meconium may indicate
fetal distress or post-term pregnancy.
Obstetric Emergencies
Question 8
Which medication is commonly used to prevent postpartum hemorrhage?
A) Magnesium sulfate
B) Oxytocin
C) Terbutaline
D) Methotrexate