MIDWIFE EXAM PRACTICE-QUESTION AND COLLECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2025/2026 Q&A |INSTANT
DOWNLOAD PDF
1. What is the most common presentation of the fetus at term?
A. Breech
B. Shoulder
C. Cephalic
D. Transverse
Correct Answer: C. Cephalic
Rationale: The cephalic (head-down) presentation occurs in about 96% of term
pregnancies, making it the most common and safest for vaginal delivery.
2. Which hormone is primarily responsible for maintaining pregnancy during the first
trimester?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Relaxin
Correct Answer: B. Progesterone
Rationale: Progesterone maintains the uterine lining and prevents contractions,
supporting the early stages of pregnancy.
3. Which is the normal range of fetal heart rate (FHR)?
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Correct Answer: C. 110–160 bpm
Rationale: A normal FHR ensures adequate oxygenation and well-being of the fetus.
4. During the second stage of labor, the nurse-midwife should prioritize:
A. Administering oxytocin
B. Monitoring maternal vital signs hourly
,C. Supporting effective pushing efforts
D. Preparing the mother for cesarean section
Correct Answer: C. Supporting effective pushing efforts
Rationale: The second stage involves fetal descent and pushing, requiring support and
coaching from the midwife.
5. A woman at 32 weeks reports painless vaginal bleeding. The most likely cause is:
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Cervical polyp
Correct Answer: A. Placenta previa
Rationale: Painless, bright red bleeding in late pregnancy is characteristic of placenta
previa.
6. Which maneuver is used in Leopold’s to determine fetal position?
A. First maneuver
B. Second maneuver
C. Third maneuver
D. Fourth maneuver
Correct Answer: B. Second maneuver
Rationale: The second Leopold maneuver assesses the position of the fetal back and
extremities.
7. What is the normal duration of the puerperium?
A. 1 week
B. 3 weeks
C. 6 weeks
D. 12 weeks
Correct Answer: C. 6 weeks
Rationale: The puerperium (postpartum period) lasts about 6 weeks, during which
maternal organs return to pre-pregnant state.
, 8. Which sign indicates true labor?
A. Pain relieved by rest
B. Contractions irregular in frequency
C. Cervical dilatation and effacement
D. Discomfort localized to the abdomen
Correct Answer: C. Cervical dilatation and effacement
Rationale: True labor is characterized by progressive cervical changes with regular
contractions.
9. Oxytocin is contraindicated in which condition?
A. Post-term pregnancy
B. Placenta previa
C. Prolonged labor
D. Uterine inertia
Correct Answer: B. Placenta previa
Rationale: Oxytocin induces contractions, which can cause hemorrhage if the placenta
covers the cervix.
10. What is the recommended weight gain in pregnancy for a woman with normal BMI?
A. 5–10 kg
B. 11–16 kg
C. 17–22 kg
D. 23–30 kg
Correct Answer: B. 11–16 kg
Rationale: This range is ideal for healthy pregnancy outcomes in women with normal
BMI.
11. The “let-down reflex” is stimulated by which hormone?
A. Estrogen
B. Prolactin
C. Oxytocin
D. Progesterone
Correct Answer: C. Oxytocin
Rationale: Oxytocin causes milk ejection, while prolactin stimulates milk production.
(VERIFIED ANSWERS) PLUS RATIONALES 2025/2026 Q&A |INSTANT
DOWNLOAD PDF
1. What is the most common presentation of the fetus at term?
A. Breech
B. Shoulder
C. Cephalic
D. Transverse
Correct Answer: C. Cephalic
Rationale: The cephalic (head-down) presentation occurs in about 96% of term
pregnancies, making it the most common and safest for vaginal delivery.
2. Which hormone is primarily responsible for maintaining pregnancy during the first
trimester?
A. Estrogen
B. Progesterone
C. Oxytocin
D. Relaxin
Correct Answer: B. Progesterone
Rationale: Progesterone maintains the uterine lining and prevents contractions,
supporting the early stages of pregnancy.
3. Which is the normal range of fetal heart rate (FHR)?
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Correct Answer: C. 110–160 bpm
Rationale: A normal FHR ensures adequate oxygenation and well-being of the fetus.
4. During the second stage of labor, the nurse-midwife should prioritize:
A. Administering oxytocin
B. Monitoring maternal vital signs hourly
,C. Supporting effective pushing efforts
D. Preparing the mother for cesarean section
Correct Answer: C. Supporting effective pushing efforts
Rationale: The second stage involves fetal descent and pushing, requiring support and
coaching from the midwife.
5. A woman at 32 weeks reports painless vaginal bleeding. The most likely cause is:
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Cervical polyp
Correct Answer: A. Placenta previa
Rationale: Painless, bright red bleeding in late pregnancy is characteristic of placenta
previa.
6. Which maneuver is used in Leopold’s to determine fetal position?
A. First maneuver
B. Second maneuver
C. Third maneuver
D. Fourth maneuver
Correct Answer: B. Second maneuver
Rationale: The second Leopold maneuver assesses the position of the fetal back and
extremities.
7. What is the normal duration of the puerperium?
A. 1 week
B. 3 weeks
C. 6 weeks
D. 12 weeks
Correct Answer: C. 6 weeks
Rationale: The puerperium (postpartum period) lasts about 6 weeks, during which
maternal organs return to pre-pregnant state.
, 8. Which sign indicates true labor?
A. Pain relieved by rest
B. Contractions irregular in frequency
C. Cervical dilatation and effacement
D. Discomfort localized to the abdomen
Correct Answer: C. Cervical dilatation and effacement
Rationale: True labor is characterized by progressive cervical changes with regular
contractions.
9. Oxytocin is contraindicated in which condition?
A. Post-term pregnancy
B. Placenta previa
C. Prolonged labor
D. Uterine inertia
Correct Answer: B. Placenta previa
Rationale: Oxytocin induces contractions, which can cause hemorrhage if the placenta
covers the cervix.
10. What is the recommended weight gain in pregnancy for a woman with normal BMI?
A. 5–10 kg
B. 11–16 kg
C. 17–22 kg
D. 23–30 kg
Correct Answer: B. 11–16 kg
Rationale: This range is ideal for healthy pregnancy outcomes in women with normal
BMI.
11. The “let-down reflex” is stimulated by which hormone?
A. Estrogen
B. Prolactin
C. Oxytocin
D. Progesterone
Correct Answer: C. Oxytocin
Rationale: Oxytocin causes milk ejection, while prolactin stimulates milk production.
