👶 Midwifery and Obstetric Nursing
Comprehensive Exam (BSN Level)
Bachelor of Science in Nursing (BSN)
Course Code: NUR 307
Time: 2 Hours
Total Marks: 100
SECTION A: MULTIPLE CHOICE QUESTIONS (20
Marks)
1. The average duration of a normal pregnancy is:
a) 36 weeks
b) 38 weeks
✅ c) 40 weeks
d) 42 weeks
Explanation: Normal gestation lasts about 40 weeks from the last menstrual period.
2. The hormone responsible for maintaining pregnancy is:
a) Estrogen
✅ b) Progesterone
c) Oxytocin
d) Follicle-stimulating hormone
Explanation: Progesterone maintains the uterine lining for fetal implantation and
growth.
3. The normal fetal heart rate ranges between:
a) 60–100 bpm
b) 100–120 bpm
✅ c) 120–160 bpm
d) 160–200 bpm
Explanation: The average fetal heart rate is 120–160 beats per minute.
, 4. The best position for a woman in the second stage of labor is:
a) Supine
b) Lithotomy
✅ c) Left lateral
d) Knee–chest
Explanation: The left lateral position improves circulation and reduces perineal trauma.
5. Lochia rubra is expected during which postpartum days?
✅ a) Days 1–3
b) Days 4–10
c) Days 11–21
d) Days 22–28
Explanation: Lochia rubra is the red discharge seen during the first three postpartum
days.
6. Which sign is used to confirm pregnancy?
a) Nausea and vomiting
b) Amenorrhea
✅ c) Positive ultrasound findings
d) Breast tenderness
Explanation: A positive ultrasound confirms the presence of an embryo or fetus.
7. The main purpose of administering oxytocin after delivery is to:
a) Relieve pain
✅ b) Prevent postpartum hemorrhage
c) Induce sleep
d) Increase milk production
Explanation: Oxytocin stimulates uterine contraction to minimize bleeding.
8. The most common cause of maternal mortality worldwide is:
a) Sepsis
✅ b) Postpartum hemorrhage
c) Hypertension
d) Embolism
Explanation: PPH remains the leading cause of maternal death globally.
Comprehensive Exam (BSN Level)
Bachelor of Science in Nursing (BSN)
Course Code: NUR 307
Time: 2 Hours
Total Marks: 100
SECTION A: MULTIPLE CHOICE QUESTIONS (20
Marks)
1. The average duration of a normal pregnancy is:
a) 36 weeks
b) 38 weeks
✅ c) 40 weeks
d) 42 weeks
Explanation: Normal gestation lasts about 40 weeks from the last menstrual period.
2. The hormone responsible for maintaining pregnancy is:
a) Estrogen
✅ b) Progesterone
c) Oxytocin
d) Follicle-stimulating hormone
Explanation: Progesterone maintains the uterine lining for fetal implantation and
growth.
3. The normal fetal heart rate ranges between:
a) 60–100 bpm
b) 100–120 bpm
✅ c) 120–160 bpm
d) 160–200 bpm
Explanation: The average fetal heart rate is 120–160 beats per minute.
, 4. The best position for a woman in the second stage of labor is:
a) Supine
b) Lithotomy
✅ c) Left lateral
d) Knee–chest
Explanation: The left lateral position improves circulation and reduces perineal trauma.
5. Lochia rubra is expected during which postpartum days?
✅ a) Days 1–3
b) Days 4–10
c) Days 11–21
d) Days 22–28
Explanation: Lochia rubra is the red discharge seen during the first three postpartum
days.
6. Which sign is used to confirm pregnancy?
a) Nausea and vomiting
b) Amenorrhea
✅ c) Positive ultrasound findings
d) Breast tenderness
Explanation: A positive ultrasound confirms the presence of an embryo or fetus.
7. The main purpose of administering oxytocin after delivery is to:
a) Relieve pain
✅ b) Prevent postpartum hemorrhage
c) Induce sleep
d) Increase milk production
Explanation: Oxytocin stimulates uterine contraction to minimize bleeding.
8. The most common cause of maternal mortality worldwide is:
a) Sepsis
✅ b) Postpartum hemorrhage
c) Hypertension
d) Embolism
Explanation: PPH remains the leading cause of maternal death globally.
