Applications from candidates who wish to sit for the midwifery licensing examinations should solve these past question as this will help them prepare for the exams. The Examination Unit which coordinates the preparation of test items, obtain examination centers, identify invigilators and examiners, assess examination scripts and publish results.
Licensing examinations for the various programmes are held in February/March, June/July, August and November/December every year.
Candidates who pass the licensing examination are issued Professional Identification Number (PIN) and a certificate of registration. Those who pursue Auxiliary programmes are issued with Auxiliary Identification Number (AIN) and a certificate of registration.
The following are past questions for the Midwifery.
strong>Question 1
A pregnant mother reported to the clinic with excessive distension of the abdomen. Ultra sound scan revealed that the amniotic fluid was more than 1,500mls. This condition is known as;
Select one:
A. Polyhydraminous
B. Oligohydraminous
C. Hydraminous
Question 2
At Gyankrom where you work as a midwife, a woman was brought in with labour pains. On examination, the cervical os was 6cm, membranes ruptured with meconium stained liquor, FH was 136bpm and the presentation was breech. Which of the under listed favours breech presentation?
Select one:
A. Post term
B. Placenta praevia
C. Placenta abruptio
Question 3
Madam Ama Twum G3P2A with 28 weeks gestation reported at the ANC for the first time. On assessment, you performed the Leopold’s maneuvers. Which information would you gather during Leopold’s maneuvers?
I. Number of fetus
II. Presenting part, fetal lie and attitude
III. Descent of the presenting part into the pelvis
IV. Expected location of the fetal heart tones
Select one:
A. I, II and IV
B. I, II and III
C. I, II and IV
Question 4
Madam Zita Ayensu a pregnant client at your ANC is a regular attendant at pregnancy classes. At 20 weeks, her uterus assumed ovoid shape. At the end of 36 weeks, where do you expect the fundus to be?
Select one:
A. Above symphysis pubis
B. At the tip of the umbilicus
C. At the tip of the xiphoid
Question 5
Maame Zenabu, a patient with heart failure is in labour. Labour progressed without any complication. You have been instructed to position her for delivery. Which of the under listed positions will you AVOID?
Select one:
A. Lithotomy
B. Knee chest
C. Genu pectoral
Question 6
Mrs. Mary Riverson reported at the hospital with the history of amenorrhoea for 6 weeks but having brownish vagina discharge. She also complained of not feeling heaviness of the breast. As the Midwife in charge, what would you suspect?
Select one:
A. Complete abortion
B. Missed abortion
C. Blood mole
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 7
Ajongba Laadi, a 2-day postnatal mother reported for postnatal assessment. On inspection you noted the drainage and amount of lochia. What type of lochia is expected? Lochia ……………………………………………………………………………………..
Select one:
A. Rubra
B. Alba
C. Serosa
Question 8
Yaaba Kaku aged 28 years who delivered 6 days ago at your health center, was brought in a rush one early morning by her spouse. On assessment, client presented with the following: feelings of suspiciousness, confusion, restlessness and strange behaviour towards her own baby. To ensure the survival of both Madam Yaaba and her baby, which of the following health team members would you involve in your planning of care?
I. Partner, family and friends
II. Mental health professionals
III. Skilled midwife and obstetrician
IV. Community health nurse
Select one:
A. I, II, III and IV
B. II, III and IV
C. I, III and IV
Question 9
Maame Yaa Kessewa 25 year old lady G1P0 reported at your facility with the history of 8 weeks amenorrhoea with scanty vaginal bleeding. She also complained of abdominal pain. Which other signs and symptoms will Maame Kessewa present?
I. Shoulder tip pain
II. Guarding and rebound tenderness
III. Syncope
IV. Headaches
Select one:
A. I, II and III
B. I, II, III and IV
C. II, III and IV
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 10
During vagina examination with occipito posterior position, the anterior fontanelle can be located at …………………………. part of the pelvis.
Select one:
A. Posterior
B. Anterior
C. Lateral
Question 11
One hour after birth, the fundus is soft at the midline and 1cm below the umbilicus. Lochia flow is profuse with clots. What would be your initial action?
Select one:
A. Place a bedpan to empty the bladder
B. Administer a repeat oxytocin
C. Massage the fundus
Question 12
Maame Gyasiwaah G2P1A at 20 weeks was seen at Agona Community Center during your community midwifery practice. She gave her LMP as 21/6/2017 and having vaginal discharge. What would be the level of the fundal height according to McDonald’s rule?
Select one:
A. Just above the symphysis pubis
B. Below the umbilicus
C. At the level of the umbilicus
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 13
As a Registered Midwife making decisions for both mother and baby during your District Midwifery practice, which of the following would influence your decision to act quickly?
I. Changes in the signs of both mother and baby’s conditions
II. Signs of excessive bleeding
III. The tone of the fundus and breathing of the baby
IV. Increased pulse, low blood pressure and pale clammy skin.
Select one:
A. I, II, III and IV
B. I, II and III
C. II, III and IV
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 14
In early pregnancy, hyperplasia and hypertrophy of the uterus occurs. Hyperplasia refers to………………………….
Select one:
A. Decrease in number of myometrial cells
B. Increase in weight of myometrial cells
C. Increase in number of myometrial cells
Question 15
Madam Adom Grace aged 26 years, G2P0 with 12 weeks pregnancy reported at the Ankaase ANC. She complained of nausea and frequent urination. On assessment, her vital signs were normal and fundal height above the symphysis pubis. How would you manage her nausea in pregnancy?
I. Eat several small meals at frequent intervals
II. Avoid spicy foods and strong odour
III. Reduce fluid intake
IV. Eat dry crackers or toasted bread
Select one:
A. II, III and IV
B. I, II and IV
C. I, II and III
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 16
The amount and drainage of lochia varies with the individual. Which of the following indicate the abnormalities of lochia?
I. Offensive vaginal discharge
II. Lochia rubra throughout 10 days after birth
III. Abnormally heavy bleeding making a sanitary pad soaked within 1 hour
IV. Passage of blood clots larger than golf ball
Select one:
A. I, II and III
B. I, II, III and IV
C. II, III and IV
Question 17
Madam Ama Oparebea, a puerperal mother at your lying-in ward with a normal healthy baby delivered 4 hours ago. During lochia assessment, the clots were larger than 1cm, she also exhibited cool clammy skin, restlessness and complained of thirst. What would you do immediately?
Select one:
A. Assess for hypovolemia and notify the Obstetrician
B. Do fundal massage and give her oxygen
C. Count the number of pads used and reassure her
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 18
Which of the following are strategies to ensure respectful maternity care?
I. Ambulance transport for laboring women
II. Delivery room privacy must be ensured
III. Training of midwifery staff on ethics of the profession
IV. Welcoming and respectful atmosphere must be ensured
Select one:
A. I, II and III
B. I, II, III and IV
C. II, III and IV
Question 19
Madam Manzah, your selected client for patient and family centered care, asked about the signs of pregnancy. Which of the following would be your BEST response to presumptive signs?
Select one:
A. Urinary frequency
B. Lower backache
C. Mood swings
Question 20
In the management of tuberculosis in pregnancy, which of the following medications would you NOT administer to the client due to its teratogenic effects?
Select one:
A. Streptomycin
B. Rifampicin
C. Enthambutol
Question 21
Based on your knowledge in regenerative health and nutrition in midwifery, which of the following would be some alternative treatment for postpartum depression?
I. Guided imagery
II. Deep breathing
III. Medications
IV. Massage
Select one:
A. I and II
B. I, II and III
C. I, II and IV
Question 22
Mama Wonyuie, who delivered 2 weeks ago was rushed to the OPD with the history of temperature of 380℃ and above, vomiting with offensive vaginal discharge. She was later diagnosed of puerperal sepsis. What could be the possible cause of this condition?
I. Heavy intake of antibiotics
II. Multiple vaginal examination during labour
III. Prolong labour
IV. Anaemia
Select one:
A. I, II and III
B. I, II and IV
C. II, III and IV
Question 23
Mrs. Abena Polley delivered at 8am and you were assigned to monitor her vital signs. How would you check the vital signs till 9am?
Select one:
A. Every 30 minutes till 9am
B. Every 15 minutes for 1 hour
C. 30 minutes for 2 hours
Question 24
Malaria is a major problem for pregnant women and children under 6 years. Madam Habiba has been served with sulphadoxine pyrimethamine on the DOTS. The medication is served in order to;
Select one:
A. Reduce parasite at placental site
B. Clear some parasite at placental site
C. Clear parasite at placental site
Question 25
At the postnatal ward, Maame Issifu Alamisi after delivery complained of fatigue and sleepiness. What will be your advice to her?
Select one:
A. Eat a lot of fibre and protein
B. Take a nap when baby sleeps
C. Do mild exercises everyday
Question 26
At a prenatal class, Manase Moro G3P2, aged 40 years asked about the characteristics of a baby with Down’s syndrome. Which of the following are the common features you would describe to the class?
I. Small low set ears
II. Muscle hypotonia
III. Open mouth with protruding tongue
IV. Broad short finger
Select one:
A. I, II and III
B. I, III and IV
C. I, II, III and IV
Question 27
Which of the following are the importance of respectful maternity care?
I. Dignity and respect are given when necessary
II. Freedom from harm and maltreatment
III. There is equity, freedom from discrimination and equitable care
IV. There is companionship that reduces stress and anxiety
Select one:
A. II, III and IV
B. I, II and IV
C. I, II and III
Question 28
Grisell Bukari aged 17 years G2P1A reported to the ANC at your CHPS zone for the first time. On assessment, gestational age was 24 weeks, vital signs were within normal range. As a registered midwife, which of the following routine investigations would you do at the CHPS zone?
I. Haemoglobin level
II. Blood for malaria parasites
III. Urine for protein and sugar
IV. Blood for G6PD
Select one:
A. I, II and IV
B. I, II and III
C. II, III and IV
Question 29
Hajia Fatima Osman, G4P3AA, 34 years has been brought to the labour ward with the history of labour pains. Her maternal health records showed that the foetal presentation is breech. On examination, she was in the second stage of labour with the breech presenting. In using the Burns Marshall manoeuvre during delivery, which of the under listed will you perform?
Select one:
A. Grasp baby’s ankles with forefinger between the two
B. Put slight pressure on the occipital bone
C. Apply gentle pressure on malar bones
Question 30
Madam Frema Nyamekye G2P1A reported to your health facility with the history of dizziness and paleness of hands, lips and palm . Her gestational age was 12 weeks. At what periods in pregnancy would you check Frema’s haemoglobin level?
I. First visit
II. 28 weeks
III. 36 weeks
IV. When necessary
Select one:
A. I, III and IV
B. I, II and III
C. II, III and IV
Question 31
Enam Hadzide delivered at your CHPS zone 12 hours ago. Which of the following findings would be a source of concern during assessment?
Select one:
A. Bradycardia of 55bpm
B. Pain in left calf with dorsiflexion of the left foot
C. Temperature of 380c
Question 32
Postpartum depression has effect on the family involved. Which of the following effects would be manifested in the child if mother’s postpartum depression is left untreated?
I. Sleeping problems
II. Eating disorders
III. Excessive crying
IV. Delays in language development
Select one:
A. I, II, III and IV
B. I, II and III
C. II, III and IV
Question 33
You were monitoring a client who was augmented in the labour ward. Which of the under listed could be a side effect of oxytocin?
Select one:
A. Bladder atony
B. Hypo stimulation
C. Hyper stimulation
Question 34
Madam Florencia Luko, 36 years old, delivered a live male infant 7 days ago at your facility. She was rushed to the maternity ward on account of pyrexia (39.4oC) general malaise and severe abdominal pains. She was diagnosed as having puerperal sepsis. The Midwife would observe and document the following clinical manifestations:
I. Uterus is boggy and spongy
II. Uterus is well contracted
III. Tenderness on palpation
IV. Scanty but offensive lochia
Select one:
A. II, III and IV
B. I, II and IV
C. I, III and IV
Question 35
Akweley Boham is to check her body mass index. This is interpreted as;
Select one:
A. Height of a person in cm plus weight in kg multiplied by 100
B. Weight of a person in kg divided by height in meters squared
C. Height of a person in cm divided by weight in meters squared
Question 36
Okiti Tetteh G5P4A reported in the first stage of labour with the previous history of PPH in all her deliveries. On assessment, client has poor skin turgor and is anxious about outcome of labour. Which of the following would be your standard of care for Madam Tetteh?
I. Explain procedures to client and family and health care team in a simple and clear language
II. Assess maternal and fetal status as well as progress of labour
III. Do bedside clotting time test.
Iv. Set IV line to secure vein and take blood sample for grouping and cross matching.
Select one:
A. I, II and IV
B. I, II, III and IV
C. I, III and IV
Question 37
Madam Akushika, who delivered 4 days ago, reported with the complaint of lower abdominal pain and chills. On assessment, temperature was 38.50c, abdominal palpation revealed bulgy uterus with foul smelling lochia. Which of the following are common bacteria that contribute to Akushika’s problem?
I. E. coli
II. Chlamydia
III. Streptococci
IV. Spirochaete
Select one:
A. I, II and III
B. I, II and IV
C. I, II, III and IV
Question 38
Which of the following are maternal causes of habitual abortion?
I. Chromosomal abnormality
II. Lack of intake of steroidal hormones
III. Diabetes mellitus
IV. Uterine abnormalities
Select one:
A. II, III and IV
B. I, II and III
C. I, III and IV
Question 39
As a Registered Midwife, if presumptive signs of pregnancy are changes that are felt by the pregnant woman, which of the following are RIGHT?
I. Amenorrhoea
II. Fatigue
III. Ballottement
IV. Fetal heart sounds
Select one:
A. I and IV
B. I and II
C. I and III
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 40
Efiba Osei aged 17 years G2P1A reported to the ANC at your CHPS zone for the first time. On assessment, gestational age was 24 weeks, vital signs were within normal range. With your knowledge in respectful maternity care, which of the following activities would you provide privacy and confidentiality when caring for Efiba?
I. Counselling on health issues
II. Physical examination
III. Handling of records
IV. Taking health history
Select one:
A. I, II and III
B. I, II, III and IV
C. II, III and IV
Question 41
Mrs. Osei Tunde G3P2A with 16 weeks cyesis is concerned about physiological changes in the skin during pregnancy. Which of the following falls under the intergumentary system?
I. Linnea nigra
II. Struae gravidarum
III. Telangiectasi
IV. Milia
Select one:
A. I, II and III
B. II, III and IV
C. I, II and IV
Question 42
A 40 year old mother G6P5AA visited the antenatal clinic with 12 weeks gestation but the abdomen looked as big as 24 weeks gestation. On routine laboratory investigations, urine test was found to be strongly positive with no foetal part felt. This condition could be described as ………………………………..………..
Select one:
A. Hydraminous
B. Hydatidiform
C. Helicobacter
Question 43
Mama Wanzam, who delivered 2 weeks ago was rushed to the OPD with the history of temperature of 380C and above, vomiting with offensive vaginal discharge. She was later diagnosed of puerperal sepsis. How would Mama Wanzam’s condition be prevented?
I. By the use of heavy antibiotics daily
II. Proper perineal and personal hygiene
III. Prevention of early rupture of membranes
IV. Encourage intake of good nutrition
Select one:
A. I, III and IV
B. II, III and IV
C. I, II and III
Question 44
Abiola Dadzie, a mother with 14 weeks’ pregnancy was admitted with features of incomplete abortion. Which of the following is MOST suitable method for immediate termination of pregnancy?
Select one:
A. Suction and curettage under anaesthesia
B. Using misoprostol 200mg vaginally till expulsion
C. Manual vacuum aspiration
Question 45
Mrs. Dudi is a regular attendant at the ANC. Which of the following methods of palpation will help the midwife determine the position of the baby?
Select one:
A. Pamlick’s grip
B. Lateral palpation
C. Fundal palpation
Question 46
With your knowledge in regenerative health and nutrition, which of the following indicators would you use to calculate the estimated desired weight of the pregnant woman at ANC?
Select one:
A. BMI
B. Weight
C. Height
Question 47
Madam Yaa Arhin, 4 months pregnant and a known tuberculosis patient has been seen by the physician and gynaecologist. The physician started her with the ant anti -tuberculosis medication and she successfully completed the first phase. How long will it take for her to complete the continuation phase? ……………………………………. months.
Select one:
A. 6
B. 4
C. 3
Question 48
As a professional Midwife working in the lying-in ward, which of the following complications is responsible for delayed postpartum haemorrhage?
Select one:
A. Clotting deficiency
B. Uterine sub involution
C. Cervical lacerations
Question 49
One hour after birth, the fundus is soft at the midline and 1cm below the umbilicus. Lochia flow is profuse with clots. What would be your initial action?
Select one:
A. Administer a repeat oxytocin
B. Massage the fundus
C. Place a bedpan to empty the bladder
Also: Nurses Licensure Exams: Medicine Past Questions and Answers
Question 50
You were on duty on the ward when a case was brought from the theater after undergoing caesarean section. What would be your first action?
Select one:
A. Check vital signs
B. Administer prescribed drugs
C. Empty the bladder
