1|Page
MIDWIFERY EXAM PRACTICE QUESTIONS &
ANSWERS SOLVED 100% CORRECT!!
What is early pregnancy bleeding? - .....ANSWER
...✔✔ any bleeding occurring from genital tract prior
to 20 weeks gestation
What are causes of early pregnancy bleeding -
.....ANSWER ...✔✔ - implantation bleeding
- cervical erosion
- cervical polyps
- cervical carcinoma
- miscarriage
What is implantation bleeding? - .....ANSWER ...✔✔
nidation or decidual bleeding at the time and from the
site of embedding of the blastocyst
What is cervical erosion? - .....ANSWER ...✔✔
columnar epithelium proliferating under influence of
pregnancy hormones
,2|Page
What is cervical polyps? - .....ANSWER ...✔✔ benign,
fleshy growths from cervical canal
What is cervical carcinoma? - .....ANSWER ...✔✔
malignant epithelial tumours of cervix
What is antepartum bleeding? - .....ANSWER ...✔✔
bleeding from the genital tract any time after 20 weeks
gestation until baby is born
What is the incidence of antepartum bleeding? -
.....ANSWER ...✔✔ 3-5% of pregnancies
Why do you never perform a VE until cause of bleeding
is determined? - .....ANSWER ...✔✔ it can trigger
heavier bleeding in the case of placenta previa and
damage the placenta, putting baby at risk
What are types of APH? - .....ANSWER ...✔✔ -
incidental
- accidental
- inevitable
,3|Page
What is incidental APH? - .....ANSWER ...✔✔
localised causes of genital tract eg cervical polyps
What is an accidental APH? - .....ANSWER ...✔✔
bleeding origin is unknown eg placental abruption
What is an inevitable APH? - .....ANSWER ...✔✔
conditions with a high chance of bleeding eg placenta
previa
What are other causes of APH? - .....ANSWER ...✔✔ -
placental abruption
- placenta previa
- vasa previa
- uterine rupture
- post coital bleeding
- vulvovaginal variscosities
- cervical polyps
- cervical ectropion
- cervical / genital tract tumours
- bloody show
- full dilation
, 4|Page
What is a placental abruption? - .....ANSWER ...✔✔
partial or total separation of normally implanted
placenta from decidual lining of uterus after 20 weeks
What is placenta previa? - .....ANSWER ...✔✔
abnormally situated placenta in lower segment of
uterus, either completely or partially covering internal os
What is uterine rupture? - .....ANSWER ...✔✔
complete (through full thickness of uterus) or incomplete
(serosa remains intact)
What are vulvovaginal variscosities? - .....ANSWER
...✔✔ swollen veins on vulva
What are cervical ectropion? - .....ANSWER ...✔✔
cells inside cervix are visible outside the cervix
List initial management of APH (12) - .....ANSWER
...✔✔ 1. Check medical history
- Medical, obstetric and surgical history
- Ultrasound and pathology results
MIDWIFERY EXAM PRACTICE QUESTIONS &
ANSWERS SOLVED 100% CORRECT!!
What is early pregnancy bleeding? - .....ANSWER
...✔✔ any bleeding occurring from genital tract prior
to 20 weeks gestation
What are causes of early pregnancy bleeding -
.....ANSWER ...✔✔ - implantation bleeding
- cervical erosion
- cervical polyps
- cervical carcinoma
- miscarriage
What is implantation bleeding? - .....ANSWER ...✔✔
nidation or decidual bleeding at the time and from the
site of embedding of the blastocyst
What is cervical erosion? - .....ANSWER ...✔✔
columnar epithelium proliferating under influence of
pregnancy hormones
,2|Page
What is cervical polyps? - .....ANSWER ...✔✔ benign,
fleshy growths from cervical canal
What is cervical carcinoma? - .....ANSWER ...✔✔
malignant epithelial tumours of cervix
What is antepartum bleeding? - .....ANSWER ...✔✔
bleeding from the genital tract any time after 20 weeks
gestation until baby is born
What is the incidence of antepartum bleeding? -
.....ANSWER ...✔✔ 3-5% of pregnancies
Why do you never perform a VE until cause of bleeding
is determined? - .....ANSWER ...✔✔ it can trigger
heavier bleeding in the case of placenta previa and
damage the placenta, putting baby at risk
What are types of APH? - .....ANSWER ...✔✔ -
incidental
- accidental
- inevitable
,3|Page
What is incidental APH? - .....ANSWER ...✔✔
localised causes of genital tract eg cervical polyps
What is an accidental APH? - .....ANSWER ...✔✔
bleeding origin is unknown eg placental abruption
What is an inevitable APH? - .....ANSWER ...✔✔
conditions with a high chance of bleeding eg placenta
previa
What are other causes of APH? - .....ANSWER ...✔✔ -
placental abruption
- placenta previa
- vasa previa
- uterine rupture
- post coital bleeding
- vulvovaginal variscosities
- cervical polyps
- cervical ectropion
- cervical / genital tract tumours
- bloody show
- full dilation
, 4|Page
What is a placental abruption? - .....ANSWER ...✔✔
partial or total separation of normally implanted
placenta from decidual lining of uterus after 20 weeks
What is placenta previa? - .....ANSWER ...✔✔
abnormally situated placenta in lower segment of
uterus, either completely or partially covering internal os
What is uterine rupture? - .....ANSWER ...✔✔
complete (through full thickness of uterus) or incomplete
(serosa remains intact)
What are vulvovaginal variscosities? - .....ANSWER
...✔✔ swollen veins on vulva
What are cervical ectropion? - .....ANSWER ...✔✔
cells inside cervix are visible outside the cervix
List initial management of APH (12) - .....ANSWER
...✔✔ 1. Check medical history
- Medical, obstetric and surgical history
- Ultrasound and pathology results
