Midwifery and Obstetrical Nursing Practice Questions 11/2025: Day 192

Midwifery and Obstetrical Nursing Rank Booster Day

Hey, future AIIMS NORCET & RRB Staff Nurse Officers! Day 192 at logyanlo.in is your ultimate Midwifery and Obstetrical Nursing masterclass for AIIMS NORCET 2025 (CRE exam Dec 22–24!), RRB Staff Nurse 2025 (272 vacancies), JIPMER, SGPGI & DSSSB. We're covering the 9 most repeated topics: Pap Smear, Vasectomy & Tubectomy, HPV & Vaccines, Tumor Markers, Semen Analysis, Gestational Diabetes Mellitus (GDM), Pregnancy-Induced Hypertension (PIH), Rh Isoimmunization & Anti-D, and Twins. These appear in every shift – master them and lock 15–20 marks! Download free PYQs PDF below and dominate 2025!

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Core Concepts That Guarantee Marks in Midwifery

Midwifery and obstetrical nursing = guaranteed high weightage:

• 15–20 % questions in AIIMS NORCET & RRB Staff Nurse exams
• Pap smear screening, GDM & Rh anti-D are favourite scenario questions
• Family planning & twins appear in both theory + image-based sections
• HPV vaccine & tumor markers are repeated every year
  logyanlo.in gives you only the high-yield, rank-making points with detailed explanations!

High-Yield Topics for Your Exam Success

Pap Smear

Quick Fact

Pap smear screening starts at age 21.

Complete Coverage

Step-by-Step Procedure

1. Patient in lithotomy position
2. Speculum insertion, visualize cervix
3. Spatula for ectocervix, brush for endocervix
4. Fix on slide or liquid medium

Bethesda System

• NILM (normal)
• ASC-US/LSIL/HSIL (abnormal)

Frequency
Every 3 years (21–65) or co-test with HPV after 30

Nursing Role
Counseling, consent, comfort, labeling

High-yield fact for exams
LSIL = low-grade squamous intraepithelial lesion (HPV).

Vasectomy & Tubectomy

Quick Fact

Tubectomy failure rate 0.5 %.

Complete Coverage

Vasectomy Details

• No-scalpel, vas deferens cut
• Confirmation: azoospermia after 12 weeks/20 ejaculations

Tubectomy Details

• Laparoscopic Pomeroy/falope ring
• Post-partum minilap common

Counseling
Permanent method, informed consent, backup contraception

High-yield fact for exams
Vasectomy = semen analysis for confirmation.

HPV & Vaccines

Quick Fact

Nonavalent vaccine covers 9 HPV types.

Complete Coverage

HPV Risk
Types 16/18 = 70 % cervical cancer

Vaccines

• Bivalent (16,18)
• Quadrivalent (6,11,16,18)
• Nonavalent (most comprehensive)

Schedule
9–14 years: 2 doses; >15: 3 doses

High-yield fact for exams
HPV vaccine best before sexual debut.

Tumor Markers

Quick Fact

CA-125 elevated in ovarian cancer.

Complete Coverage

Gynecological Markers

• CA-125: ovarian
• Beta-hCG: gestational trophoblastic
• AFP: endodermal sinus tumor

Uses
Screening (limited), monitoring recurrence

High-yield fact for exams
Beta-hCG in molar pregnancy.

Semen Analysis

Quick Fact

Normal sperm count >15 million/mL.

Complete Coverage

WHO Criteria
Volume >1.5 mL, motility >40 %, morphology >4 %

Abnormal
Oligo/azoospermia

High-yield fact for exams
Abstinence 2–5 days for accurate sample.

Gestational Diabetes Mellitus (GDM)

Quick Fact

75 g OGTT for diagnosis.

Complete Coverage

Screening
24–28 weeks, 75 g glucose

Criteria
Fasting ≥92, 1 hr ≥180, 2 hr ≥153

Management
Diet, insulin

High-yield fact for exams
One abnormal value = GDM.

Pregnancy-Induced Hypertension (PIH)

Quick Fact

Preeclampsia = HTN + proteinuria after 20 weeks.

Complete Coverage

Types
Gestational HTN, preeclampsia, eclampsia

Management
Delivery definitive, MgSO4 for seizures

High-yield fact for exams
MgSO4 for eclampsia.

Rh Isoimmunization & Anti-D

Quick Fact

Anti-D at 28 weeks & post-delivery.

Complete Coverage

Prevention
300 mcg Anti-D IM

Timing
28 weeks routine, within 72 hrs post-event

High-yield fact for exams
Kleihauer test for dose adjustment.

Twins

Quick Fact

Monochorionic twins higher risk.

Complete Coverage

Chorionicity
Dichorionic (lambda sign), monochorionic (T sign)

Complications
TTTS, preterm

High-yield fact for exams
All dizygotic = dichorionic.

Most Searched Questions in AIIMS NORCET 2025

Q: GDM OGTT values? → Fasting ≥92 mg/dL
Q: Anti-D timing? → 28 weeks & post-delivery
Q: Pap smear start age? → 21 years
Q: HPV vaccine doses for 9–14 years? → 2 doses
Q: Most common sterilization method? → Tubectomy

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Why logyanlo.in?

Your 2025 midwifery rank partner with free PYQs, diagram quizzes & Telegram community! Recommended Book: DC Dutta's Textbook of Obstetrics (Amazon Affiliate Link)

Conclusion: Your Midwifery Marks Are Locked!

Day 192 just gave you the complete midwifery package. Keep practising daily on our Daily Question Bank and watch your name in the merit list!

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