February 2012

[LA 1025] B.Sc (Nursing) DEGREE EXAMINATION

Sub. Code: 4731

(New Regulations for the candidates admitted from 2006-07 onwards) FINAL YEAR Paper I MIDWIFERY AND OBSTETRICAL NURSING Q.P. Code : 664731 Time : Three hours Maximum : 75 marks Answer ALL questions. I. Elaborate on: (2X15=30) 1. a) Define labor and describe the physiology of first stage of labor. b) Discuss in detail on management of a mother in first stage of labor. 2. a) Define post partum haemorrhage and list down the types of Post partum haemorrhage. b) Explain the causes of post partum haemorrhage and discuss the management of true post partum haemorrhage. II. Write notes on : 1. 2. 3. 4. 5. Abruptio placenta. Forceps. Induction of labor. Minor disorders during pregnancy. Polyhydramnios. (10X 2 = 20) (5X 5 = 25)

III. Short Answers:

1. Name four types of pelvis. 2. Name four varieties of breech presentation. 3. Define precipitate labor. 4. Name any two tocolytic agents. 5. Name the four types of episiotomy. 6. Phlegmasia albadolens. 7. Stall worthys sign. 8. Name the parts of the fallopian tube. 9. Roll over test. 10. Name any two conditions where the maternal serum Alpha feto protein level is elevated.

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AUGUST 2012 Sub. Code: 4731 FOURTH YEAR B.Sc NURSING EXAM Paper I MIDWIFERY AND OBSTETRICAL NURSING Q.P. Code : 664731 Time : Three Hours Maximum : 100 marks (180 Min) Answer ALL questions in the same order. I. Elaborate on: 1. a. Discuss partogram a midwife record. b. Discuss cervicograph in labour. 2. Discuss hydatidiform mole. Describe medical and nursing management. II. Write Notes on: 1. Physiology of menstrual cycle. 2. Antenatal exercises. 3. Levels of neonatal care. 4. Baby Friendly Hospital Initiative (BFHI). 5. Minor disorders of pregnancy in digestive system. 6.Preconception care. 7.Cervical incompetence. 8.Adoption. Pages Time Marks (Max.) (Max.) (Max.) 19 33 20

[LB 1025]

19

33

20

3 3 3 3 3 3 3 3

8 8 8 8 8 8 8 8

5 5 5 5 5 5 5 5

III. Short Answers on: 1. Any two aims of antenatal care. 2. Emergency contraception. 3. Any two risk factors arising during pregnancy. 4. Difference between cord presentation and cord prolapsed. 5. Any two causes of non-engaged head. 6. Define Mauriceau-smellie-veit Manoeuvre. 7. Any two indicators of fetal wellbeing. 8. Define implantation bleeding. 9. Define HELLP syndrome. 10. Four differential diagnosis of true and spurious labour. *******

1 1 1 1 1 1 1 1 1 1

5 5 5 5 5 5 5 5 5 5

2 2 2 2 2 2 2 2 2 2

[LC 1025]

FEBRUARY 2013 Sub. Code: 4731 B.Sc (Nursing) DEGREE EXAMINATION

(New Regulations for the candidates admitted from 2006-07 onwards) FINAL YEAR Paper I MIDWIFERY AND OBSTETRICAL NURSING Q.P. Code : 664731 Time : Three hours I. Essays: Maximum : 100 marks (2X20=40)

1. Define post partum hemorrhage and list down the causes b) Explain the management of post partum hemorrhage including nursing management 2. Describe physiology of normal puerperium and its management II. Write Short Notes on : 1. 2. 3. 4. 5. 6. 7. 8. Outcomes of tubal pregnancy Polyhydramnios Habitual abortion Episiotomy Photo therapy Family welfare program Cord prolapsed Post partum depression (10X 2 = 20) (8X 5 = 40)

III. Short Answers Questions:

1. Methods of expulsion of placenta 2. Advantages of ventouse over forceps 3. Nidation 4. Define normal labour 5. Define puerperium 6. Lie 7. Types of breech presentation 8. What is macrosomia 9. Abnormalities 10. Difference between antepartum hemorrhage and post partum hemorrhage *******

[LD 1025]

AUGUST 2013 Sub. Code: 4731 B.Sc (Nursing) DEGREE EXAMINATION (New Regulations for the candidates admitted from 2006-07 onwards) FINAL YEAR Paper I MIDWIFERY AND OBSTETRICAL NURSING Q.P. Code : 664731

Time : Three hours I. Essays:

Maximum : 100 marks (2X20=40)

1. (a) Define high-risk pregnancy and list down the causes (b) Explain the management of placenta praevia including nursing management 2. Describe the role of a nurse in the first stage of labour. II. Write Short Notes on: 1. 2. 3. 4. 5. 6. 7. 8. Foetal circulation Partogram Adaptation of new born Placental separation Multiple pregnancies Drugs in labour Amniotic fluid embolism RCH programme. (10X 2 = 20) (8X 5 = 40)

III. Short Answer Questions: 1. List two positive signs of pregnancy 2. Engagement 3. Physiological anemia 4. Define normal labour 5. Define trial labour 6. HELLP syndrome 7. List four positions of vertex presentation 8. What is Rh Incompatibility? 9. Abnormalities of umbilical cord 10. Warning signs of eclampsia. *******