302340KW

[KW 434] MARCH 2010 Sub.
Code: 2340
M.Sc. (NURSING) DEGREE EXAMINATION

SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH III – OBSTETRIC AND GYNAECOLOGICAL NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302340
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
1. Discuss the clinical manifestations and a comprehensive plan of management for a
HIV positive pregnant woman and a neonate.
2. a) Discuss the pathogenesis of pre-eclampsia. (5)

b) Complications of pre-eclampsia on mother and fetus. (5)
c) Describe the management of woman with pre-eclampsia. (10)
II. Write notes on: (7 x 5 = 35)
1. Obstetrical auditing.
2. Multiple pregnancy.
3. Uterine fibroid.
4. Polyhydramnios.
5. Contracted pelvis.
6. Icterus neonatorum.
7. Abruptio placenta.
*******
[KX 434] SEPTEMBER 2010 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. a) Briefly describe about the first stage of Labour.
b) Explain the complications in third stage of labour and nursing management of

post partum haemorrhage.
2. a) Draw a design and lay out on an administration and management of Obstetrical

and Gynaecological Unit.
b) Write about functions of independent Midwifery Nurse Practitioner.
1. Ectopic pregnancy.
2. TORCH.
3. Menstrual Irregularities.
4. Legal and Ethical issues.
5. Congenital anomalies in uterus.
6. Tocolytics.
7. Placenta praevia.
*******
[KY 434] MAY 2011 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. a) Define post partum haemorrhage.
b) Causes of post partum haemorrhage.
c) Management of post partum haemorrhage.
2. a) Draw a design a lay out her neonatal intensive care unit.

b) Organization and management of nursing services in neonatal intensive care unit.
1. Multiple pregnancies.
2. Cardio-vascular diseases complicating pregnancy labour and post partum period.
3. Abnormal uterine actions.
4. Forceps delivery.
5. Neonatal seizures.
6. Expanded and extended role of midwives.
7. Uterine malformations and displacements.
8. Herpes Simplex-Genital infection.
9. Trial of labour.
10. Staffing in labour room.
*******
[KZ 434] OCTOBER 2011 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
(Max.) (Max.) (Max.)
1. Mrs. Lakshmi has been admitted for the treatment
of pregnancy induced hypertension at 36 weeks of 15 40 min. 20
gestation. Answer the following
a) Define the term pregnancy induced hypertension and
enumerate the pathophysiology of PIH.
b) List out clinical manifestations and medical treatment for PIH.
c) Draw a nursing care plan based on nursing process.
2. Prepare an Inservice Educational program for one week on 15 40 min. 20

obstetrical emergencies for staff nurses working in maternity unit.
II. Write notes on :
1. Hydramnios. 3 10 min. 6
2. Prolonged labour. 3 10 min. 6
3. Cord prolapse. 3 10 min. 6
4. Medical induction of delivery. 3 10 min. 6
5. Asphyxia neonatorum. 3 10 min. 6
6. Care of mother with HIV during labour. 3 10 min. 6
7. Exclusive breast feeding. 3 10 min. 6
8. Post partum blues. 3 10 min. 6
9. TORCH. 3 10 min. 6
10. Menstrual Irregularities. 3 10 min. 6
*******
[LA 434] MAY 2012 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. Anemia is noted in 34 weeks of pregnancy. Describe the
possible dangers, investigations and treatment. 17 40 min. 20
2. a) What are the causes of obstructed labour? 17 40 min. 20

b) What are the early signs of obstructed labour?
c) How can these be prevented by proper antenatal checkup.
II. Write notes on:
1. Ectopic pregnancy. 4 10 min. 6
2. Caesarean hysterectomy. 4 10 min. 6
3. Induction of labour. 4 10 min. 6
4. Sexually transmitted infection- Human Papilloma Virus. 4 10 min. 6
5. Management of diabetes in pregnancy. 4 10 min. 6
6. Prolapses of cord. 4 10 min. 6
7. Neonatal hemolytic disease. 4 10 min. 6
8. Eclamptic fit. 4 10 min. 6
9. Urinary tract infection in pregnancy. 4 10 min. 6
10. Equipment and supplies in labour room. 4 10 min. 6
*******
[LB 434] NOVEMBER 2012 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. a) Define Ante Partum Haemorrhage. 17 40 min. 20
b) List down the clinical manifestations.
c) Outline a nursing process for a mother admitted with
complaints of abruptio placenta.
2. a) Draw a design and lay out for an O&G unit. 17 40 min. 20

b) Plan for staffing, equipment and supplies for this unit.
c) Develop a practical standard for this unit.
II. Write notes on:

1. ABO incompatability. 4 10 min. 6
2. Anaemia during pregnancy. 4 10 min. 6
3. Precipitate labour. 4 10 min. 6
4. Amniotic fluid embolism. 4 10 min. 6
5. Draw a blue print with brief explanation of a labour ward. 4 10 min. 6
6. Uterine displacement. 4 10 min. 6
7. Deep vein thrombosis. 4 10 min. 6
8. Breast milk jaundice. 4 10 min. 6
9. Asphyxia neonatorum. 4 10 min. 6
10. HIV / AIDS parent to child transmission. 4 10 min. 6
*******
[LC 434] APRIL 2013 Sub. Code: 2340

SECOND YEAR
PAPER II – CLINICAL SPECIALITY – II
Q.P. Code: 302340
Answer All questions
1. a) Define Gestational diabetes mellitus.
b) Describe the maternal and fetal fisk of Gestational diabetes mellitus.
c) Explain the Antepartum – Intrapratum and Postpartum management of a mother
with Gestational diabetes mellitus.
2 a) Define Postpartum Haemorrhage.

b) Explain the causes of Postpartum Haemorrhage.
c) Describe the medical and nursing management of mother with atomic uterus.
1. Premature Rupture of membranes.
2. Thyroid disease during pregnancy.
3. Genital tract injuries.
4. Postpartum depression.
5. Meconium Aspiration syndrome.
6. Pelvic Inflammatory disease.
7. Ventouse delivery.
8. Ectopic Pregnancy.
9. HELLP syndrome.
10. Role of Nurse in the care of HIV positive mother.
*******
[LD 434] OCTOBER 2013 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. Mrs. Laxmi, with 34 weeks of pregnancy was found to be anaemic.
a) What are the causes of anaemia in pregnancy?
b) Describe the diagnosis and management of anemia in pregnancy
c) Enumerate the potential complications of anaemia in pregnancy and their
management.
2. a) What are the causes of obstructed labour?

b) How can you diagnose obstructed labour?
c) What are the complications of obstructed labour and discuss the preventive
management.
1. HELLP syndrome.
2. Care of mother with HIV during labour.
3. Design and explain the layout of a labour room.
4. Menopause.
5. Legal and ethical issues in midwifery.
6. Treatment regimens for eclampsia.
7. Management.
8. Hyperbilirubinemia in newborn.
9. Expanded and extended role of midwives.
10. Obstetrical auditing.
*******
[LE 434] APRIL 2014 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. Mrs. Amutha, a 27 year old female with 8 weeks of gestation has been admitted
with the complaints of vaginal bleeding.
a) Define Abortion.
b) List out the types of Abortion.
c) Draw a nursing care plan for Abortion.
2. a) Define Caesarian Section.

b) List out the indications of caesarian section.
c) Write the nursing management of mothers with caesarian section.
1. Dystocia.
2. Intra-uterine death.
3. Opthalmia Neonatorum.
4. Sub involution of uterus.
5. Gestational trophoblastic disease.
6. Uterine displacement.
7. Placenta praevia.
*******
[LF 434] OCTOBER 2014 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. a) Discuss the pathogenesis of Pre-Eclampsia.
b) List out the complications of Pre-Eclampsia on the mother and the foetus.
c) Describe the management of a woman with Pre-Eclampsia.
2. Define obstetrical emergencies and discuss the comprehensive nursing

management of such conditions.
1. Prolonged Labour.
2. TORCH.
3. Post Partum Blues.
4. Multiple Pregnancy.
5. Neonatal Seizures.
6. Menstrual Irregularities.
7. Hypoxic Ischemic Encephalopathy.
*******
[LG 434] APRIL 2015 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340
1. Mrs. Kavitha has been admitted for the treatment of Pregnancy Induced Hypertension
(PIH) at 34 weeks of gestation.
a) Define the term pregnancy induced hypertension and explain the pathophysiology of
PIH.
b) List out the clinical manifestations and medical treatment for PIH.
c) Draw a nursing care plan based on nursing process.
2. a) Design the layout of a Neonatal Intensive Care Unit (NICU).

b) Organization and management of nursing services in NICU.
1. Polyhydramnios.
2. Retained placenta.
3. Genetic counselling.
4. Post maturity.
6. Acute inversion of uterus.
7. Tocolytics.
*******
[LH 434] OCTOBER 2015 Sub. Code: 2340
M.Sc., (NURSING) DEGREE EXAMINATION

SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Sessions onwards)
PAPER III – CLINICAL SPECIALITY II
Q.P. Code: 302340
1. a) Enumerate the problem found in a preterm baby.
b) What are the principles of management of a preterm baby?
c) Explain the care of a preterm neonate.
2. a) Define polyhydramnios and enumerate the causes.

b) Describe the effects of polyhydramnios during pregnancy and labour and write
the clinical manifestations.
c) Describe the nursing management of a woman with polyhydramnios during the
later weeks of pregnancy.
1. Contracted Pelvis.
2. Neonatal infections.
3. Uterine malformation.
4. Syphilis in pregnancy.
5. Twin pregnancy.
6. Rupture of the uterus.
7. Rh-incompatibility.
*******
[LI 434] APRIL 2016 Sub. Code: 2340
M.Sc., (Nursing) DEGREE EXAMINATION

SECOND YEAR
PAPER II – CLINICAL SPECIALITY II
BRANCH III - OBSTETRIC AND GYNAECOLOGICAL NURSING
Q.P. Code : 302340

Time : Three hours Maximum : 75 Marks
1. a) What is Breech Presentation and enumerate the causes for Breech?

b) Discuss the varieties of Breech Presentation and the diagnostic measures.
c) Explain the management of labour in Breech delivery.
2. a) How will you counsel the family of a HIV infected mother?

b) Discuss about the care of a Preterm Neonate of a HIV positive mother.
c) Prepare an instruction-module to teach the nursing personnel on HIV
precautions during labour.
1. Amniocentesis.
2. Gestational trophoblastic diseases.
3. Obstetrical shock.
4. Birth injuries of the newborn.
5. Tubal pregnancy.
6. Neonatal sepsis.
7. Retroverted uterus.
********
[LJ 434] OCTOBER 2016 Sub. Code: 2340
M.Sc. (Nursing) DEGREE EXAMINATION

SECOND YEAR
Q.P. Code : 302340

1. a) Define occipito posterior position.

b) List out the causes and diagnosis of occipito posterior position.
c) Explain the both favourable and unfavourable management of woman with
occipito posterior position.
2. a) Define anemia. Enlist the causes and clinical features of iron deficiency
anemia.
b) Elaborate the effects and management of iron deficiency anemia during
antepartum and intrapartum period.
1. Rh Incompatability.
2. Uterine prolapse.
3. Neonatal seizures.
4. Retained placenta.
5. Postpartum haemorrhage.
6. Care of mother with HIV during labour.
7. Management of diabetes in pregnancy.
********
[LK 434] MAY 2017 Sub. Code: 2340

SECOND YEAR
Q.P. Code : 302340

1. a) Define postpartum haemorrhage. Write the causes, pathophysiology and

complications of postpartum haemorrhage.
b) Write in detail the nurses role in prevention and management of PPH.
2. a) Write the definition, risk factors, diagnosis and complications of gestational

diabetes mellitus.
b) Explain the management of GDM complicating pregnancy.
1. Hyperbilirubinemia in newborn.
2. Preeclampsia.
3. Heart disease complicating pregnancy.
4. Puerperal infection.
5. Care of HIV positive pregnant mother.
6. Complications in breast feeding.
7. Newborn birth injuries.
********
[LL 434] OCTOBER 2017 Sub. Code: 2340

SECOND YEAR
Q.P. Code : 302340

1. a) Define eclampsia and explain in detail about eclampsia.

b) Treatment regimens for eclampsia.
c) Write the nursing management for a woman with eclampsia.
2. a) Define cephalo-pelvic disproportion (CPD) and contracted pelvis.

b) Explain the causes and clinical symptoms of CPD.
c) Write the difference between CPD and contracted pelvis.
d) Write in detail about the management of CPD and draw a nursing care plan.
1. Placenta preavia.
2. Antenatal psychiatric disorders.
3. Sub-involution of uterus.
4. Advanced neonatal procedure.
5. Standard safety measures for the management of mother and baby with HIV.
6. Hysterectomy.
7. Staffing, equipment and supplies in labor room.
********
[LM 434] MAY 2018 Sub. Code: 2340

SECOND YEAR
Q.P. Code : 302340

1. a) Discuss the steps in planning and organization of level III neo-natal care unit.
b) Highlight the standards to be set in the evaluation of the neo-natal care.
2. a) Write definition, risk factors, diagnosis and complications of placenta praevia.

b) Explain the management of placenta praevia.
2. Ectopic pregnancy.
3. Polyhydramnios.
4. Baby friendly hospital.
5. Role of the midwife in family planning.
6. Peri-natal mortality.
7. Cord prolapse.
********
[LN 434] OCTOBER 2018 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340

Time : Three Hours Maximum : 75 Marks
1. a) Define caesarian section.

b) List out the indications of caesarean section.
c) Write the nursing management of mothers with caesarian section.
2. a) Briefly describe about the first stage of labour.

b) Explain the complication in third stage of labour and nursing management
of post-partum hemorrhage.
1. Apgar score.
2. Diet in pregnancy.
3. Genetic counselling.
4. Prolonged labour.
5. Pregnancy induced hypertension.
6. Dystocia.
7. Contracted pelvis.
********
[LO 434] MAY 2019 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340

1. Explain in detail about obstetrical emergencies and its management.
2. Mrs. Kavitha with 32 weeks of pregnancy was found to be anemic

a) What are the causes of anemia in pregnancy?
b) Describe the diagnosis and management of anemia in pregnancy?
c) Enumerate the potential complications of anemia in pregnancy and their
management?
1. Menopause.
2. Encirclage (operation).
3. TORCH.
4. Meconium Aspiration Syndrome.
5. Uterine Displacement.
6. Cord Prolapse.
7. Trial of Labour.
********
[LP 434] OCTOBER 2019 Sub. Code: 2340

SECOND YEAR
Q.P. Code: 302340

1. a) List the causes of vaginal bleeding during the later weeks of pregnancy.
Explain the pathophysiology of accidental ante-partum haemorrhage.
b) Discuss the treatment modalities and nursing management of
abruptio placenta.
2. a) What are the common psychological complications in puerperium?

Mention the causes and symptoms of the above.
b) How will you manage these psychological disorders during puerperium?
c) How can you prevent these psychological disorders during puerperium?
1. Breech presentation.
2. Version.
3. Puerperal Sepsis.
4. Birth injuries in new born.
5. Pelvic inflammatory Disease.
6. National Policies and Guidelines for HIV /AIDS.
7. Standard Safety Measures in infection Control.
********
[LQ 434] SEPTEMBER 2020 Sub. Code: 2340
(MAY 2020 SESSION)

SECOND YEAR
Q.P. Code: 302340

1. a) Define ectopic pregnancy.

b) Enumerate the clinical features of ectopic pregnancy.
c) Explain briefly the diagnosis, management and nursing care of ectopic
pregnancy.
2. a) Briefly describe the action of obstetrical forceps.

b) List the indications of forceps delivery.
c) Write the nursing management of mother with forceps delivery.
1. Legal aspects in HIV/AIDS.

2. Uterine fibroid.
3. Vesico Vaginal Fistula.
4. Thyroid diseases.
5. Post-partum Blues.
6. Erythroblastosis fetalis.
7. Discuss the physical set up and organization of obstetrical unit.
********
[LS 434] DECEMBER 2020 Sub. Code: 2340
(OCTOBER 2020 SESSION)

SECOND YEAR
Q.P. Code: 302340

1. a) Define Eclampsia.
b) Write the stages of Eclamptic Fits.
c) Write Nursing process for mother with Eclampsia during Labour.
2. a) Define APH. Narrate the Types of APH.

b) Discuss in detail the Management of APH.
1. Drugs in Obstetrics.
2. Mechanism of Breech presentation.
3. Dysfunctional Uterine Bleeding.
4. Postpartum Depression.
5. Family Welfare Program.
6. Pre-term Labour.
7. Assessment of fetal well being.
********

302340KW

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

302340KW

Uploaded by

Copyright:

Available Formats

[KW 434] MARCH 2010 Sub.

M.Sc. (NURSING) DEGREE EXAMINATION

2. a) Discuss the pathogenesis of pre-eclampsia. (5)

II. Write notes on: (7 x 5 = 35)

M.Sc. (NURSING) DEGREE EXAMINATION

b) Explain the complications in third stage of labour and nursing management of

2. a) Draw a design and lay out on an administration and management of Obstetrical

b) Write about functions of independent Midwifery Nurse Practitioner.

II. Write notes on: (7 x 5 = 35)

4. Legal and Ethical issues.

5. Congenital anomalies in uterus.

M.Sc. (NURSING) DEGREE EXAMINATION

2. a) Draw a design a lay out her neonatal intensive care unit.

II. Write notes on: (10 x 6 = 60)

2. Cardio-vascular diseases complicating pregnancy labour and post partum period.

3. Abnormal uterine actions.

6. Expanded and extended role of midwives.

7. Uterine malformations and displacements.

8. Herpes Simplex-Genital infection.

10. Staffing in labour room.

M.Sc. (NURSING) DEGREE EXAMINATION

2. Prepare an Inservice Educational program for one week on 15 40 min. 20

II. Write notes on :

M.Sc. (NURSING) DEGREE EXAMINATION

2. a) What are the causes of obstructed labour? 17 40 min. 20

II. Write notes on:

1. Ectopic pregnancy. 4 10 min. 6

2. Caesarean hysterectomy. 4 10 min. 6

3. Induction of labour. 4 10 min. 6

4. Sexually transmitted infection- Human Papilloma Virus. 4 10 min. 6

5. Management of diabetes in pregnancy. 4 10 min. 6

6. Prolapses of cord. 4 10 min. 6

7. Neonatal hemolytic disease. 4 10 min. 6

8. Eclamptic fit. 4 10 min. 6

9. Urinary tract infection in pregnancy. 4 10 min. 6

10. Equipment and supplies in labour room. 4 10 min. 6

M.Sc. (NURSING) DEGREE EXAMINATION

2. a) Draw a design and lay out for an O&G unit. 17 40 min. 20

II. Write notes on:

M.Sc. (NURSING) DEGREE EXAMINATION

2 a) Define Postpartum Haemorrhage.

II. Write notes on: (10 x 6 = 60)

1. Premature Rupture of membranes.

2. Thyroid disease during pregnancy.

3. Genital tract injuries.

5. Meconium Aspiration syndrome.

6. Pelvic Inflammatory disease.

10. Role of Nurse in the care of HIV positive mother.

M.Sc. (NURSING) DEGREE EXAMINATION

2. a) What are the causes of obstructed labour?

II. Write notes on: (10 x 6 = 60)

2. Care of mother with HIV during labour.

3. Design and explain the layout of a labour room.

5. Legal and ethical issues in midwifery.

6. Treatment regimens for eclampsia.

9. Expanded and extended role of midwives.

10. Obstetrical auditing.

M.Sc. (NURSING) DEGREE EXAMINATION

2. a) Define Caesarian Section.

II. Write notes on: (7 x 5 = 35)

4. Sub involution of uterus.

5. Gestational trophoblastic disease.

M.Sc. (NURSING) DEGREE EXAMINATION

2. Define obstetrical emergencies and discuss the comprehensive nursing