Q.P. CODE: 403010 Reg. No: …………………...

Final Year B.Sc Nursing Degree Examinations, September 2015

Obstetrical & Gynecological Nursing

Time: 3 Hrs Max. Marks: 75
• Answer all questions
• Draw diagram wherever necessary
Essays (2x15=30)

1. Explain the aetiology and pathophysiology of post partum haemorrhage(PPH). Discuss the
nursing management of a woman with PPH (8+7=15)
2. Define gestational diabetes mellitus (GDM). Discuss the maternal and neonatal effects of
GDM. Explain the management of pregnant woman with GDM. (2+6+7= 15)

Short Notes (5x5=25)

3. Physiology of normal labour

4. Current trends in midwifery practice
5. Investigations in infertility
6. Ethical and legal aspects in obstetrics and gynaecology practice
7. Care of new born

Give reasons for the following (5x2=10)

8. Obstructed labour is a leading cause for vesico-vaginal fistula

9. Intravenous methergine is not administered during delivery in women with hypertension
during pregnancy
10. Deep tendon reflexes need to be monitored in women receiving magnesium sulphate.
11. Per vaginal examination is not advised in pregnant women with placenta previa
12. Fundal height is routinely monitored during postnatal period

Differentiate between (5x2=10)

13. Oligohydramnios and polyhydramnios

14. Prostaglandins and oxytocin
15. Post partum blues and post partum depression
16. Amniocentesis and culdocentesis
17. Hyadatiform mole and ectopic pregnancy

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