UG NURSING / 424

B.Sc.(NURSING) FOURTH YEAR EXAMINATION, 2018

Subject: Nursing

Paper: XVI : Midwifery and gynaecological nursing

Time: 3 hours Full marks: 75

Q.1. Multiple choice question . (1 X 10)

1. During pregnancy the source of HCG and HPL is:

a) Placenta
b) Mother
c) Fetus
d) Mixed sources.

2. Which of the following is not the function of amniotic fluid:

a) Help to dilate the cervix during labour.

b) Provide nutrition to the fetus
c) Maintains normal temperature of the fetus
d) Acts as shock absorbant.

3. In diagnosis of pregnancy the most reliable test is:

a) Immunological tests
b) Ultrasonography
c) X-rays
d) Urine test.

4. When labour starts and cervix is more than 3 cm dilated, the phase is known
as

a) Latent phase
b) Active phase
c) Transition phase
 d) Expulsion phase.

5. During per vaginal examination, the nurse feels that the cervix is 3 fingers
dilated, write it in cm

a) 1 cm
b) 3 cm
c) 5 cm
d) 6 cm

6. Binovular twins forms from

a) One ovum and two spermatozoa

b) Two ovum and two spermatozoa
c) One ovum and one spermatozoa
d) Two ovum and one spermatozoa.

7. Painful menstruation is called

a) Amenorrhoea
b) Menopause
c) Dysmenorrhea
d) Menorrhagia.

8. The great danger in breech presentation is

a) Prolapse of foot
b) Prolapse of cord
c) Prolapse of arm
d) Precipitate labour

9. The colour of lochia rubra is

a) White
b) Yellowish
c) Red
d) Greenish.

10. A pregnant women feels tingling, numbness and pain in the thumb and
fingers during night, the condition is known as,

a) Neuritis
b) Korsakoffs syndrome
 c) Carpel tunnel syndrome
d) Down syndrome.

Q.2. Fill in the blanks (1X 10)

1. Implantation of fertilized ovum outside uterus is called.....................

2. If LMP of a women is 18th march 2018, then her EDD will be...........
3. State of more than 1500 ml liquor is known as....................................
4. At............weeks colostrums can be expressed from pregnant mothers
breast.
5. A painless , vaginal bleeding during 3rd trimester is due to.......................
6. Suboccipito-bregmatic diameter is .........................cm.
7. M.T.P. act was passed in year......................................
8. During pregnancy the iron requirement is.....................mg.
9. Fertilization takes place in...................of fallopian tube.
10.Inactivity of uterus is known as .......................

Q.3. true or false (1 X10)

1. Pelvis is made up of three bones.

2. Surgical removal of uterus is known as hysterectomy.
3. Middle layer of uterus is known as myocardium.
4. Menopause is the sing of pregnancy.
5. Second stage of labour starts with full dilatation of cervix.
6. Eutocia means abnormal labour.
7. The relation of the long axis of the fetus to the long axis of uterus is
called as a lie.
8. An ectopic pregnancy means implantation of zygote outside the
uterus.
9. When the baby is born with the membrane intact, it is called caul.
10.Forceps should be applied before full dilatation of the cervix.

Q. 4. Short Answers. Answer any 3. ( 3X5=15)

1. Write down functions of placenta.

2. What is lochia. What are the types of lochia.
3. Differentiate between placenta previa and abruption placenta.
4. What are the obstetrical emergencies.
5. Write down the nursing management of patient with hyperemesis
gravidarum.
Q. 5. Attempt any two (2X15=30)

1. Mrs Shalini, 30 years old , primigravida women is admitted in labour room

with 34 weeks of gestation and severe pre eclampsia.

a) Define Pre eclampsia.(2)

b) List down the clinical features and complications of pre eclampsia.( 5)
c) Discuss the obstetrical and nursing management of Mrs Shalini.(8)

2.Mrs kamlesh, 55 years old, post menopausal women admitted with the
diagnosis of stage II cervical cancer

a) Define cervical cancer.(2)

b) Explain the signs, symptoms and diagnostic measures of cervical
cancer.(5)
c) Discuss the treatment modalities of carcinoma of cervix.(8)

3. Mrs kavita 25 years old is admitted to labour room with active labour.

a) Define normal labour. When we call it active labour.(2)

b) What are the stages of labour.(4)
c) Write down the management of second stage of labour.(9)
 UG NURSING / 424
B.Sc.(NURSING) FOURTH YEAR EXAMINATION, 2018
Subject: Nursing
Paper: XVI : Midwifery and gynaecological nursing

Time: 3 hours Full marks: 75

Q.1. Multiple choice question . (1 X 10)

1. The cord attached at very edge of placenta is known as

a) Circumvallate
b) Battledore insertion
c) Succinturate
d) Vasa praevia.
2. Edematous swelling under the scalp and above the periosteum is called
a) Caput succedaneum
b) Cephalhematoma
c) Head injury
d) Birth mark.
3. Pre-mature separation of normally situated placenta is called
a) Placenta previa
b) Abruption placenta
c) Placenta accrete
d) Placenta increate
4.Causative organism of syphilis is
a) Treponema pallidum
b) Vibrio
c) Mycobacterium
d) E.coli
5. Normal fetal heart sound is
a) 120 to 140/min
b) 140 to 160/min
c) 100 to 110/min
d) 160 to 180/min
6. Among the following drugs which one is used to control convulsions in
pregnancy
a) Magnesium sulphate
b) Heparin
c) Lasix
d) calcium gluconate
7. Abortion in which loss of three of more consecutive pregnancy is
known as
a) Inevitable abortions
b) Threatened abortion
c) Missed abortion
d) Recurrent abortions.
8. The hormone responsible for maintaining pregnancy is
a) Estrogen
b) Progesterone
c) Both
d) None of the above
9. Which of the following is temporary structure of fetal circulation
a) Foramen ovale
b) Umbilical arteries
c) Umbilical vein
d) All the above.
10. Most common site of ectopic pregnancy is
a) Uterine cavity
b) Cervix
c) Abdominal cavity
d) Fallopian tube.

Q.2. Fill in the blanks (1X 10)

1. Uterus feels ‘full of fetuses’ when liquor is......................than normal.

2. First fetal movement is called......................

3. Painless uterine contractions is called as...............................

4. An incision made on perineum to facilitate the delivery is

called.....................

5. Reverting back of reproductive organ to the pre-pregnant state is

called........
 6. White vaginal discharge is known as..........

7. Loss of product of conception before 20 weeks of pregnancy is

called.................

8. Presence of ..............................hormone in urine confirms pregnancy .

9. Presenting diameter in breech presentation is....................

10.Inflammation of fallopian tube is called as................................

Q.3. true or false (1 X10)

1. Fetal circulation has four temporary structures.

2. Coronal suture lies between the parietal bones.

3. The length of umbilical cord is about 50 cm.

4. Anencephaly is complete or partial absence of skull.

5. True labour pain has no effect on the dilatation of the cervix.

6. Breastfeeding acts as natural contraception.

7. Iron and calcium tablet should be taken right from the time of
conception.

8. A brownish vaginal discharge is present in missed abortion.

9. Tubal pregnancy grows upto 40 weeks.

10.Partograph represents cervical dilatation, uterine contraction, fetal

condition and maternal condition.

Q. 4. Short Answers. Answer any 3. ( 3X5=15)

1. Write down the sign and symptom of placental separation.

2. Differentiate between prolapsed uterus and inverted uterus.

3. Write about episiotomy.

 4. Write about oxytocin.

5. What are the stages of cervical cancer.

Q. 5. Attempt any two (2X15=30)

1. Mrs saraswati, 26 years old, with 37 weeks of period of gestation is admitted

with haemoglobin 9.6 mg/dl.

a) Define anemia in pregnancy.(2)

b) Explain the causes of anemia.(3)

c) List down the sign and symptoms and complication anemia.(3)

d) Write down the medical and nursing management of Mrs Saraswati.(7)

2. During the delivery of Mrs Neelam, a nurse found the patients is bleeding
profusely, her pulse rate is increased and blood pressure is decreased, she seems
unresponsive

a) Name and define the condition.(2)

b) Write down types and sign and symptoms of the condition.(5)

c) Write down the nursing care plan for Mrs. Neelam.(8)

3. Mrs Munni, 42 years old came to hospital with complaints of lump in breast.
On investigation she was found to be having breast cancer stage III.

a) What are the causes and risk factors of breast cancer.(4)

b) Write down the clinical features and diagnostic investigation of breast

cancer.(4)

c) Write down the management of breast cancer including nursing

management.(7)