obg mcq and model question paper

OBSTETRIC AND GYNAECOLOGICAL NURSING

SECTION: A   MULTIPLE CCHOICE QUESTION

Total mark: 20                                                                                                                 Duration: 20 minutes

          Date:                                                                                                                          Time: 10 am -01pm

1.      Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

a)      Dysuria

b)      Frequency

c)      Incontinence

d)      Burning

2.      On which of the following areas would the nurse expect to observe chloasma?

a)      Breast, areola, and nipples

b)      Chest, neck, arms, and legs

c)      Abdomen, breast, and thighs

d)      Cheeks, forehead, and nose

3.      A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?

a)      The large size of the newborn

b)      Pressure on the pelvic muscles

c)      Relaxation of the pelvic joints

d)      Excessive weight gain

4.      Which of the following represents the average amount of weight gained during pregnancy?

a.      12 to 22 lb

b.      15 to 25 lb

c.       24 to 30 lb

d.      25 to 40 lb

5.      Cervical softening and uterine soufflé are classified as which of the following?

a)      Diagnostic signs

b)      Presumptive signs

c)      Probable signs

d)      Positive signs

6.      Which of the following would the nurse identify as a presumptive sign of pregnancy?

a)      Hegar sign

b)      Nausea and vomiting

c)      Skin pigmentation changes

d)      Positive serum pregnancy test

7.      Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?

a)      Introversion, egocentrism, narcissism

b)      Awkwardness, clumsiness, and unattractiveness

c)      Anxiety, passivity, extroversion

d)      Ambivalence, fear, fantasies

8.      During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?

a)      Prepregnant period

b)      First trimester

c)      Second trimester

d)      Third trimester

9.      Which of the following would cause a false-positive result on a pregnancy test?

a)      The test was performed less than 10 days after an abortion

b)      The test was performed too early or too late in the pregnancy

c)      The urine sample was stored too long at room temperature

d)      A spontaneous abortion or a missed abortion is impending

10.  FHR can be auscultated with a fetoscope as early as which of the following?

a)      5 weeks gestation

b)      10 weeks gestation

c)      15 weeks gestation

d)      20 weeks gestation

11.  A client LMP began July 5. Her EDD should be which of the following?

a)      January 2

b)      March 28

c)      April 12

d)      October 12

12.  Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?

a)      Uterus in the pelvis

b)      Uterus at the xiphoid

c)      Uterus in the abdomen

d)      Uterus at the umbilicus

13.  Which of the following danger signs should be reported promptly during the antepartum period?

a)      Constipation

b)      Breast tenderness

c)      Nasal stuffiness

d)      Leaking amniotic fluid

14.  Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?

a)      Occurring at irregular intervals

b)      Starting mainly in the abdomen

c)      Gradually increasing intervals

d)      Increasing intensity with walking

15.  During which of the following stages of labor would the nurse assess “crowning”?

a)      First stage

b)      Second stage

c)      Third stage

d)      Fourth stage

16.  Which of the following nursing interventions would the nurse perform during the third stage of labor?

a)      Obtain a urine specimen and other laboratory tests.

b)      Assess uterine contractions every 30 minutes.

c)      Coach for effective client pushing

d)      Promote parent-newborn interaction.

17.  Which of the following actions demonstrates the nurse’s understanding about the newborn’s thermoregulatory ability?

a)      Placing the newborn under a radiant warmer.

b)      Suctioning with a bulb syringe

c)      Obtaining an Apgar score

d)      Inspecting the newborn’s umbilical cord

18.  Immediately before expulsion, which of the following cardinal movements occur?

a)      Descent

b)      Flexion

c)      Extension

d)      External rotation

19.  Before birth, which of the following structures connects the right and left auricles of the heart?

a)      Umbilical vein

b)      Foramen ovale

c)      Ductus arteriosus

d)      Ductus venosu

20.  Which of the following may happen if the uterus becomes overstimulated by oxytocin during the induction of labor?

a)      Weak contraction prolonged to more than 70 seconds

b)      Tetanic contractions prolonged to more than 90 seconds

c)      Increased pain with bright red vaginal bleeding

d)      Increased restlessness and anxiety

OBSTETRIC AND GYNAECOLOGICAL NURSING

SECTION: B   

Total mark: 55                                                                                                                 Duration 2 Hrs 40 mts

          Date:                                                                                                                          Time: 10 am -01pm

Essay: Answer to all (3X10=30)

1.      Explain in detail about events of first stage of labour.

2.      Explain about Physiology of lactation and advantages of breast milk

3.      Prenatal diagnostic studies and assessment of high risk pregnancy.

Short essay:  Answer any five (5X5=25)

4.      Function of placenta

5.      Events in second stage of labour.

6.      Vaginal examination

7.      Minor disorders of newborn

8.      Lochia

9.      Physiological changes during pregnancy

10.  Skin changes of newborn

11.  Physical characteristics of newbor

Ans:

1.      B

2.      D

3.      C

4.      C

5.      C

6.      B

7.      D

8.      B

9.      A

10.  D

11.  C

12.  A

13.  D

14.  D

15.  B

16.  D

17.  A

18.  D

19.  B

20.  B