Obstetrical and
Gynecological Nursing (Including Midwifery)
Total mark: 75
Maximum
time:-3 hrs
Section: B
Time: 2 hrs 40 minutes
Marks: 55
I.
LONG ESSAY (ANSWER TO ALL THE QUESTION) (3X10=30)
1. a) Define multiple pregnancies. (1)
b) Describe the types of
twins. (3)
c) Discuss the complications
associated with multiple pregnancies. (6)
2. List the indications for caesarean section and explain the pre
and post operative management of
patient undergoing caesarean section. (10)
3. a) What is breech presentation? (2)
b) Explain the management of labor in breech delivery. (8)
II.
SHORT ESSAY (ANSWER TO ANY 5)
(5X5=25)
4.
Induction of labor.
5.
Injuries to the birth canal
6.
Low birth weight babies
7.
Threatened abortion
8.
Ante partum hemorrhage
9.
Puerperal sepsis
Obstetrical and
Gynecological Nursing (Including Midwifery)
Total mark: 75
Maximum
time:-3 hrs
Section: A
Time: 20 Minutes
Marks: 1X20=20
1. 1. When talking with a pregnant client who is
experiencing aching swollen, leg veins, the nurse would explain that this is
most probably the result of which of the following?
a) Thrombophlebitis
c) Pressure on
blood vessels from the enlarging uterus
d) The force
of gravity pulling down on the uterus
2. Which of the following statements best describes
hyperemesis gravidarum?
a) Severe
anemia leading to electrolyte, metabolic, and nutritional imbalances in the
absence of other medical problems.
b) Severe
nausea and vomiting leading to electrolyte, metabolic, and nutritional
imbalances in the absence of other medical problems.
c) Loss of
appetite and continuous vomiting that commonly results in dehydration and
ultimately decreasing maternal nutrients
d) Severe
nausea and diarrhea that can cause gastrointestinal irritation and possibly
internal bleeding
3. Which of the following would the nurse identify as
a classic sign of PIH?
a) Edema of
the feet and ankles
b) Edema of
the hands and face
c) Weight gain
of 1 lb/week
d) Early
morning headache
4.
In which of
the following types of spontaneous abortions would the nurse assess dark brown
vaginal discharge and negative pregnancy tests?
a)
Threatened
b)
Imminent
c)
Missed
d)
Incomplete
5.
Which of
the following factors would the nurse suspect as predisposing a client to
placenta previa?
a) Multiple
gestation
b) Uterine
anomalies
c) Abdominal
trauma
d) Renal or
vascular disease
6.
Which of
the following would the nurse assess in a client experiencing abruptio
placenta?
a) Bright red,
painless vaginal bleeding
b) Concealed
or external dark red bleeding
c) Palpable
fetal outline
d) Soft and
nontender abdomen
7.
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
8.
Which of
the following best describes preterm labor?
a)
Labor that begins after 20 weeks gestation and
before 37 weeks gestation
b)
Labor that begins after 15 weeks gestation and
before 37 weeks gestation
c)
Labor that begins after 24 weeks gestation and
before 28 weeks gestation
d)
Labor that begins after 28 weeks gestation and
before 40 weeks gestation
9.
When PROM
occurs, which of the following provides evidence of the nurse’s understanding
of the client’s immediate needs?
a. The chorion
and amnion rupture 4 hours before the onset of labor.
b. PROM
removes the fetus most effective defense against infection
c. Nursing
care is based on fetal viability and gestational age.
d. PROM is
associated with malpresentation and possibly incompetent cervix
10.
Which of
the following factors is the underlying cause of dystocia?
a) Nurtional
b) Mechanical
c) Environmental
d) Medical
11.
When
uterine rupture occurs, which of the following would be the priority?
a) Limiting
hypovolemic shock
b) Obtaining
blood specimens
c) Instituting
complete bed rest
d) Inserting a
urinary catheter
12.
Which of
the following amounts of blood loss following birth marks the criterion for
describing postpartum hemorrhage?
a) More than 200
ml
b) More than
300 ml
c) More than
400 ml
d) More than
500 ml
13.
Which of
the following assessment findings would the nurse expect if the client develops
DVT?
a) Midcalf
pain, tenderness and redness along the vein
b) Chills,
fever, malaise, occurring 2 weeks after delivery
c) Muscle pain
the presence of Homans sign, and swelling in the affected limb
d) Chills,
fever, stiffness, and pain occurring 10 to 14 days after delivery
14.
For the
client who is using oral contraceptives, the nurse informs the client about the
need to take the pill at the same time each day to accomplish which of the
following?
a) Decrease
the incidence of nausea
b) Maintain
hormonal levels
c) Reduce side
effects
d) Prevent
drug interactions
15. When developing a plan of care for a client newly
diagnosed with gestational diabetes, which of the following instructions would
be the priority?
a) Dietary
intake
b) Medication
c) Exercise
d) Glucose
monitoring
16. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
a) Risk for
infection
b) Pain
c) Knowledge
Deficit
d) Anticipatory
Grieving
17.
During a
pelvic exam the nurse notes a purple-blue tinge of the cervix. The nurse
documents this as which of the following?
a) Braxton-Hicks
sign
b) Chadwick’s
sign
c) Goodell’s
sign
d) McDonald’s
sign
18.
The nurse
understands that the fetal head is in which of the following positions with a
face presentation?
a) Completely
flexed
b) Completely
extended
c) Partially
extended
d) Partially
flexed
19.
A patient
is in labor and has just been told she has a breech presentation. The nurse
should be particularly alert for which of the following?
a) Quickening
b) Ophthalmia
neonatorum
c) Pica
d) Prolapsed
umbilical cord
20 . A gravidocardiac mother is
advised to observe bed rest primarily to
a)
Allow the fetus to achieve normal intrauterine growth
b) Minimize
oxygen consumption which can aggravate the condition of the compromised heart
of the mother
c) Prevent
perinatal infection
d)
Reduce incidence of premature labor
1.
Ans: c
2. Ans: b
3. Ans:b
4. Ans: c
5. Ans: a
6. Ans: b
7. Ans: b
8. Ans:a
9. Ans: b
10. Ans: b
11. Ans: a
12. Ans d
13. Ans: c
14. Ans:b
15. Ans: a
16. Ans: b
17. Ans:b
18. Ans:b
19. Ans:d
20. Ans: b
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