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[LB 1025]  Sub. Code: 4731
FOURTH YEAR B.Sc NURSING EXAM

August 2012
Paper I Midwifery and Obstetrical Nursing

Q.P. Code : 664731
Time : Three Hours                                                                                                                         Maximum : 100 marks
Answer the questions in the same order.

I. Elaborate on:                                                                                                          Pages     Time     Marks
                                                                                                                                                                       (Max.)     (Max.)     (Max.)
1. a. Discuss partogram a midwife record.                                                                                                 19             33         20
b. Discuss cervicograph in labour.
2. Discuss hydatidiform mole. Describe medical and nursing management.                                             19             33         20

II. Write Notes on:
  1. Physiology of menstrual cycle.                                                                                                                  3                8           5
  2. Antenatal exercises.                                                                                                                                     3                8           5
  3. Levels of neonatal care.                                                                                                                               3                8           5
  4. Baby Friendly Hospital Initiative (BFHI)                                                                                                  3                8           5
  5. Minor disorders of pregnancy in digestive system.                                                                                  3                8           5  
  6. Preconception care.                                                                                                                                     3                8           5
  7. Cervical incompetence.                                                                                                                               3                8           5
  8. Adoption.                                                                                                                                                     3                8           5

III. Short Answers on:
1. Any two aims of antenatal care.                                                                                                                         1         5         2
2. Emergency contraception.                                                                                                                                  1         5         2
3. Any two risk factors arising during pregnancy.                                                                                               1         5         2
4. Difference between cord presentation and cord prolapsed.                                                                             1         5         2
5. Any two causes of non-engaged head.                                                                                                              1         5         2
6. Define Mauriceau-smellie-veit Manoeuvre.                                                                                                      1         5         2
7. Any two indicators of fetal wellbeing.                                                                                                               1         5         2
8. Define implantation bleeding.                                                                                                                           1         5         2
9. Define HELLP syndrome.                                                                                                                                 1         5         2
10. Four differential diagnosis of true and spurious labour.                                                                                1         5         2



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