Date: 10.01.2013
ANSWER ALL SIX QUESTIONS.
UNIVERSITY OF JAFFNA, SRI LANKA.
BACHELOR OF SCIENCE IN NURSING
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FOURTH YEAR SECOND SEMESTER EXAMINATION - JAN - 2013NURMN 4202 MATERNITY NURSING II- PAPER II
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1. A 34 year old primi gravida was admitted to the gynaecology ward at 30 weeks of POA
with uterine contraction and delivered a male baby with 1700 g body weight.
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1.1. List the possible causes for a low birth weight baby [20 marks]1.2. List the possible risks of a premature baby [20 marks]
1.3. Briefly describe the features of premature baby [30 marks]
1.4. Briefly write how you will manage this baby and mother in the
ward [30 marks]
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2.2.1. Define miscarriage [10 marks]
2.2. Briefly describe the types of miscarriage [40 marks]
2.3. As a health care provider how you will educate the vulnerable
group to avoid illegal abortion [50 marks]
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3. Write explanatory notes on the following3.1. Prepare a newborn baby for phototherapy [30 marks]
3.2. Hydatidiform mole [30 marks]
3.3. Minor disorders of pregnancy [40 marks]
1
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Date: 10.01.2013
ANSWER ALL SIX QUESTIONS.
UNIVERSITY OF JAFFNA, SRI LANKA.
--- Content provided by FirstRanker.com ---
BACHELOR OF SCIENCE IN NURSINGFOURTH YEAR SECOND SEMESTER EXAMINATION - JAN - 2013
NURMN 4202 MATERNITY NURSING II- PAPER II
\Th
1. A 34 year old primi gravida was admitted to the gynaecology ward at 30 weeks of POA
--- Content provided by FirstRanker.com ---
with uterine contraction and delivered a male baby with 1700 g body weight.1.1. List the possible causes for a low birth weight baby [20 marks]
1.2. List the possible risks of a premature baby [20 marks]
1.3. Briefly describe the features of premature baby [30 marks]
1.4. Briefly write how you will manage this baby and mother in the
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ward [30 marks]2.
2.1. Define miscarriage [10 marks]
2.2. Briefly describe the types of miscarriage [40 marks]
2.3. As a health care provider how you will educate the vulnerable
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group to avoid illegal abortion [50 marks]3. Write explanatory notes on the following
3.1. Prepare a newborn baby for phototherapy [30 marks]
3.2. Hydatidiform mole [30 marks]
3.3. Minor disorders of pregnancy [40 marks]
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1PART B
4. A 22 year old primigravida who was admitted to the emergency treatment unit with
generalized convulsions and a blood pressure of 170/110 mmHg at 34 weeks of gestation.
4.1. What immediate general measures would you take in managing
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this patient? [40 marks]4.2. Mention three drugs that can be used to reduce the blood pressure
in this patient [20 marks]
4.3. What measures would you take to prevent further fits in
this patient? [40 marks]
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5. A 30 year old primiparous woman following a prolonged first stage of labour, continuesto bleed per vaginum. Her uterus was soft and was above the umbilical level. Her pulse
rate was 100/min, blood pressure 90/60mmHg.
5.1. List the likely causes for the continuous bleeding per vaginum. [20 marks]
5.2. Explain the clinical examinations you will do to confirm or
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exclude the causes you have mentioned in 5.1 [40 marks]5.3. Briefly discuss the line of actions that must be taken to deal with
this emergency considering the most likely cause [40 marks]
6. Write notes on the following
6.1. Indications for induction of labour [30 marks]
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6.2. Use of tocolytic drugs in preterm labour [30 marks]6.3. Prevention of complications in obstructed labour [40 marks]
2
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