--- Content provided by FirstRanker.com ---ANSWER ALL SIX QUESTIONS.
1. A 32 year old para 3 was admitted at 35 weeks of gestation with
haemorrhage.
1.1. Describe her emergency management until the cause is diagnosed
1.2. List the clinical features that are helpful in the diagnosis of the cause
1.4. If the diagnosis is abruptio placenta, list four complications of this
condition
ante partum
(25 Marks)
(25 Marks)
(25 Marks)
2. A 28 year old primigravida with an uncomplicated pregnancy goes into spontaneous
labour at 39 weeks of gestation. During the second stage of labour, following delivery of
and suspects shoulder dystocia.
2.1. How would you confirm this emergency condition in this patient? (25 Marks)
2.2. Describe the measures that you would take to deliver the baby safely,
if you confirm shoulder dystocia (50 Marks)
foetus as a result of shoulder dystocia (25 Marks)
3. A 38 year old woman was admitted with acute abdominal pain with a POA of 6 weeks.
She was suspected to have an ectopic pregnancy.
3.1. List the investigations necessary to confirm the diagnosis (25 Marks)
her management (50 Marks)
3.3. Mention three risk factors for ectopic pregnancy. (25 Marks)
1
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BACHELOR OF SCIENCE IN NURSING
FOURTI0EAR SECOND SEMESTER EXAMINATION(OLD SYLLABUS)FEB-2014
NURMN 4202 MATERNITY NURSING II- PAPER II
Date: 03.02.2014 Time: 02 Hours.
1. A 32 year old para 3 was admitted at 35 weeks of gestation with
haemorrhage.
1.1. Describe her emergency management until the cause is diagnosed
1.2. List the clinical features that are helpful in the diagnosis of the cause
1.4. If the diagnosis is abruptio placenta, list four complications of this
condition
ante partum
(25 Marks)
(25 Marks)
(25 Marks)
2. A 28 year old primigravida with an uncomplicated pregnancy goes into spontaneous
labour at 39 weeks of gestation. During the second stage of labour, following delivery of
and suspects shoulder dystocia.
2.1. How would you confirm this emergency condition in this patient? (25 Marks)
2.2. Describe the measures that you would take to deliver the baby safely,
if you confirm shoulder dystocia (50 Marks)
foetus as a result of shoulder dystocia (25 Marks)
3. A 38 year old woman was admitted with acute abdominal pain with a POA of 6 weeks.
She was suspected to have an ectopic pregnancy.
3.1. List the investigations necessary to confirm the diagnosis (25 Marks)
her management (50 Marks)
3.3. Mention three risk factors for ectopic pregnancy. (25 Marks)
1
4. A 32 year old primigravida was found to have a blood pressure of 150/110mmHg, during
4.1. Outline your initial management of this patient (25 Marks)
4.2. Mention further symptoms and signs you will look for in this patient (25 Marks)
4.3. List the laboratory investigations that will be useful in this patient (25 Marks)
4.4. If this patient has been treated with MgSO
, how would you monitor her (25 Marks)
5. A 28 year old woman in her second ongoing pregnancy is admitted for a caesarean
section at 39 weeks of gestation. Her first pregnancy was a caesarean section due to a
cephalo-pelvic disproportion.
5.2. Outline the principles of monitoring her in the first 24hours after the
operation. (40 Marks)
5.3. How would you advice her on discharge on the 3
rd
6. A mother on sixth post partum day presents with right side breast engorgement.
6.1. Mention symptoms and signs which would support the diagnosis.
6.2. Outline the management to relieve the symptoms.
6.3. List three complications of this condition
(25 Marks)
(25 Marks)
(25 Marks)
(25 Marks)
2
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1. A 32 year old para 3 was admitted at 35 weeks of gestation with
haemorrhage.
1.1. Describe her emergency management until the cause is diagnosed
1.2. List the clinical features that are helpful in the diagnosis of the cause
--- Content provided by FirstRanker.com ---
1.3. List the investigations that are useful in the management of this patient1.4. If the diagnosis is abruptio placenta, list four complications of this
condition
ante partum
(25 Marks)
--- Content provided by FirstRanker.com ---
(25 Marks)(25 Marks)
(25 Marks)
2. A 28 year old primigravida with an uncomplicated pregnancy goes into spontaneous
labour at 39 weeks of gestation. During the second stage of labour, following delivery of
--- Content provided by FirstRanker.com ---
the head of the foetus, the midwife encounters difficulty with delivering rest of the babyand suspects shoulder dystocia.
2.1. How would you confirm this emergency condition in this patient? (25 Marks)
2.2. Describe the measures that you would take to deliver the baby safely,
if you confirm shoulder dystocia (50 Marks)
--- Content provided by FirstRanker.com ---
2.3. List the complications that could be expected in this mother and thefoetus as a result of shoulder dystocia (25 Marks)
3. A 38 year old woman was admitted with acute abdominal pain with a POA of 6 weeks.
She was suspected to have an ectopic pregnancy.
3.1. List the investigations necessary to confirm the diagnosis (25 Marks)
--- Content provided by FirstRanker.com ---
3.2. If the diagnosis is confirmed as ruptured ectopic pregnancy, outlineher management (50 Marks)
3.3. Mention three risk factors for ectopic pregnancy. (25 Marks)
1
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--- Content provided by FirstRanker.com ---
UNIVERSITY OF JAFFNA, SRI LANKA.BACHELOR OF SCIENCE IN NURSING
FOURTI0EAR SECOND SEMESTER EXAMINATION(OLD SYLLABUS)FEB-2014
NURMN 4202 MATERNITY NURSING II- PAPER II
Date: 03.02.2014 Time: 02 Hours.
--- Content provided by FirstRanker.com ---
ANSWER ALL SIX QUESTIONS.1. A 32 year old para 3 was admitted at 35 weeks of gestation with
haemorrhage.
1.1. Describe her emergency management until the cause is diagnosed
1.2. List the clinical features that are helpful in the diagnosis of the cause
--- Content provided by FirstRanker.com ---
1.3. List the investigations that are useful in the management of this patient1.4. If the diagnosis is abruptio placenta, list four complications of this
condition
ante partum
(25 Marks)
--- Content provided by FirstRanker.com ---
(25 Marks)(25 Marks)
(25 Marks)
2. A 28 year old primigravida with an uncomplicated pregnancy goes into spontaneous
labour at 39 weeks of gestation. During the second stage of labour, following delivery of
--- Content provided by FirstRanker.com ---
the head of the foetus, the midwife encounters difficulty with delivering rest of the babyand suspects shoulder dystocia.
2.1. How would you confirm this emergency condition in this patient? (25 Marks)
2.2. Describe the measures that you would take to deliver the baby safely,
if you confirm shoulder dystocia (50 Marks)
--- Content provided by FirstRanker.com ---
2.3. List the complications that could be expected in this mother and thefoetus as a result of shoulder dystocia (25 Marks)
3. A 38 year old woman was admitted with acute abdominal pain with a POA of 6 weeks.
She was suspected to have an ectopic pregnancy.
3.1. List the investigations necessary to confirm the diagnosis (25 Marks)
--- Content provided by FirstRanker.com ---
3.2. If the diagnosis is confirmed as ruptured ectopic pregnancy, outlineher management (50 Marks)
3.3. Mention three risk factors for ectopic pregnancy. (25 Marks)
1
4. A 32 year old primigravida was found to have a blood pressure of 150/110mmHg, during
--- Content provided by FirstRanker.com ---
her antenatal visit at 36 weeks of gestation. She also complained of headache.4.1. Outline your initial management of this patient (25 Marks)
4.2. Mention further symptoms and signs you will look for in this patient (25 Marks)
4.3. List the laboratory investigations that will be useful in this patient (25 Marks)
4.4. If this patient has been treated with MgSO
--- Content provided by FirstRanker.com ---
4, how would you monitor her (25 Marks)
5. A 28 year old woman in her second ongoing pregnancy is admitted for a caesarean
section at 39 weeks of gestation. Her first pregnancy was a caesarean section due to a
cephalo-pelvic disproportion.
--- Content provided by FirstRanker.com ---
5.1. Mention how would youprepare her for the operation (30 Marks)5.2. Outline the principles of monitoring her in the first 24hours after the
operation. (40 Marks)
5.3. How would you advice her on discharge on the 3
rd
--- Content provided by FirstRanker.com ---
post operative day. (30 Marks)6. A mother on sixth post partum day presents with right side breast engorgement.
6.1. Mention symptoms and signs which would support the diagnosis.
6.2. Outline the management to relieve the symptoms.
6.3. List three complications of this condition
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6.4. Mention how will youadvice the mother about breast feeding.(25 Marks)
(25 Marks)
(25 Marks)
(25 Marks)
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2
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