1. 30 year old primi gravida attends her booking visit. Her last regular menstrual
period (LMP) was on 28
th
of June 2016.
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1.1. What is her expected date of delivery? (10 marks)1.2. What information you would gather from her history and examination? (30 marks)
1.3. Describe the investigations done at the booking visit. (20 marks)
1.4. How will you advice the patient regarding diet and exercise? (40 marks)
2. A 30 year old Grand multipara (P5C4) has hemoglobin 8g/dl during at her
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18weeks of gestation.2.1. Explain the relevant history and examination findings. (30 marks)
2.2. List the relevant investigations, would be ordered. (20 marks)
2.3. Briefly describe the maternal and fetal complication of this condition. (25 marks)
2.4. How will you educate this patient regarding nutrition and family planning? (25 marks)
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3. A 28 year old multipara on her 38th
weeks of gestation, was referred from local
clinic with a blood pressure of 170/100mmhg and proteinuria.
3.1. What is the identified problem/s in this patient? (10 marks)
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3.2. What information you will look in the history and examination? (30 marks)3.3. What is your initial nursing care to this patient? (30 marks)
3.4. During postpartum, she was put on MgSO4 infusion. How would you monitor
her during MgSO4 infusion?
(30 marks)
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FirstRanker.com - FirstRanker's ChoiceUNIVERSITY OF JAFFNA, SRI LANKA.
BACHELOR OF SCIENCE IN NURSING
FOURTH YEAR SECOND SEMESTER EXAMINATION - AUG- 2016
NURMN 4202 MATERNITY NURSING II ? PAPER II
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Date: 01.08.2016 Time: 02 Hrs.ANSWER ALL SIX QUESTIONS.
1. 30 year old primi gravida attends her booking visit. Her last regular menstrual
period (LMP) was on 28
th
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of June 2016.1.1. What is her expected date of delivery? (10 marks)
1.2. What information you would gather from her history and examination? (30 marks)
1.3. Describe the investigations done at the booking visit. (20 marks)
1.4. How will you advice the patient regarding diet and exercise? (40 marks)
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2. A 30 year old Grand multipara (P5C4) has hemoglobin 8g/dl during at her18weeks of gestation.
2.1. Explain the relevant history and examination findings. (30 marks)
2.2. List the relevant investigations, would be ordered. (20 marks)
2.3. Briefly describe the maternal and fetal complication of this condition. (25 marks)
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2.4. How will you educate this patient regarding nutrition and family planning? (25 marks)3. A 28 year old multipara on her 38
th
weeks of gestation, was referred from local
clinic with a blood pressure of 170/100mmhg and proteinuria.
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3.1. What is the identified problem/s in this patient? (10 marks)3.2. What information you will look in the history and examination? (30 marks)
3.3. What is your initial nursing care to this patient? (30 marks)
3.4. During postpartum, she was put on MgSO4 infusion. How would you monitor
her during MgSO4 infusion?
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(30 marks)4. Short notes on:
4.1. Importance of Folic acid in pregnancy. (30 marks)
4.2. Antenatal tetanus toxoid. (30 marks)
4.3. Postpartum intrauterine contraceptive device (PPIUCD). (40 marks)
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5. A 32 year old primi gravida is admitted at 34 weeks with a history of waterydischarge per vaginum for 2 hours.
5.1. What is the identified specific problem/s in this patient? (10 marks)
5.2. What are the maternal and foetal complications due to the above presentation? (30 marks)
5.3. What is the nursing care and advice you will give to this patient until she
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goes into labour? (60 marks)6. A postpartum Day 10 mother presented with fever and lower abdominal pain.
She had a term, normal vaginal delivery with a small episiotomy.
6.1. What are the possible causes for her presentation? (20 marks)
6.2. What is the initial nursing care for this mother? (30 marks)
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6.3. Her urine full report shows field full of pus cells. What is your adviceregarding her medication and nutrition? (30 marks)
How will you advise her on breast feeding? (20 marks)
2
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