Download University of Jaffna, Sri Lanka Nursing 4th Year 2016 Jan 4102 Maternity Nursing I Jan Question Paper

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FOURTH YEAR FIRST SEMESTER EXAMINATION - JAN- 2016
NURMN 4102 MATERNITY NURSING I ? PAPER II
Date: 18 .01.2016 Time: 02 Hours.
ANSWER ALL SIX QUESTIONS.
1.

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1.1. Name four types of pelvis. (10 marks)
1.2. Differentiate male and female pelvis. (20 marks)
1.3. Explain the meaning of the following:
1.3.1. Contraction and retraction (10 Marks)
1.3.2. Cervical effacement (10 Marks)

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1.3.3. Cervical dilatation (10 Marks)
1.3.4. Fetal axis pressure (10 Marks)
1.4. Briefly explain the changes that take place in cardio ',ascular
system during pregnancy. (30 Marks)
2. An antenatal mother with POA 39 weeks has been admitted to the maternity

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ward with Labour pain.
2.1. Briefly explain the stages of labour. (20 Marks)
2.2. Describe the management of this mother during the first stage of
Labour? (30 Marks)
2.3. As a nurse in maternity ward how would you monitor the progress

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of labour by using partogram. (50 Marks)
1
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UNIVERSITY OF JAFFNA, SRI LANKA.
BACHELOR OF SCIENCE IN NURSING
FOURTH YEAR FIRST SEMESTER EXAMINATION - JAN- 2016
NURMN 4102 MATERNITY NURSING I ? PAPER II

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Date: 18 .01.2016 Time: 02 Hours.
ANSWER ALL SIX QUESTIONS.
1.
1.1. Name four types of pelvis. (10 marks)
1.2. Differentiate male and female pelvis. (20 marks)

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1.3. Explain the meaning of the following:
1.3.1. Contraction and retraction (10 Marks)
1.3.2. Cervical effacement (10 Marks)
1.3.3. Cervical dilatation (10 Marks)
1.3.4. Fetal axis pressure (10 Marks)

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1.4. Briefly explain the changes that take place in cardio ',ascular
system during pregnancy. (30 Marks)
2. An antenatal mother with POA 39 weeks has been admitted to the maternity
ward with Labour pain.
2.1. Briefly explain the stages of labour. (20 Marks)

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2.2. Describe the management of this mother during the first stage of
Labour? (30 Marks)
2.3. As a nurse in maternity ward how would you monitor the progress
of labour by using partogram. (50 Marks)
1

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3.
3.1. Define puerperium.
(10 Marks)
3.2. Describe physiology of normal puerperium. (30 Marks)
3.3. Describe the role u:midwife in management of normal puerperium. (30 Marks)

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3.4. What advice would you give when a post natal mother gets
discharged after normal delivery? (30 Marks)
4.
4.1' List the signs of placental separation from the uterine wall
normal labour. (20 Marks)

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4.2. Explain the active management for early separation of placenta. (30 Marks)
4.3. Discuss the effects of the following hormones related to pregnancy.
4.3.1. Oestrogen (20 Marks)
4.3.2. Progesterone (20 Marks)
4.3.3. Oxitocin (10 Marks)

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.0%
5. Mrs Ban mi is a primi mother at POA of 24 weeks. She presents with
Hb levet of 9mg/d1 at the ANC.
5.1. List the causes for anemia. (30 Marks)
5.2. Briefly explain the physiological anemia of pregnancy (30 Marks)

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5.3. How will you advice this patient to improve her Hb le el (40 Marks)
6. Write short notes on:
6.1. New born reflexes (50 Marks)
6.2. Antenatal Exercises (50 Marks)
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