BNS-103 : MATERNAL NURSING

1. Rekha, 27 yrs old second gravida has delivered an alive baby girl weighing 3kg : Dec09
(a) Define puerperium.
(b) Explain the physiology of lactation.
(c) Describe the immediate care of newborn.
(d) Enumerate the nursing measures to stimulate lactation during pregnancy and puerperium.
2. Sheetal 25 yrs. old primi gravida, HIV positive with term pregnancy admitted in Labour room
with labour pains and leaking per vagina : Dec09
(a) Explain the mode of HIV transmission and clinical Manifestations.
(b) Describe the nursing care of HIV positive pregnant mother during pregnancy and labour.
(c) Discuss the role of a nurse in counselling an HIV positive pregnant woman.
3. List any six causes of Low Birth weight baby (LBW). Dec09
4. Explain any five physiological handicaps of a LBW baby. Dec09
5. Explain the nursing management of LBW Baby. Dec09
6. Write short notes: Dec09
(a) Use of prostaglandins in obstetrics.
(b) Legal implications for providing emergency care in obstetrics
(c) Gynaecoid pelvis
(d) Psychological adjustments in Puerperium.
(e) Post operative care in gynaecological surgery.
7. Fill in the blanks : Dec09
(a) The ligaments which extend from sides of the cervix to the side walls of the pelvis are
called…………………….. ligaments.
(b) Undescended testis in male newborn baby is also called…………………….
(c) The fertilized ovum divides and becomes cluster of cells is known as……………………..
(d) The condition when dead fetus is retained in the uterus for a variable period of time is
………………………
(e) The cells which scerete milk are called ……………… cells.
8. True or False: Dec09
(a) Production of sperm begins at puberty and continues through out adult life.
(b) Osiander's sign is the bluish discoloration of the vaginal walls.
(c) The method used to evaluate the condition of the baby at birth is controlled cord traction
method.
(d) The condition when foetal blood vessels lies over the os in front of the presenting part is
called vasa praevia.
(e) Android pelvis is the term used for male pelvis.
9. Anita, 30 yrs old second gravida with 36 wks of gestation is admitted in labour room with the
diagnosis of multiple pregnancy: Jun09
 (a) Enumerate the causes of Multiple pregnancy.
(b) Discuss the Nursing Management of Anita.
(c) List six possible complications of multiple pregnancy.

10. Discuss the physiologyical changes in first stage of labour. Jun09

11. Explain the uses of Partogaph. Jun09
12. Explain post-partum Haemorrhage. Jun09
13. Discuss the Nursing management of atonic post-partum haemorrhage. Jun09
14. Define Low birth weight Baby according to WHO. Jun09
15. Explain the causes of LBW Babies. Jun09
16. Discuss the physiologyical Handicaps in LBW and their nursing management. Jun09
17. Short notes: Jun09
(a) Episiotomy.
(b) Mechanism of placental separation and control of Labour
(c) Observation of signs of foetal and maternal distress
(d) Oxytocin.
18. Neha, 28 years old Second Gravida, has been admitted in labour room with labour pains :
Dec08
(a) Discuss the stages of labour.
(b) Explain the observations you will make to monitor the progress of labour.
(c) Describe the signs and symptoms of second stage of labour.
19. Define: Dec08
(a) Puerperal lnfection
(b) Neonatal Asphyxia
(c) Quickening
(d) Obstructed Labour
(e) Fertilization
(f) Oxytocics
20. Rita, a 24 years old Primi Gravida, with 8 months of pregnancy has come to antenatal OPD for
check-up: Dec08
(a) List the signs at 8 months of pregnancy.
(b) Explain how as a nurse you would take history of mother in pregnancy.
(c) Discuss your role as a nurse in giving antenatal advice to Rita at 3 rd trimester of pregnancy.
21. Write short notes: Dec08
(a) Role of Nurse in Post-natal care
(b) Multiple pregnancy
(c) Management of PPH
(d) Prevention of Hypothermia in Newbom
(e) Birth Injuries of Newborn
22. Define abortion. Dec08
23. List the types of abortion. Dec08
24. Explain the causes of abortion. Dec08
25. Describe the Nursing Intervention for mother with threatened abortion. Dec08
26. Preeti, an elderly primi para at 32 weeks of gestation is admitted to the matemity ward with
gestational diabetes . Discuss her antenatal, intranatal and postnatal management. Jun08
27. Briefly discuss the causes of rupture of uterus. Jun08
28. List the sign and symptoms of rupture of uterus. Jun08
29. Discuss the obsctetrical and nursing management of a mother with rupture of uterus. Jun08
30. Define Ectopic Pregnancy. List the clinical features. Jun08
31. Kamla, a second gravida at 8 weeks gestation is admitted to labour room wlth ectopic
pregnancy. Discuss her obstetrical and nursing management. Jun08
32. List eight common surgical neonatal emergencies. Outline briefly the management of any
two emergencies. Jun08
33. Explain birth injuries and their prevention. Jun08
34. Write briefly: Jun08
(a) Pelvic floor and injuries to it during labour
(b) National Family Welfare Programme
(c) Uses of oxytocin in obstetrics
(d) Third stage ol labour
(e) Psychological adjustments in puerperium
(f) Special antenatal advices
35. Fill in the blanks: Jun08
(a) When the fetal head lies at the perineum for too long a period it may lead to
………………………….
(b) A localised area of odema on fetal skull on vertex presentation due to the pressure
o{ dilating cervix is called ………………………………………..
(c) The umbilical cord consists of one ……………………….. and two ……………………..
(d) The layers of the uterus are perimetriurn, myometrium and …………………………..
(e) Constipation in pregnancy is caused by …………………………….. hormone.
(f) ln obstructed labour, the retraction ring between the active upper segment and distended
lower segment that becomes visible by abdomen is called as ……………………….
(g) A condition in which the blood collects in the uterine cavity causing obstruction to the
genital tract is known as………………………………..
(h) The rupture of blood vessels in the perineal area leads to development of ………………………….
(i) The severe form of mental illness which affects mother in the postnatal period is
……………………
(j) Small Pelvic inlet may cause ……………………………..
36. Define placenta praevia. List the causes of placenta praevia. Dec07
37. Sita, a 6th gravida mother with 34 weeks of gestation is admitted with bleeding P/V and is
diagnosed to have placenta praevia of 3 rd degree. Discuss her obsterical and nursing
management. Dec07
38. Seema, a primi para at 32 weeks gestation is admitted to the maternity ward with diagnosis
of IUGR (intra- uterine growth retardation) and HIV +ve. Discuss her antenatal, intranatal and
postnatal management. Dec07
39. Define low birth weight baby. Write atleast eight features of low birth weight baby. Discuss
the nursing management of low birth weight baby. Dec07
40. Briefly write the physiology of lactation. Dec07
41. Explain changes in foetal circulation at birth. Dec07
42. Write factors influencing fertility in India. Dec07
43. Describe signs that would indicate to you as a midwife that the woman is in 1 st stage of
labour. Dec07
44. Explain the signs of foetal distress. Dec07
45. Describe how you as a midwife can prevent perineal tears. Dec07
46. Radha, a 20 year old lady, is admitted to labou room with Cord Prolapse. Dec07
(a) Define Cord Prolapse.
(b) Discuss the role of a nurse in management of Radha during labour.
(c) Discuss the essential qualities of midwife to handle obstetrical emergencies.
47. Fill in the blanks: Dec07
(a) The weight of abdominal and pelvic organs is supported by ……………………
(b) The overlapping of cranial bones at birth is called as ……………………………
(c) The formation of amniotic fluid takes place by the amniotic epithelium and ………………………
(d) The weight of pregnant uterus increases from 50 gms to ……………. at term.
(e) The positive signs of pregnancy are foetal heart sound, ultrasound and ……………………….
(f) Normal labour is also called as ……………………….
(g) The dose of anti-gamaaglobin to be given to Rh +ve mother after delivery who has Rh -ve
baby is ………………………..
(h) The two nature’s method of expulsion of placenta are Shultz method and ……………………
(i) The therapy in pregnancy less than 34 weeks gestation that helps in fetal lung maturity is
called ………………………….
(j) The term used for intermenstrual bleeding between the normal menstrual periods is
…………………………………….
48. Raj Rani, a 25 years primigravida, has come for Antenatal check-up in the Antenatal clinic:
Jun07
(a) Explain antenatal examination and tests you will do for Raj Rani.
(b) Describe the nutritional advice you will give to Raj Rani and write special health teaching for
her.
49. Define normal puerperium. Explain normal physiological changes which take place in the
reproductive system after the third stage of labor. Describe nursing management of normal
puerperium with special emphasis on psychological adjustment. Jun07
50. Mrs. Laxmi, 30 years, in her 3rd gravida with 8 months pregnancy is admitted with high
blood pressure. Discuss the special care you will give to her during antenatal period and
delivery. List the effects of hypertension on mother and foetus. Jun07
51. Write short notes: Jun07
(i) Signs and symptoms of pregnancy
(ii) Oxytocics in obstetrics
(iii) Neonatal convulsions
(iv) Puerperal infection
(v) Care of low birth weight baby
52. Fill in the blanks: Jun07
(i) Uterine contractions that do not result in cervical dilatation are called …………………………..
(ii) An incision made in the perineal area to facilitate delivery is called ……………………………..
(iii) The occurrence of ……………………………. ring is due to hypertonic colicky uterine action.
(iv) The yellowish pink or pale brownish colour discharge from vagina after 5 - 9 days of
delivery is called Lochia ………………………….
(v) Premature separation of a normally implanted placenta from the uterine wall is
…………………………..
53. Match the following: Jun07

Column A Column B
{a} Rough and spongy surface of placenta (i) Birth asphyxia
(b) Skin to skin care of mother (ii) Ampulla
(c) Leading causes of neonatal death (iii) Puerperal ir,rfectio
(d) Cervical laceration and haemorrhage (iv) Fallopian tube
(e)Transportation of ovum from ovary to (v) Kangaroo care
uterine cavity
xx (vi) Maternal surface
xx (vii) Foetal surface

54. Sita Devi, 30 years old, 4th gravida mother is admitted in the labour room. Describe special
care of 2nd stage of labour. Explain complications of 2nd stage of labour and role of nurse in
prevention of these complications. Dec06
55. Sushila , 25 years old, 3rd gravida mother is admitted during 28 weeks of pregnancy with
haemoglobin estimation 6 gms. Dec06
(a) List the signs and symptoms of anemia
(b) Describe special care you would like to give during antenatal period and labour to save
mother and baby.
(c) Write complications of severe anemia.
56. List the causes of Abruptio placenta. Write the difference between placenta previa and
Abruptio placenta. Describe nursing management of Abruptio placenta. Dec06
57. Write short notes: Dec06
(a) Special precautions in infected HIV mother during delivery and labour
(b) Post operative care in Gynaecological surgery.
(c) Nursing responsibility of giving tocolytic agent
(d) Minor disorder in pregnancy
(e) Nursing management of Neonatal Jaundice
58. Match the following ; Dec06

a. Location of fundus immediately after (i) Positive signs of pregnanc

delivery

b. Gripping of foetal head at the lower part of (ii) Pre-eclampsia

pregnant uterus
c. Vaccination of the newborn (iii) Pawlik's grip
d. Active movement of the foetus felt by the (iv) Fundal grip
examiner
e. Severe headache, visual disturbances and (v) Progress of labour
epigastric pain
xx (vi) Rubella
xx (vii) Hepatitis-B
xx (viii) At the level of umbilicus
xx (xi) Halfway between umbilicus and symphysis
pubis

59. Fill in the blanks: Dec06

(i) We are able to detect foetal skeletal shadow by ……………………
(ii) Pigmentation of face is called …………………….
(iii) Decrease in the volume of amniotic fluid is ……………………….
(iv) Diamond shaped unossified membrane is …………………………….
(v) The outermost layer of the uterus is……………………………
60. Mrs. Sheela Devi, primigravida mother has been admitted in labour room during 2nd stage of
labour. Jun06
(a) Explain the signs and symptoms of 2nd stage of labour.
(b) Write the observation you will make during 2 nd stage of labour.
(c) Describe nursing care of Mrs. Sheela Devi.
61. Anaemia is the most common cause of maternal mortality. Jun06
(a) List the signs and symptoms of anaemia
(b) Discuss the special care you would give to a woman with anaemia during pregnancy.
(c) List the severe complications of anaemia during pregnancy.
(d) Write the nursing management of a mother with anaemia during post-natal period.
62. Abruptio placenta is a serious event for maternal and foetal morbidity and mortality. Define
the term Abruptio placenta. List the causes and describe its nursing intervention. Jun06
63. Write short notes: Jun06
(a) Foetal Skull
(b) Intra Uterine Devices
(c) Role of nurse-midwife during epidural analgesia
(d) Nursing management of Neonatal Asphyxia
(e) Role of midwife in rupture of uterus
64. Fill in the blanks : Jun06
(a) Umbilical cord consists of one ……………………. and two …………………..
(b) Progression of a more severe form of pre- eclampsia is known as ……………………….
(c) The brim of …………………………….. pelvis has round shape.
(d) Low birth weight baby and weight less than …………………….. gm.
(e) Failure to complete the process of involution is known as ……………………
65. Match the following: Jun06

(a) Treatment of neonatal jaundice (i) Meningitis

(b) Confirmation of pregnancy (ii) HCG
(c) Chorion (iii) Hypothermia
{d) Kangaroo care (iv) phototherapy
(e) Neonatal convulsions (v) Inner layer of foetal membrane
xxx (vi) Outer layer of foetal membrane