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Reproductive Health &Amp; Safe Motherhood Iv Question Paper

Reproductive Health &Amp; Safe Motherhood Iv

Course:Bachelor Of Science In Nursing And Public Health

Institution: Kenyatta University question papers

Exam Year:2009

KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
FIRST SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF
SCIENCE (NURSING AND PUBLIC HEALTH)
HNS 302: REPRODUCTIVE HEALTH & SAFE MOTHERHOOD IV

DATE: WEDNESDAY, 23RD DECEMBER 2009
TIME: 8.00 A.M. - 10.00 A.M.

INSTRUCTIONS:

1.
Read all the questions carefully and answer only what is asked.
2.
All questions are compulsory.
3.
For Part I tick the correct answer.

Part II and III to be answered on the answer sheet provided.

PART I: MCQs

1.
The following conditions will predispose newborns to hypothermia

(a)
Preterm, small for gestational age.
(b)
Hypoglacemia,
asphyxia
neonatorum.

(c)
Post maturity, low birth weight.

(d)
Preterm, post maturity.

2.
Low birth weight babies are those

(a)
Whose birth weight is below 2000 gm at birth.

(b)
Born after 28 weeks of gestation but before 37 completed weeks of gestation.

(c)
Whose birth weight falls below 10th centile of the gestation age.

(d)
Whose birth weight is less than 2500 gms at birth irrespective of gestational age.

Page 1 of 6

3.
Asphyxia neonatorum is defined as a condition whereby

(a)
The baby fails to establish spontaneous breathing immediately after birth.

(b)
The baby fails to get enough oxygen in the uterus.

(c)
The lungs fails to expand due to lack of sufficient surfactant factor.

(d)
The baby is blue during birth.

4.
If hypocalcemia does not respond to administration of intravenous calcium salts the

patient should be given

(a)
0.2 mmol/kg of 50% magnesium sulphate.

(b)
10% calcium gluconate.

(c)
Phosphorous to increase calcium phosphate.
(d)
10%
dextrose.

5.
One of the following birth injury may be as a result of shoulder dystocia
(a)
Facial
paralysis
(b)
Brachial
palsy
(c)
Erbs
palsy

(d)
Fracture of skull

6.
Hypoglycemia in diabetic baby occurs due to

(a)
High level of insulin in the mother’s circulation.

(b)
High level of insulin in the baby’s circulation.

(c)
Lack of high glucose level after delivery.

(d)
Conversion of glucose into glycogen after delivery.

7.
Puerperal pyrexia is a febrile condition which occurs

(a)
Within the first 10 days after delivery.

(b)
6 to 8 weeks after delivery.

(c)
14 to 21 days after delivery.

(d)
Within the first 72 hours after delivery.

Page 2 of 6

8.
Predisposing factors to puerperal sepsis includes

(a)
Anaemia, prolonged labour.
(b)
Anaemia,
pre-eclampsia.

(c)
Retained products of conception, cardiac disease.

(d)
Early rupture of membranes, cardiac disease.

9.
Labour is induced when

(a)
Gestation reaches 40 weeks with no signs of labour.

(b)
The mother gives history of prolonged pregnancy.

(c)
The health of the mother or the fetus would be affected if pregnancy is continued.

(d)
When surfactant factor indicates mature lungs.

10.
The following factors are absolute indications for elective caesarian section.
(a)
Contracted
pelvis,
placenta previa type II anterior.

(b)
Cephalopelvic disproportion, placenta praevia type II posterior.

(c)
Multiple pregnancy, contracted pelvis.

(d)
2 previous scar, pre-eclampsia.

11.
The causative organism of opthalmia neonatorum are

(a)
Nesseria gonococcus, E coli.

(b)
Nessria gonococcus, haemolytic streptococcus

(c)
Haemolytic streptococcus, E. coli

(d)
Streptococcus aureus, Nesseria gonococcus

12.
Respiratory distress syndrome in newborns is as a result of:

(a)
Lack of surfactant factor
(b)
Insufficient
surfactant
factor
(c)
Hypoxia
in
uterus
(d)
Premature
infant

Page 3 of 6

13.
One of the following will lead to amniotic fluid embolism

(a)
Induction of labour
(b)
malpresentation

(c)
Manual removal of placenta

(d)
Controlled cord traction

14.
Which of the following is an effect of hypertonic uterine action:

(a)
Rupture of uterus
(b)
Failed
induction
(c)
Prolonged
labour
(d)
Cervical
dystocia

15.
The immediate management of deep venous thrombosis is:

(a)
Admit, immobilize, rehydrate

(b)
Admit, lift weight of linen, immobilize

(c)
Admit, elevate the legs, restrict mobilization

(d)
Encourage passive exercises, admit, immobilize

16.
Subaponeurotic haemorrhage occurs due to

(a)
Bleeding anywhere in the cranial vault

(b)
Excessive traction which pulls epicranial aponeurosis away from periosteum

(c)
Oedematous swelling of the scalp

(d)
Effusion of blood under periosteum

For Question 17 and 18 indicate True or False.

17.
(a)
If mechanisms of uterine contraction and retraction are maintained

hypofibrinogenaemia is unlikely to cause post partum haemorrhage

______________

(b)
Secondary post partum haemorrhage is likely to occur within 24 to 48 hours after
delivery.
_______________
Page 4 of 6

18.
(a)
If cord prolapse occurs in 2nd stage of labour the mother should be allowed to

undergo spontaneous vertex delivery ______________

(b)
Mothers who have cord prolapse should be given oxygen 1 ml/litre and put in
knee
chest
position.

Reproductive Health &Amp; Safe Motherhood Iv Question Paper

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