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Nurs 182: Midwifery Ii Question Paper
Nurs 182: Midwifery Ii
Course:Bachelor Of Science Nursing
Institution: Chuka University question papers
Exam Year:2012
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CHUKA UNIVERSITY
UNIVERSITY EXAMINATIONS
FIRST YEAR EXAMINATIONS FOR THE AWARD OF DEGREE OF BACHELOR OF
SCIENCE NURSING
NURS 182: MIDWIFERY II
STREAMS: BSC.NURS YIS1 TIME: 2 HOURS
DAY/DATE: FRIDAY 26/4/2013 8.30 AM – 10.30 AM
INSTRUCTIONS:
ALL QUESTIONS ARE COMPULSORY
1. The neuromuscular harmony between the two segments of the uterus that occurs during
labour is known as:-(a) Funclal dominance
(b) Contaction and retraction
(c) Polarity
(d) Retraction ring.
2. The diameters that present in vertex presentation when the head is well flexed are:-(a) Subochipitofrontal and biparetal
(b) Submentofrontal and biparietal
(c) Occipitabregmatic and biparietal
(d) Subocciptobregmatic and biparietal.
3. On the partograph progress of labour is monitored by noting:-(a) Cervical dilation, mattrnal pulse, uterine contractions
(b) Uterine contractions, descent of fetal head, cervical dilation.
(c) Fetal heart rate, descent of fetal head, maternal pulse.
(d) State of membrenes, uterine contractions, fetal heart rate.
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4. Factors that influence the intensity and amount of pain during labour includes:-(a) Woman’s perception of pain, coping mechanisms
(b) Cultural characteristics, number of deliveries
(c) Number of vaginal examinations, tolerance of pain.
(d) Environment of pain, procedures performed on the woman.
5. Preterm premature rupture of membranes (PROM) is defined as:-(a) Chorioamnitis which may be followed by fetal and maternal infection.
(b) Rupture of fetal membranes one hour or more prior to onset of labour.
(c) Rupture of membranes occurring prior to term (24-37 weeks of gestation)
(d) Rupture of membranes occurring early in first stage of labour.
6. Caput succedaneum is:-(a) Collection of blood under the periosteum
(b) A swelling under the scalp
(c) Oedema of the periosteum
(d) Congenital abnormality.
7. When conducting normal delivery following the extension of the head, the mid wife
should:-(a) Assist in the lateral flexion of the head
(b) Await the restitution of the head
(c) Await external rotation of the head
(d) Assist in the external rotation of the head.
8. The major presentation of acute inversion of the uterus include:-(a) Haemorrhage shock, sudden pain
(b) haemorrhage, convulsion, pain
(c) Shock, headache, haemorrhage
(d) Pain, shock, convulsion.
9. Safe motherhood initiative (SMI) is a strategy to:-(a) Make essential drug available
(b) Promote baby friendly services
(c) Reduce maternal morbichty and mortality
(d) Make maternal services available and accessible.
SHORT ANSWER QUESTIONS
1. State five indications of emergency caesarean section. [5 Marks]
2. Describe the signs of second stage of labour. [5 Marks]
3. Define the term hypotonic uterus. [1 Mark]
4. List four direct causes of maternal mortality. [2 Marks]
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5. State three advantages of using oxytocis as a uterononic drug. [3 Marks]
6. Define the following terms [5 Marks]
(i) Fundal dominance
(ii) Polarity
(iii) Cervical effacement
(iv) Show
(v) Engagement
7. Define the term labour. [2 Marks]
8. Briefly explain active management of third stage of labour. [6 Marks]
9. (a) Describe the management of cold prolapsed. [6 Marks]
(b) Differentiate between cord prolapsed and cord presentation. [5 Marks]
LONG ANSWER QUESTION
1. Mrs. X is admitted to labour ward with cervical dilation o f4cm.
(a) Define active phase of 1
st
stage of labour. [1 Mark]
(b) Explain how you would diagnose first stage of labour. [5 Marks]
(c) Describe the management of Mrs. X till the delivery of the baby. [14 Marks]
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