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Nurs 181: Mid Wifery 1 Question Paper
Nurs 181: Mid Wifery 1
Course:Bachelor Of Science Nursing
Institution: Chuka University question papers
Exam Year:2012
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CHUKA UNIVERSITY
COLLEGE
UNIVERSITY EXAMINATIONS
FIRST YEAR EXAMINATION FOR THE AWARD OF DEGREE OF
BACHELOR OF SCIENCE (NURSING)
NURS 181: MID WIFERY 1
STREAM: B.Sc (NURSING) Y1S1 TIME: 2 HOURS
DAY/DATE: TUESDAY 18/12/2012 8.30 A.M. – 10.30 A.M
INSTRUCTIONS:
ANSWER ALL QUESTIONS
PART 1 (MULTIPLE CHOICE QUESTIONS)
1. The diagonal conjugate is measured anteroposteriorly from:-(a) Lower border of symphysis pubis to sacropromontory.
(b) Upper border of sympysis pubis to sacropromontory.
(c) From the sympysis pubis to coccyx.
(d) From anterior of symphysis pubis to the sacropromontory.
2. The following are characteristics of the chorion membrane:
(a) Tears to the edge of the placenta, tough, smooth.
(b) Tears to cord insection, tough, smooth
(c) Tears to cord insertion, opaque, thick
(d) Opaque, thick, tears to the edge of placenta.
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3. From 28-32 weeks of gestation the developmental changes that occur to the foetus are:-(a) Skin becomes pale and less wrinkled , placenta creases visible, skull is firm.
(b) Stores fat and iron, testes descend into scrotum lanugo disappears from the face.
(c) Ear cartilage becomes firm, stores fat and iron, testes descend into scrotum.
(d) Lanugo disappears from the face, vernix caseosa disappeares,kidney begins to
function and foetus passes urine.
4. During pregnancy physiological haemodilution reaches its peak at:-(a) 10
th
– 12
th
week
(b) 30
th
– 32
nd
week
(c) 36
th
– 40
th
week
(d) 32
nd
– 34
th
week.
5. Match the terms in column A with corresponding statement in column B indicating the
correct number.
Column A Number
(a) Cyto trophoblast _____________________
(b) York sac _____________________
Column B
1. Develops to form skeleton layout
2. Provides nutrition to the embryo
3. Produces progesterone hormone
4. Produces gonadotrophin hormone.
6. Hegar’s sign is a probable sign of pregnancy characterized by:-(a) Softening of the cervix
(b) Periodic uterine tightening
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(c) Colour change of the vagina from pinch to violet
(d) Softening of the lower uterine segment.
7. The muscle that form the deep layers of the pelvic floor muscles include;
(a) Pubococcygeus, bulbocarvesnosus, ischiocarvernosus
(b) Ischiocarvernosus, ischiococcygeous, ili ococcygeous
(c) Pubococcygeus, illiococcygeous, ischiocavernosus.
(d) Ischiocavernosus, pubococcygeus, bubocavernosus.
8. A woman 30 weeks gestation experiencing sudden painless brightly red vaginal bleeding
would most likely be having:-(a) Abruptio placenta
(b) An ectopic pregnancy
(c) Placenta praevia
(d) Inevitable abortion.
9. A nurse would suspect an ectopic pregnancy if the client complained of:-(a) An adherent pain the uterine mass.
(b) Lower abdominal uterine cramping for a long period of time.
(c) Dysuria a few days often the first missed period.
(d) Lower right or left abdorinal pain radiating to the shoulder after amenorrhoea of
8 weeks.
10. A pregnant woman has varicosities of the legs and instructed about wearing anti-embolic
stockings. Which of the following comments if made by the woman indicates that she
understood the instructions:-(a) I will put the stockings on when my legs begin to swell
(b) I will put the stockings on before I go to sleep to night
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(c) I will remove the stockings if i get cramps in my legs
(d) I will remove the stockings only when bathing.
PART II (SAQS – 40 MARKS)
1. Draw and label a diagram showing the fundal height at various weeks in pregnancy.
[5 Marks]
2. Outline four (4) health messages you would share with a client following diagnosis of
Antepartum Haemorrhage before discharge. [4 Marks]
3. Enumerate ten (10) aspects that the nurse should explore during focused Antenatal care
visits on individual Birth plan. [10 Marks]
4. Draw and label a diagram of the pelvic inlet showing its diameters. [5 Marks]
5. State five (5) presumptive signs of pregnancy. [5 Marks]
6. Outline five (5) complications associated with multiple pregnancy. [5 Marks]
7. State six (6) risk factor for mother to child transmission (MTCT) of Hiv. [6 Marks]
PART III (LAQ – 20 MARKS)
1. Mrs Kobi, para 2+0, Gravida 3 is admitted to the antenatal ward. A diagnosis of severe
pre-eclampsia is made at 32 weeks gestation.
(a) Outline the classification of pre-eclampsea. [3 Marks]
(b) State five (5) cardinal signs of impending eclampsia. [5 Marks]
(c) Describe the management of Mrs Kobi until term. [10 Marks]
(e) List the effects of pre-eclampsia
(i) Two to the mother [1 Mark]
(ii) Two to the foetus [1 Mark]
______________________________________________________________________________
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