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Reproductive Health And Safe Motherhood Iii Question Paper

Reproductive Health And Safe Motherhood Iii

Course:Bachelor Of Science In Nursing And Public Health

Institution: Kenyatta University question papers

Exam Year:2009

KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
SUPPLEMENTARY EXAMINATION FOR THE DEGREE OF BACHELOR OF
SCIENCE (NURSING & PUBLIC HEALTH)
HNS 214: REPRODUCTIVE HEALTH AND SAFE MOTHERHOOD III

DATE: Thursday 3rd December, 2009 TIME: 2.00 p.m. – 4.00 p.m.

INSTRUCTIONS

Q1.
When a mother starts pushing early in 1st stage of labour this is likely to lead to
(a)
Constriction ring dystocia
(b)
Cervical dystocia
(c)
Uncoordinated uterine action
(d)
Hypotonic uterine action

Q2.
In obstructed labour the obstruction usually occur at
(a)
Pelvic inlet
(b)
Pelvic brim
(c)
Pelvic outlet
(d)
Symphysis pubis
Q3.
In obstructed the uterine contractions are usually
(a)
Strong and hypertonic with little relaxation
(b)
Hypotonic with no relaxation
(c)
Hypertonic with relaxation
(d)
Weak and hypertonic with no relaxation.
Page 1 of 5
Q4.
Intra uterine death refers to death of the fetus resulting in macerated still birth
occurring
(a)
After 37 weeks
(b)
After 28 weeks
(c)
Before 37 weeks
(d)
After 36 weeks
Q5.
The common causes of intra uterine fetal death are
(a)
Pre-eclampsia, cardiac disease
(b)
Diabetes, placenta praevia
(c)
Cord accidents, diabetes
(d)
Cardiac disease, diabetes
Q6.
Surgical Induction is never done incases of intra uterine death because of risk of
(a)
cord prolapse infection
(b)
Infection, hypofibrinogenaemia
(c)
Cord prolapse hypofibrinogenaemia
(d)
Hypofibrinogenaemia, post pantem haemorrhage
Q7.
Infection of the kidneys and uterus is common in pregnant mothers and usually
occurs at 20 – 28 weeks of gestation. This condition is called.
(a)
Pyeronephritis
(b)
Nephritis
(c)
Urinary tract infection
(d)
Renal infection
Q8.
A baby born to a mother suffering from Gonorrhea is likely to suffer from
(a)
Gonorrhea
(b)
Swollen eyes
(c)
Oral finish
(d)
Opthalmia Neonatorum
Q9.
Effects of essential hypertension on the mother include the following except:
(a)
May worsen causing eclampsia
(b)
Placenta alonuption
(c)
Damage to the kidneys
Page 2 of 5
(d)
Placenta praevia
Q10. The outcome of labour depends on the following except:
(a)
Uterine contractions, fetal head moulding
(b)
Give of joints, moulding of fetal head
(c)
Give of joints, personality of the mother
(d)
Uterine contractions, Give of joints
Q11. The type of diabetic which is asymptomatic but the mother has an impaired
Glucose Tolerance Test is called
(a)
Latent diabetes
(b)
Pre Gestational diabetes
(c)
Sub clinical diabetes
(d)
Potential diabetes
Q12. A diabetic mother is likely to have the following problems during labour
(a)
Pre-eclampsia, Cardiac disease
(b)
Pyeronephritis, cardiac disease
(c)
Oligo hydiamnious, pyeronephritis
(d)
Pre-eclampsia, polyhdramnios
Q13. The three cardinal signs of pre-eclampsia are
(a)
hypertension, protemeria, weight gain.
(b)
Protemuria, weight gain, oedema
(c)
Hypertension, protenuria, oedema
(d)
Hypertension, oedema, weight gain.
Q14. The following laboratory investigations results indicate pre-edampsia
(a)
Prolonged clotting time, lowered serum uric acid levels
(b)
Lowered transaminases, prolonged clotting time.
(c)
Abnormal liver function, lowered serum creatinine and urea levels.
(d)
Prolonged clotting time, abnormal liver function.
Q15. The WHO definition of anemia indicate that anaemia in pregnancy occurs when
the haemoglobin level is
(a)
10gm/dl
(b)
9gm/dl
Page 3 of 5
(c)
8gm/dl
(d)
7gm/dl
Q16. The type of anaemia caused by use of drugs such as anticonvulsants,
sulphonamides and alcohol is refered to as
(a)
Folic acid deficiency anaemia
(b)
Haemolytic anaemia
(c)
Physiological anaemia
(d)
Iron deficiency anaemia
Q17. In occipital posterior positions on inspection and palpation of the abdomen there
is
(a)
Saucer shaped depression
(b)
The uterus is ovoid
(c)
The head feels small
(d)
Limbs are felt on one side of the midline
Q18. Occipital posterior positions are associated with
(a)
Anthropoid pelvis, post maturity
(b)
Android pelvis, post maturity
(c)
Position of placenta, prematurity
(d)
Prematurity, plattypeloid pelvis
Q19. In intrauterine growth retardation the fetal causes includes
(a)
Chronic renal failure, genetic disorders
(b)
Placenta insufficiency Genetic disorders
(c)
Uterine abnormalities, Genetic disorder
(d)
Foetal infections,antepentum haemorrhage
Q20. Complications of External cephalic version include the following except
(a)
Knotting of umbilical cord
(b)
Separation of placenta
(c)
Rupture of membranes
(d)
Cord prolapse

Reproductive Health And Safe Motherhood Iii Question Paper

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