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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
SECOND SEMESTER EXAMINATIONS 2008/2009
UNIVERSITY EXAMINATIONS FOR DEGREE OF BACHELOR OF SCIENCE
(NURSING AND PUBLIC HEALTH)
HNS 214: REPRODUCTIVE HEALTH AND SAFE MOTHERHOOD III
DATE: Tuesday 7th April 2009
TIME:
11.00pm-1.00pm
INSTRUCTIONS:
Answer all the questions. For part A tick the correct answer. For part B & C use
the answer sheet provided.
PART A
Q1.
Premature labour is the one that occurs between
a)
28 weeks and 36 weeks
b)
28 weeks and 37 weeks
c)
36 weeks and 40 weeks
d)
28 weeks and 42 weeks
Q2.
The following factors cause premature labour except
a)
Infections, hypertension
b)
Uterine abnormality, pre-edampsia
c)
Multiple pregnancy, hypertension
d)
Cardiac disease, morning sickness
Q3.
The following are signs of fetal death during 3rd trimester except.
a)
Intras fetal gas
b)
Spading’s sign
Page 1 of 6
c)
Collapse of vertebral column of the fetus
d)
A brown discharge from vagina.
Q4.
When a mother comes to the hospital with a history of premature ruptures
of membranes. The management should be
a)
Do a vaginal examination, admit
b)
Do speculum, Rule out infection
c)
Give pads, take blood for grouping and cross-matching.
d)
Rule out urinary incontinence, Give pads
Q5.
One of the following mothers will be given a trial of scar
a)
Previous scar due to contracted pelvis
b)
Previous scar due to fetal distress
c)
Previous scars due to breech presentation
d)
Previous scar due to cephalo pelvic disproportion
Q6.
The immediate management of a mother suffering from hyperemesis
gravindarum is
a)
Admit, give intravenous fluids, correct electrolyte imbalance
b)
Give fluids, reassure the mother, give antiemetics
c)
Give antiemetics, oral sips, admit
d)
Hydrate the mother, Give antiemetics, correct electrolyte
imbalance. SECTION B SAQ (40MARKS)
Q7.
Patients with high blood pressure should not be given ergometrin because
a)
It acts slowly as compared to syntocinon
b)
Cause peripheral vasoconstriction
c)
Causes peripheral vasodilatation
d)
It acts faster as compared to syntocinon increasing BP
Page 2 of 6
Q8
In eclampsia the mother has muscle spasms, back curve, eyes staring and
teeth tightly clenches together in
a)
Premontory stage
b)
Clonic stage
c)
Tonic stage
d)
Coma stage
Q9.
The drug of choice in management of eclampsia is magnesium sulphate .
The dose is
a)
4g loading dose, 5gm maintenance dose in ½ litre N/Saline.
b)
4g loading dose 10gm maintenance dose in 1 litre N/Saline
c)
5g loading dose 4gm maintenance dose in ½ litre N/saline
d)
5g loading dose 5gm maintenance dose in ½ litre N/Saline
Q10. When the mother starts pushing early in first stage this is likely to lead to
a)
Contraction ring distocia
b)
Cervical dystocia
c)
Uncoordinated uterine action
d)
Hypotonic uterine action.
Q11. The lie is said to be unstable when it keeps on varying from longitudinal to
oblique, to transverse after
a)
30 weeks
b)
32 weeks
c)
34 weeks
d)
36 weeks
Page 3 of 6
Q12 In deep transverse arrest the obstruction occurs at the
a)
Pelvic brim
b)
Pelvic outlet
c)
Pelvic inlet
d)
Any part of the pelvis
Q13. Labour is said to be obstructed when
a)
There is no advance in presenting part despite uterine contraction
b)
There is slow advance in presenting part despite good uterine
contractions
c)
There is vault with presenting part and it does not descend.
d)
No advance in presenting part despite good uterine contrations.
Q14. Signs of prolonged labour are
a)
Contracted urine, signs of fetal distress
b)
Concentrated urine, history of being in labour for long hours
c)
Fetal distress, rapid pulse
d)
Dehydration rapid pulse.
Q15 One of the effects of hypotonic uterine action is
a)
Ruptured
uterus
b)
Failed
induction
c)
Prolonged
labour
d)
Cervical
dystocia
Q16. When a fetal death occurs and induction of labour is to be done artificial
rapture of membrane should be avoided to.
a)
Prevent cord prolapse and infection
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