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Q.P. CODE: 403010                                                                                                                         Reg. No: ...
Final Year B.Sc Nursing Degree Supplementary Examinations

June 2015
Obstetrical & Gynecological Nursing

Time: 3 Hrs                                                                                                                                           Max. Marks: 75

Answer all questions
Draw diagram wherever necessary

Essays (2x15=30)
1. Explain the physiological changes taking place in the reproductive and endocrine system during pregnancy. Discuss the nursing management of pregnant women during the third trimester. (8+7=15)
2. Define prematurity. Explain the physiological characteristics of the pre term infant. Explain the management of pre term neonate for the first 24 hours after delivery. (2+6+7= 15)

Short Notes (5x5=25)
3. Obstetric indications - dosage and action of prostaglandins
4. Menopause
5. Breast complications in puerperium
6. Cord prolapse
7. Foetal circulation

Give reasons for the following (5x2=10)
8. Glucose tolerance test to be done routinely for the pregnant women at 24 weeks gestation
9. Vacuum extraction is contra indicated in premature foetus
10.Immediately after delivery, fundus of the uterus has to be massaged
11. Methotrexate is used in case of unruptured ectopic pregnancy
12. Macrosomia is a common complication in gestational diabetes mellitus

Differentiate between (5x2=10)
13. Constriction ring and retraction ring
14.Placenta previa and abruptio placenta
15. Cephalhaematoma and caput succedaneum
16. Retroversion and inversion
17. Spontaneous abortion and missed abortion



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