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NATIONAL OPEN UNIVERSITY OF NIGERIA

UNIVERSITY VILLAGE, PLOT 91, CASDASTRAL ZONE, NNAMDI AZIKIWE EXPRESS WAY, JABI, ABUJA.
FACULTY OF HEALTH SCIENCES
JANUARY/FEBRUARY 2013 EXAMINATION

PROGRAM:               BACHELOR OF NURSING SCIENCE ( BNSc.)

COURSE CODE:       NSS 323

COURSE TITLE:       MATERNAL AND CHILD HEALTH 1

TIME ALLOWED:    3 HOURS

DATE:                         Tuesday 29th Jan

INSTRUCTION:        ANSWER ONLY 5 OUT OF 7 QUESTIONS

 

  1. a. Draw a well labeled diagram of the deep pelvic floor muscle                      10mks                                    

b. Describe the layers and superficial pelvic floor muscles                              10mks

 

2.  With a well labeled diagram describe in details the internal structures of the fetal skull  20mks                                                                                                                       

3        a. Define the term and 4 causes of puerperal pyrexia                                      10mks

b. describe the management of Thrombophlebitis in the puerperium in a newly delivered grand multiparous woman             10mks                              

      4         a. Complete this table on the following drugs used in Midwifery Practice   10mks

SERIAL NO

NAME

GROUP

ROUTE

DOSAGE

1

Nystatin

 

 

 

2

Paracetamol

 

 

 

3

Multivite

 

 

 

4

Ampiclox

 

 

 

5

Syntometrine

 

 

 

 

                                                                                                                      0.5mks each= 10mks

       b. Cross Match items in Column A with Column B         

NO

COLUMN A

COLUMN B

1

Hot flushes

A.Adropause

2

Scrotal enlargement

B.Cryotherapy

3

Loss of Serenity

C’Menopause

4

Cervical cancer

D;Senile Lymph node Biopsy

5

Infertitlity

E.hysterosalpingography

 

 

F.Prostatectomy

                                                                                                                                             10mks

 

  1. Mrs. Amana Gravida 4 Para 3 had a normal delivery of a baby girl. She started bleeding per vaginam after 8 hours old delivery.
  1. What is her diagnosis?                                                                      2mks
  2. List 5 signs and Symptoms of the above diagnosis                           10 mks
  3. Utilizing the Nursing Care plan identify and solve in order of priority four(4) nursing diagnoses of Mrs. Amana  within 48hours of her delivery       8mks

Total=20mks

 

      6.   a    Describe the amniotic fluid                                                                             10mks                                                                                   

             b. Describe 5 anatomical variations of the placenta and cord                            10mks                            

    

7. a.   Discuss five presumptive signs of pregnancy                                                   10mks

             b. Explain the effect of twin on pregnancy                                                               10mks                     


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