Karnataka State Diploma in Nursing Examination Board GNM Supplementary Examination February 2020 PDF

Q.P Code: XXXX Reg. No: KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION FEBRUARY - 2020 3RD YEAR PAPER -I MIDWIFERY AND GYNAECOLOGY NURSING Duration:3 Hours...

Q.P Code: XXXX Reg. No: KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION FEBRUARY - 2020 3RD YEAR PAPER -I MIDWIFERY AND GYNAECOLOGY NURSING Duration:3 Hours Max.Marks:75 Give the meaning of the following: 1x4=4 1. Midwife 2. Quickening 3. Dystocia 4. Zygote Fill in the Blanks: 1x4=4 5. Inability of the new-born to initiate the breach is ______________ 6. Excessive vomiting in early pregnancy is known as ______________ 7. The normal length of umbilical cord is _______________ 8. The average duration of third stage of labour in primigravida mother is _________________ Write short notes on any FOUR of the following: 5x4=20 9. Threatened abortion 10. True pelvis and its diameter 11. Nurses responsibility during oxytocin infusion 12. Physiological changes during puerperium 13. Functions of amniotic fluid Answer the Following: 1+2+4=7 14. Define Eclampsia 15. List the clinical feature of Eclampsia 16. Explain the nursing management of patient with Eclampsia Answer the Following: 3+4=7 17. Define Caesarean section and explain the types of Caesarean section 18. Explain the Pre and Postoperative care of patient with Caesarean section State whether the following statements are TRUE or FALSE 1x4=4 19. Fertilization of ovum normally takes place in fundus of the uterus 20. Menopause is the sign of pregnancy 21. Softening of cervix is called palmar’s sign 22. Saucer shaped depression just below or at the umbilicus is present in Occipito-posterior position Write short notes on any THREE of the following: 5x3=15 23. Induction of Labour 24. Causes of female infertility 25. Non stress test 26. MTP act 1971 Answer the Following: 3+4=7 27. Define Uterine Prolapse & list the types of Uterine Prolapse 28. Explain the management of patient with Hysterectomy Answer the Following: 3+4=7 29. Define Puerperal Psychosis and explain the causes 30. Explain the management of patient with Puerperal Psychosis IQRAWORLD  Q.P Code: XXXX Reg. No: KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM ANNUAL EXAMINATION SEPTEMBER-2019 3RD YEAR PAPER -I MIDWIFERY AND GYNAECOLOGY NURSING Duration:3 Hours Max.Marks:75 Give the meaning of the following: 1x4=4 1. Crowning 2. Lie 3. Vasa Previa 4. Precipitate labour Fill in the Blanks: 1x4=4 5. Intermittent painless uterine contraction is called ______________ 6. Pregnancy occurring outside the uterine cavity is called as ______________ 7. First stool of the baby is called as _____________ 8. Craving for special food items during pregnancy is called as ____________ Write short notes on any FOUR of the following: 5x4=20 9. Foetal skull 10. Episiotomy 11. Partograph 12. Hyperemesis gravidarum 13. Permanent methods of family planning Answer the Following: 1+2+4=7 14. Define labour 15. List the stages of labour 16. Explain the physiological changes of first stage of labour Answer the Following: 3+4=7 17. Define PPH and list the types and causes of PPH 18. Explain the management of a patient with true PPH State whether the following statements are TRUE or FALSE 1x4=4 19. Oxytocin is used as uterine relaxant 20. Evisceration is a birth injury 21. Colposcope is used for the visualization of cervix 22. Relationship of spine to the foetal head is called as position Write short notes on any THREE of the following: 5x3=15 23. Shoulder dystocia 24. Dysfunctional uterine bleeding 25. Uterus 26. Appraisal of a new born Answer the Following: 3+4=7 27. Define malpresentation and list the causes of malpresentation 28. Explain the outcome and the nursing management of a patient with occipito-posterior position Answer the Following: 3+4=7 29. Define Uterine Fibroids and list the types of fibroids 30. Explain the management of a patient with abdominal hysterectomy IQRAWORLD Ex: Q.P Code: XXXX Reg. No: KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM ANNUAL EXAMINATION AUGUST-2018 RD 3 YEAR PAPER -I MIDWIFERY AND GYNAECOLOGY NURSING Duration:3 Hours Max.Marks:75 Give the meaning of the following: 1x4=4 1. Bregma 2. Leukorrhoea 3. False Pelvis 4. Dystocia Fill in the Blanks: 1x4=4 5. The bony canal through which the foetus passes through during birth is ____________ 6. The graphical record of cervical dilatation against duration of labour is ___________ 7. The term placenta weighs about ___________ 8. The name given to the lochia between 1-4 days is called ______________ Write short notes on any FOUR of the following: 5x4=20 9. Minor disorders during pregnancy 10. Temporary family planning methods 11. Causes for the Onset of labour 12. Foetal Circulation 13. Genetic counselling Answer the Following: 1+2+4=7 14. Define Pelvis 15. List the types of Pelvis 16. Explain in detail about female pelvis Answer the Following: 3+4=7 17. Define Post Natal Care & List the objective Post Natal Care 18. Explain in detail about the care of a Post Natal Mother State whether the following statements are TRUE or FALSE 1x4=4 19. Methergine is used to decrease the uterine contraction 20. Hydrops Fetalis is the most serious form of Rh haemolytic disease 21. Oligohydramnios is a state where liquor amni exceeds more than 2000ml 22. Episiotomy is surgically planned incision on the abdomen Write short notes on any THREE of the following: 5x3=15 23. Manual removal of placenta 24. Levels of care in NICU 25. Tocolytic agents 26. Bishop’s score Answer the Following: 3+4=7 27. Define breech presentation & Explain the types Breech Presentation 28. Describe the obstetrical and nursing management of Breech Presentation Answer the Following: 3+4=7 29. Define Menopause & List the physiological & psychological changes of menopause 30. Explain hormonal replacement therapy for menopause IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION FEBRUARY - 2018 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the meaning of the following: 1x4=4 a) Anterior fontanelle b) Colostrum c) Lie d) Lochia II. Fill in the Blanks: 1x4=4 a) Excessive liquor ammonia is called as ______________ b) The first foetal movement which is felt by the mother is known as ______________ c) The normal length of new-born baby is _____________ d) The normal weight of placenta is ____________ III. Write short notes on any FOUR of the following: 4x4=16 a) Physiological changes of pregnancy b) Puerperium c) Hyperemesis gravidarum d) Immediate care of the new-born e) Types of episiotomy f) Vital statistics in relation to maternal health in India IV. Answer the Following: 1+2+4=7 a) Define antenatal care b) List the objectives of antenatal care c) Explain the antenatal care given to the mother during pregnancy V. Answer the Following: 1+2+4=7 a) Define Labour b) List out the stages of Labour c) Explain in detail about 2nd stage of Labour SECTION-II VI. State whether the following statements are TRUE or FALSE 1x4=4 a) Pre vaginal examination is contraindicated in placenta previa b) Craving towards unnatural food substances during pregnancy is known as polyhydramnios. c) Less than 500ml of amniotic fluid in amniotic sac during pregnancy is known as polyhydramnios. d) According to WHO Haemoglobin (Hb%) level less than 10gm/dl during pregnancy is regarded as anaemia. VII. Choose the correct answer and write: 1x3=3 a) Precipitate labour means when combined duration of first and second stage labour is less than i) 4 hours ii) 2 hours iii) 6 hours b) Manual removal of placenta is done under i) Spinal anaesthesia ii) General anaesthesia iii) Local anaesthesia c) Normal foetal heart rate is i) 80-120 per minute ii) 120-160 per minute iii) 140-180 per minute VIII. Write short notes on any FOUR of the following: 4x4=16 a) Foetal circulation b) Oxytocic drugs c) Puerperal psychosis d) Induction of labour e) Medical termination of pregnancy f) Destructive operations IX. Answer the Following: 1+2+4=7 a) Define Post-partum haemorrhage b) List out the causes. Signs and symptoms of post-partum haemorrhage c) Explain the Medical and Nursing Management of a patient suffering from Post-partum haemorrhage X. Answer the Following: 1+2+4=7 a) Define multiple pregnancy b) List out the cause, signs and symptoms of multiple pregnancy c) Explain the antenatal management of multiple pregnancy or a) Define infertility b) List out the causes of male and female infertility c) Explain the treatment available under assisted reproductive technology IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM ANNUL EXAMINATION AUGUST - 2017 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the meaning of the following: 1x4=4 a) Polarity b) Oral Thrush c) Lie d) Amnion II. Fill in the Blanks: 1x4=4 a) __________ is the name given to endometrium during pregnancy. b) First milk secreted from mother is called __________ c) __________is the graphic representation to assess the progress of labour. d) A dark line running from symphysis pubis to umbilicus during pregnancy is called ____________ III. Write short notes on any FOUR of the following: 4x4=16 a) Internal and external organs of female reproductive system b) Prevention of Birth injuries c) Methods of placental expulsion in 3rd stage of labour d) Signs and symptoms of pregnancy e) Vaginal examination in labour IV. Answer the Following 1+6=7 a) Define reproduction Health b) Explain physiological changes of reproductive system during pregnancy in detail V. Answer the Following 2+2+3=7 a) Define puerperium b) Enumerate physiological changes during puerperium d) Explain role of midwife in post-natal care SECTION-II VI. State whether the following statements are TRUE or FALSE 1x4=4 a) Implantation and development of fertilized ovum outside the normal uterine cavity is called as Hydatidiform mole. b) In breech presentation denominator is occiput c) Leg exercises and early ambulation are encouraged to prevent deep vein thrombosis in puerperium. d) Tocolytic drugs are used to produce uterine contractions. VII. Choose the correct answer and write: 1x3=3 a) During abdominal palpation midwife can suspect polyhydramnios by feeling i) Fluid thrill ii) Position of fetus iii) Breech b) Brandt Andrews manoeuvre means i) Bimanual contractions ii) Delivering the placenta by cord traction iii) Expell the fetus c) Tenderness of calf muscle on deep pressure in deep vein thrombosis is i) Hegar’s sign ii) Osiander’s sign iii) Homan’s sign VIII. Write short notes on any FOUR of the following: 4x4=16 a) Forceps delivery b) Management of obstetrical shock c) Indications of prostaglandins and role of midwife in drug administration d) Teenage pregnancy e) Contracted pelvis f) Hydatidiform mole IX. Answer the Following 1+2+4=7 a) Define uterine prolapse b) Enumerate causes, signs and symptoms of uterine prolapse c) Explain the management of uterine prolapse or a) Define obstructed labour 1+3+3=7 b) List out the causes & clinical features of obstructed labour c) Explain role of midwife in management of obstructed labour X. Answer the Following 1+6=7 a) Define post term pregnancy b) Enumerate the causes and clinical features and management of women in post term pregnancy or a) Define puerperal sepsis 1+6=7 b) Explain predisposing factors and management of women with puerperal sepsis IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION FEBRUARY - 2017 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the meaning of the following: 1x4=4 a) Midwife b) Pica c) Amniocentesis d) Lactation II. Fill in the Blanks: 1x4=4 a) The first stool of the baby is called as ____________ b) First foetal movement felt by the mother is known as ________________ c) Cord attached at the edge of the placenta is called ________________ d) The Neuro muscular harmony between upper & lower Pole of uterus throughout Labour is ___________________ III. Write short notes on any FOUR of the following: 4x4=16 a) Foetal circulation b) Functions of placenta c) Foetal skull & its diameter d) Care of the patient with Episiotomy e) Breast feeding f) Minor ailments during puerperium & its management IV. Answer the Following: 2+5=7 a) Define Pregnancy b) How do you diagnose a case of pregnancy V. Answer the Following: 2+5=7 a) Define first stage of Labour b) Explain about physiological changes during first stage of Labour SECTION-II VI. State whether the following statements are TRUE or FALSE 1x4=4 a) Concealed menstruation is known as Cryptomenorrhea. b) Copper ‘T’ insertion is the permanent of sperm. c) There are eight Cervical Vertebrae. d) Cervical incompetence is treated by Shirodkar’s procedure VII. Choose the correct answer and write: 1x3=3 a) Implantation occurs at a site other than Uterine cavity is known as i) Molar pregnancy ii) Ectopic pregnancy iii) Multiple pregnancy b) The denominator in Breech presentation is i) Mentum ii) Occiput iii) Sacrum c) Conjoined twins united at the abdomen is called i) Thoracopagus ii) Pyopagus iii) Omphalopagus VIII. Write short notes on any FOUR of the following: 4x4=16 a) Breast abscess b) Manual removal of placenta c) Infertility d) Medical termination of pregnancy (M T P) e) Polyhydramnios IX. Answer the Following: 1+3+4=8 a) What is Hysterectomy b) List the indications of Hysterectomy c) Explain the Pre & Post-operative nursing care of a women posted for Hysterectomy X. Answer the Following: 1+5=6 a) Define Eclampsia b) Explain stages & nursing management of a patient with Eclampsia IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM ANNUL EXAMINATION AUGUST - 2016 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the meaning of the following: 1x4=4 a) Eutocia b) Gravida c) Hysterectomy d) Parturition II. Fill in the Blanks: 1x4=4 a) ____________ is the condition called excessive liquor amni b) ____________ is the opening of atrial septum in foetal circulation c) ____________ is the assessment of new-born wellbeing. d) Cervi prim is used for _______________ III. Write short notes on any FOUR of the following: 4x4=16 a) Management of Hyperemesis Gravidarum b) Placenta c) Genetic Counselling d) Twin Pregnancy e) Causes of Cephalo-pelvic disproportion (CPD) f) Types of Pelvis IV. Answer the Following: 1+2+4=7 a) Define Infertility b) List the causes of infertility c) List the diagnoses and management of infertility V. Answer the Following: 1+2+4=7 a) Define Ectopic Pregnancy b) List the signs & symptoms of ectopic pregnancy c) Explain in detail the nurse’s role in the management of ectopic pregnancy SECTION-II VI. State whether the following statements are TRUE or FALSE 1x4=4 a) Craniotomy is a destructive operation. b) Hydrocephalus is excessive collection of cerebrospinal fluid c) To prevent neural tube defect folic acid is given. d) Normal foetal heart sound is 140-160 beat per minute. VII. Choose the correct answer and write: 1x3=3 a) Excessive salivation during pregnancy is called as i) Pica ii) Ptyalism iii) Heart burn b) Mucous plug of vagina during pregnancy is called i) Operculum ii) Show iii) Lochia c) Magnesium Sulphate is a drug of choice for i) Heart disease ii) Kidney Disease iii) Eclampsia VIII. Write short notes on any FOUR of the following: 4x4=16 a) Postnatal psychosis b) Family planning methods c) Uterine inertia d) Apgar score e) Induction of labour f) Foetal Circulation IX. Answer the Following: 1+2+4=7 a) Define Dystocia b) List the causes of Dystocia c) Explain the management of a mother with mal presentation or a) Define Antenatal care (ANC) b) List the investigations of ANC c) Explain in detail about ANC care X. Answer the Following: 1+2+4=7 a) Define Post-Partum Haemorrhage (PPH) b) List the causes for PPH c) Write in detail about management of PPH or a) Define Episiotomy b) Types & indications for episiotomy c) Explain the perineal care IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION FEBRUARY - 2016 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the meaning of the following: 1x4=4 a) Chorion b) Colostrum c) Embryo d) Lie II. Fill in the Blanks: 1x4=4 a) __________ Suture lies between the two parietal bones b) The normal weight of the placenta is _________ c) __________ is the dark line running form symphysis pubis to umbilicus during pregnancy d) __________ is the discharge from the uterus following childbirth III. Write short notes on any FOUR of the following: 4x4=16 a) Episiotomy b) Amniotic fluid c) Immediate care of new-born d) Antenatal advice e) Minor ailments during puerperium and its management IV. Answer the Following: 2+5=7 a) Define mechanism of labor b) Explain the mechanism of normal labor V. Answer the Following: 2+3+4=8 a) What is preterm baby b) What are the clinical features of a preterm baby c) Explain the nursing management of a preterm baby SECTION-II VI. State whether the following statements are TRUE or FALSE 1x4=4 a) Atonic uterus is one of the causes of PPH. b) Absence of menstruation is known as menopause. c) Salpingitis is the inflammation of the Fallopian tube. d) Oxytocin is the drug used for the suppression of lactation.76 VII. Choose the correct answer and write: 1x3=3 a) Labor is termed as precipitate labor if it occurs within i) 06 hours ii) 1-2 hours iii) 08 hour b) The organ which is affected first in IUGR is i) Brain ii) Liver iii) Bones c) The destructive operation performed in hydrocephalus to save the life of the mother is known as i) Decapitation ii) Craniotomy iii) Cleidotomy VIII. Write short notes on any THREE of the following: 5x3=15 a) Contracted pelvis b) Polyhydramnios c) Retained placenta d) Carcinoma of the cervix IX. Answer the Following: 1+3+4=8 a) Define uterine prolapse b) List the causes, signs and symptoms of uterine prolapse c) Explain the nursing management of mother with uterine prolapse X. Answer the Following: 2+4=60 a) Define breech presentation b) Explain the causes and types of breech presentation OR a) Define postpartum haemorrhage b) Explain the types and nursing management of mother with postpartum haemorrhage IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM ANNUL EXAMINATION AUGUST - 2015 3rd Year paper -I Midwifery and Gynecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the meaning of the following: 1x4=4 a) Decidua b) Attitude c) Presentation d) Morning sickness II. Fill in the Blanks: 1x4=4 a) The normal length of fallopian tube _________________ b) The fusion of male and female gamete is termed as _________________ c) The normal weight of placenta is ___________________ d) In Breech presentation the denominator is ________________ III. Write short notes on any FOUR of the following: 4x4=16 a) Amniotic fluid b) Abnormalities of Placenta c) Minor disorders of Pregnancy d) APGAR score e) Partograph f) Clinical feature of normal new-born IV. Answer the Following: 2+5=7 a) Name the types of Pelvis b) Explain the parts and diameters of female pelvis V. Answer the Following: 1+6=7 a) Define normal labour b) Explain the mechanism of normal labour SECTION-II VI. State whether the following statements are TRUE or FALSE 1x4=4 a) Full dilatation of the cervix is one of the prerequisites for forceps delivery. b) Tocolytics are used in Hypotonic Uterine contractions. c) The umbilical cord consists of two arteries and one vein. d) The normal position of the uterus is retroverted and retroflexed VII. Choose the correct answer and write: 1x3=3 a) The milk expressed from the breast of new born during the first week i) fore milk ii) Hind milk iii) witch’s milk b) Eutacia means i) abnormal labour ii) normal labour iii) premature labour c) Decidua is the name given to i) Endometrium during pregnancy ii) Myometrium during pregnancy iii) Perimetrium during pregnancy VIII. Write short notes on any FOUR of the following: 4x4=16 a) Molar pregnancy b) Oligohydramnios c) Oxytocin d) Involution of the Uterus e) Threatened abortion IX. Answer the Following: 1+3+4=8 a) Define Ante Partum Haemorrhage. b) Explain the types of Ante Partum Haemorrhage. d) Discuss the Management of mother with Placenta Previa X. Answer the Following: 1+5=6 a) Define Abortion b) Explain the various types of Abortion. or a) Define Family Planning b) Explain the temporary methods of Family Planning. IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION FEBRUARY - 2015 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the Meaning of the following: 1x4=4 a) Nullipara b) Conception c) morula d) Twin II. Fill the in blacks: 1x4=4 a) The biparietal diameter measures about ____________ b) The process of formation of matured ovum in the ovary is ___________ c) The anterior fontanelle is otherwise known as ___________ d) The endometrium after implantation is known as __________ III. Write short notes on any THREE of the following: 5x3=15 a) Apgar score b) Partograph c) True labor d) Postnatal assessment IV. Answer the Following: 3+5=8 a) Define mechanism of labor b) Explain the normal mechanism of labor OR a) Define normal new-born b) Explain the clinical features of normal new-born V. Answer the Following: 2+5+7 a) Define pregnancy. b) Explain the physiological changes during pregnancy SECTION-II VI. State whether the following statements TURE or FALES 1x4=4 a) The normal position of the uterus is retroverted and anteflexed. b) Internal podalic version is done under general anaesthesia. c) The vault of foetal skull is made up of 7 bones. d) Seminal fluid contains 50 million sperms per mL VII. Write difference between the following: 2x3=6 a) Salpingitis and cervicitis b) True and false pelvis c) Para and gravida VIII. Write short notes on any THREE of the following: 3x5=16 a) Induced abortion b) Postpartum haemorrhage c) Postnatal exercise d) Nursing management of eclampsia e) Cancer cervix IX. Answer the Following: 1+2+4=7 a) Define Eclampsia b) Explain the stages of eclampsia c) Discuss the nursing management of a patient with eclampsia X. Answer the Following: 1+2+4=7 a) Define family planning b) Write the objective of family planning c) Explain the temporary methods of family planning IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION FEBRUARY - 2014 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the Meaning of the following: 1x4=4 a) Midwife b) Lightening c) Presentation d) Vernix caseosa II. Fill in the Blanks: 1x4=4 a) Intermittent painless uterine contraction is called ___________ b) The process by which the reproductive organ return to the pregravid state is called __________ c) _________ sign is made out by feeling increased pulsation in lateral vaginal fornices d) _________ is the first stool of the baby III. Write short notes on any THREE of the following: 3x5=15 a) Antenatal advice b) Fetal skull and its diameter c) Advantages of breastfeeding d) Preparation of women for labor e) Minor disorders in pregnancy IV. Answer the Following: 1+3+4=8 a) Define fertilization b) What are the abnormalities of placenta c) Write in detail about functions of placenta V. Answer the Following: 2+4=6 a) What is puerperium. b) Write in detail the postnatal care for a primi mother after labor up to 10 days SECTION-II VI. State whether the following statements are TRUE or FALSE 1x4=4 a) Implantation of placenta in the lower uterine segments is called abruption placenta b) Bani’s ring is seen near symphysis pubis c) Labor which exceeds 10 hours is called prolonged laborj d) Destructive operations are done only when the fetus is dead VII. Fill in blacks: 1x3=3 a) Inflammation of the breast is called __________ b) Absence of menstruation is called ____________ c) Inflammation of fallopian tube is called _________ VIII. Write short notes on any THREE of the following: 3x5=15 a) Thrombophlebitis b) Types of caesarean section c) Uterine prolapsed d) Puerperal psychosis e) Responsibility of the nurse when oxytocin is administered IX. Answer the Following: 1+3+4=8 a) What is hysterectomy b) List the indication for hysterectomy c) Write the pre-and postoperative nursing care of women posted for hysterectomy X. Answer the Following: 1+3+4=8 a) What is postpartum haemorrhage b) Write the difference between atonic and traumatic postpartum haemorrhage (PPH) a) Explain the management for atonic PPH and traumatic PPH. IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTARY EXAMINATION JUNE - 2013 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the Meaning of the following: 1x4=4 a) Midwife b) Morula c) Perculum plug d) Attitude e) Milia II. Fill in the Blanks: 1x4=4 a) Neturomuscular harmony between the upper and lower uterine segment is called __________ b) A woman who has never given birth to a viable child is known as ___________ c) Anterior fontanel closes by _____________ III. Write short notes on any THREE of the following: 4x3=12 a) Development of maternity services in India b) Fetal circulation c) Genetic counselling d) Vaginal examination e) Minor disorders of new born IV. Answer the Following: 1+3+3=7 a) Define labor. b) Write the physiological changes during the 3rd stage of labor c) Explain the role of a nurse in the management of 3rd stage of labor V. Answer the Following: 1+3+3=7 a) What is an episiotomy. b) List the indications of episiotomy c) Explain the nursing care of a mother with right mediolateral episiotomy OR a) List the equipment’s necessary for normal delivery b) How will you prepare women in labour SECTION-II VII. State whether the following statements are TRUE or FALSE 1x4=4 a) Pelvic inflammatory disease is a disease of the lower genital tract b) Twin-to-Twin transfusion syndrome is a complication of monozygotic twin c) Inflammation of the ovaries is called oophoritis d) Concealed menstruation is known as cryptomenorrhea VIII. Choose the correct answer and write. 1x3=3 a) Implantation occurs at a site other than the uterine cavity is known as i) Molar pregnancy ii) Ectopic pregnancy iii) Multiple pregnancy b) A brownish vaginal discharge is present during pregnancy in case of i) Missed abortion ii) Septic present iii) Threatened abortion c) The denominator in breech presentation is i) Mentum ii) Occiput iii) Sacrum IX. Write short note on any THREE of the following: 4x3=12 a) Polyhydramnios b) Care of an elderly primigravida c) Preterm labor d) Laparoscopic sterilization e) Vulvitis X. Answer the Following: 1+3+4=8 a) Define postpartum haemorrhage b) List the causes of atonic postpartum haemorrhage c) Explain the nursing management of a mother with atonic postpartum haemorrhage OR a) Define Forceps delivery b) List the indication for forceps delivery c) Explain the management of a mother following forceps delivery XI. Answer the Following: 1+2+4=7 a) What is breast cancer b) List the causes, signs and symptoms c) Explain in detail about the surgical and nursing management of a women with breast cancer IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTRY EXAMINATION FEBRUARY - 2012 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the Meaning of the following: 1x4=4 a) Decidua b) Partograph c) Lie d) Menarche II. Choose the correct answer and write: 1x4=4 a) Weight of a non-pregnant uterus i. 20-30 g ii. 50-60 g iii. 80-90 g b) Planned surgical incision made on posterior wall of perineum i. Encirclage ii. Episiotomy iii. Perineal tear c) Women in labor is called i. Para ii. Gravid iii. Parturient d) Fetal period begins from i. 8th Week ii. 18th Week iii. 28th Week III. Differentiate between the following: 1x5=5 a) Quickening a and Lightening b) Tonic neck reflex and Rooting reflex c) Fertilization and Ovulation d) Caput succedaneum and Cephalohematoma e) Symmetrical IUGR and Asymmetrical IUGR IV. Write short notes on any THREE of the following: 2x3=6 a) Features of placenta at term b) USG in antenatal period c) 5 Ps of labor d) Breastfeeding V. Surabhi an antenatal mother with previous history of 2 abortions, now at 28th week GA, visits antenatal clinic for check-up, if her LMD = 28.1.2012 1+3+3=7 a) Calculate the expected date of delivery b) Write obstetrical score c) Plan the health education VI. Answer the Following: 1+2+4=7 a) What is preterm baby b) what are the characteristic features of preterm baby c) Explain the management of preterm baby SECTION-II VII. State whether the following statements are TRUE or FALSE 1x3=3 a) Collection of pus in the uterine cavity is called pyometra b) Syphilis is caused by human papillomavirus c) Displacement of functional endometrium other than uterine mucosa is called endometriosis VIII. Fill in the Blanks: 1x4=4 a) The denominator in face presentation is ____________ b) Bimanual compression is used in ______________ c) Fetal macrosomia is when birth weight exceeds ___________ d) Downy hair in the neonates is named as __________ IX. Write the action and indication of the following drugs: 1x3=3 a) Oxytocin b) Betamethasone c) Lasix X. Write short notes on any THREE of the following: 3+3=9 a) Types and causes of infertility b) Temporary methods of family planning c) Placenta previa d) Assisted breech delivery XI. Answer the Following: 1+3+3=7 a) Define Eclampsia b) Write the signs and symptoms of eclampsia c) Management of mother getting admitted with one episodes of seizures XII. Mrs X, a 54-year-old lady, diagnosed to have multiple fibroids and she is very anxious about it: 1+3+4=8 a) Classify the fibroids b) Write the signs and symptoms of fibrosis c) Give her brief idea about the management modalities available for fibroid uterus IQRAWORLD  KARANATAKA STATE DIPLOMA IN NURSING EXAMINATION BOARD GNM SUPPLEMENTRY EXAMINATION FEBRUARY - 2011 3rd Year paper -I Midwifery and Gynaecology Nursing Duration:3 Hours Max.Marks:75 SECTION-I I. Give the Meaning of the following: 1x5=5 a) Nullipara b) Langue c) Surrogate mother d) Quickening e) Bandl’s ring II. Fill in the blanks: 1x3=3 a) The term used for abnormal labor ___________ b) Anterior fontanel is otherwise known as ___________ c) Craving for non-nutritional substance known as _____________ III. Write short notes on any THREE of the following: 5x3=15 a) Fetal skull b) Episiotomy c) Placenta d) Diet during puerperium e) Physiological changes during pregnancy IV. Differentiate between the following: 2+3=6 a) True pelvis and False pelvis b) Lie and Attitude c) Menarche and Menopause V. Answer the Following: 2+3=6 a) Define eutocia b) Explain the management of third stage of labor SECTION-II VI. State whether the following statements are TRUE or FALSE 1x3=3 a) The android pelvis resembles the male pelvis b) In septic abortion, shock is due to neurogenic shock c) Fetal macrosomia is when birth weight exceeds 3 kg VII. Write the indications of the following drugs: 1x4=4 a) Ergometrine b) Folic acid c) Oxytocin d) Magnesium sulphate VIII. Write short on any THREE of the following: 5x3=15 a) Care following caesarean section b) Sexually transmitted diseases c) Infertility d) Postpartum haemorrhage e) Carcinoma of cervix IX. Answer the Following: 2+3+4=9 a) What is hysterectomy b) List the indications for hysterectomy c) Write the pre and post-operative nursing care of women posted for hysterectomy XI. Answer the Following: 2+3+4=9 a) What is breech presentation b) List the types of breech presentation c) Explain the management of breech delivery IQRAWORLD