BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

TEERTHANKER MAHAVEER COLLEGE OF NURSING

MORADABAD, UP

QUESTION BANK & SYLLABUS

(2017 - 18)

COURSE/YEAR: BSc (NURSING) IV YEAR

SUBJECT: MIDWIFERY AND OBSTETRIC NURSING

COURSE CODE: BSN401

UNIT EVALUATION
CONTENT QUESTIONS
NO METHOD
I Introduction to midwifery and obstetrical Nursing SHORT SHORT ESSAYS (5 MARKS)
 Introduction to concepts of midwifery and obstetrical ESSAYS AND
Nursing LONG ESSAYS 1. Preparing for planned parenthood
 Trends in midwifery and obstetrical nursing
 Historical perspectives and current trends 2. Maternal Mortality Rate, causes and its preventive
 Legal and ethical aspects measures
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BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

 Pre –conception care and preparing for parenthood

 Role of nurse in midwifery & obstetrical care. 3. Role of nurse in midwifery and obstetric care
 National policy and legislation in relation to maternal health
and welfare
 Maternal morbidity, mortality and fertility rates
 Perinatal, morbidity and mortality rates
II Review of anatomy and physiology of female reproductive SHORT SHORT ESSAYS (5 MARKS)
system and foetal development ESSAYS AND 1. Physiology of menstrual cycle
 Female pelvis-general description of the bones, joints, LONG ESSAYS 2. Genetic counselling
ligament, planes of the pelvis diameters of the true pelvis, 3. Types of female pelvis
important landmarks, variations in pelvis shape,
4. Fertilization
 Female organs of reproductions-external genetalia,
internal genital organs and their anatomical Relations, 5. Placental development
musculature – blood supply, nerves, lymphatic, pelvic 6. Functions of placenta
cellular tissue, pelvic peritoneum. 7. Amniotic fluid
 Physiology of menstrual cycle 8. Abnormalities of placenta
 Human sexuality
 Foetal development LONG ESSAYS (10MARKS)
• Conception 1. Types of pelvis, List the bones, joints and diameters of the
• Review of fertilization, implantation (embedding of the gynaecoid pelvis
ovum), development of the embryo and placenta at term
functions, abnormalities, the foetal sac, amniotic fluid, 2. Explain foetal circulation with a well labelled diagram
the umbilical cord, 3. Foetal skull
• Foetal circulation, foetal skull, bones, sutures and
measurements
 Review of Genetics
III Unit III SHORT SHORT ESSAYS (5 MARKS)
Assessment and management of pregnancy (ante-natal) ESSAYS AND 1. Reproductive system and skin changes during pregnan
Normal Pregnancy LONG ESSAYS
Physiological Changes during pregnancy
 Normal pregnancy 2. Minor disorders of pregnancy and its management.
 Physiological changes during pregnancy
 Reproductive system 3. Discuss about the problems associated with unwanted
 Urinary system pregnancies.
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BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

 Cardio vascular system

 Respiratory system 4. Skin and skeletal changes during pregnancy
 Gastro intestinal system
 Metabolic changes 5. Antenatal exercises
 Skeletal changes
 Skin changes 6. Non stress test
• Endocrine system
7. Unwed mother
• Psychological changes
• Discomforts of pregnancy 8. Teenage pregnancy
 Diagnosis of pregnancy
• Signs
• Different diagnosis LONG ESSAYS (10MARKS)
• Confirmatory tests
• Confirmatory tests 1.Signs and symptoms and diagnosis of pregnancy
 Ante-natal care
• Objectives 2. Antenatal care
• Assessment
3. List down the diagnostic modalities of high risk pregnancy a
• History and physical examination explain about Amniocentesis.
• Antenatal Examination
• Signs of previous child-birth
• Relationship of fetus to uterus and pelvis: lie, Attitude,
presentation Position
• Per vaginal examination.
 Screening and assessment for high risk;
 Risk approach
 History and physical Examination
 Modalities of diagnosis, Invasive & Non-Invasive,
ultrasonics, cardio tomography, NST, CST,
 Antenatal preparation
• Antenatal counseling
• Antenatal exercises
• Diet
• Substance use
• Education for child-birth
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BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

• Husband and families

• Preparation for safe-confinement
• Prevention from radiation
 Psycho-social and cultural aspects of pregnancy
• Adjustment to pregnancy
• Unwed mother
• Single parent
• Teenage pregnancy
• Sexual violence
 Adoption

IV Assessment and management of intra-natal period. SHORT SHORT ESSAYS (5 MARKS)

 Physiology of labour , ESSAYS AND 1. Define labour and its causes of onset of labour
 Management of labour. LONG ESSAYS
• First stage 2. Partogram
• Signs and symptoms of onset of labour, normal and 3. Episiotomy
abnormal –
• Duration 4. Management during first stage of labour
• Conduct of delivery; Principles and techniques
• Episiotomy (only if required) 5. Immediate newborn care
• Receiving the new born
• Neonatal resuscitation; initial steps and subsequent 6. Method of placental expulsion
resuscitation
• Care of umbilical cord
• Immediate assessment including screening for congenital LONG ESSAYS (10MARKS)
anomalies
• Identification 1.Physiology of first stage of labour
• Bonding
2. Physiology of second stage of labour and its management
• Initiate feeding
• Screening and transportation of the neonate 3. Methods of pain relief during labour
 Third stage
• Signs and symptoms; normal and abnormal 4. Explain the mechanism and conduction of labour during seco
• Duration stage.

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BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

• Method of placental expulsion 5. Explain the definitive and active management in third stage
• Management; Principles and techniques labour
• Examination of the placenta
• Examination of perineum
• Maintaining records and reports
 Fourth Stage
V Assessment and management of women during natal period SHORT SHORT ESSAYS (5 MARKS)
 Normal puerperium; Physiology Duration ESSAYS AND 1. Family dynamics after child birth
 Postnatal assessment and management LONG ESSAYS 2. Physiology of lactation
• Promoting physical and emotional well-being 3. Lactation management
• Lactation management
4. Lochia
• Immunization Family dynamics after child-birth.
 Family welfare services; method counseling 5. Management of women during postnatal period
 Follow-up
 Records and reports LONG ESSAYS (10 MARKS)
1. What is puerperium and explain the nursing management of
puerperium briefly.
2. Explain the physiological changes during puerperium.
3. Postnatal assessment and the management during puerperium
VI Assessment and management of normal neonates SHORT SHORT ESSAYS (5 MARKS)
 Normal Neonate; ESSAYS AND 1. Essential newborn care
 Physiological adaptation, LONG ESSAYS 2. Minor disorders of newborn and its management
• Initial & Daily assessment 3. Immunization schedule
• Essential newborn care; Thermal control,
4. Define newborn and its characteristics
• Breast feeding , prevention of infections
 Immunization
 Minor disorder of newborn and its management
 Level of Neonatal care (level, II, & III) LONG ESSAYS (10 MARKS)
1. Explain briefly about the levels of neonatal care
 At primary, secondary and tertiary levels
 Maintenance of Reports and Records
VII High-risk pregnancy –assessment & management SHORT SHORT ESSAYS (5 MARKS)
 Screening and assessment ESSAYS AND 1. Hyperemesis gravidarum and its management
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BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

• Ultrasonics, cardio tomography, NST, CST, non-invasive LONG ESSAYS 2. Vesicular mole
• Newer modalities of diagnosis 3. Medical Termination of Pregnancy
 High-risk approach 4. Placenta praevia
 Levels of care; primary, secondary and tertiary levels
5. Anaemia and its treatment
 Disorders of pregnancy,
• Hyper-emesis gravid arum, bleeding in early pregnancy, 6. Septic abortion
abortion, ectopic 7. Uterine Prolapse
• Pregnancy, vesicular mole, 8. Threatened abortion and inevitable abortion
• Ante-partum hemorrhage
 Uterine abnormality and displacement. LONG ESSAYS (10 MARKS)
 Diseases complicating pregnancy 1. APH, Causes, types and its management.
 Medical and surgical conditions 2. Write about HIV in pregnancy and what precautions yo
 Infections, RTI (STD), UTI, HIV, TORCH will take with HIV Mother
• Gynecological diseases complicating pregnancy 3. Ectopic pregnancy, types, causes and its management
• Pregnancy induced hypertension & diabetes, Toxemia of 4. Pregnancy induced hypertention, its pathology and
pregnancy , hydraminors, management of Eclampsia
• Rh incompatibility 5. Hydromnios
• Mental disorders 6. IUGR
 Adolescent Pregnancy, Elderly Primi and Grant Multipara 7. Rh incompatibility, its effects and prevention of Rh
 Multiple pregnancy isoimmunisation.
 Abnormalities of placenta & cord 8. Define multiple pregnancy. Mention the complications
 Intra-uterine growth-retadation multiple pregnancy
 Nursing management of mothers with high-risk pregnancy
 Maintenance of Records and Report
VIII Abnormal Labour –assessment and management SHORT SHORT ESSAYS (5 MARKS)
 Disorder in labour ESSAYS AND 1. 1. Vasa praevia
• CPD and contracted pelvis LONG ESSAYS 2. Cord Prolapse
• Malposititions and malpresentations 3. Manual removal of placenta
• Premature labour, disorders of uterine actions – LONG ESSAYS (10 MARKS)
precipitate labour, prolonged labour 1. Breach presentation, its types and explain briefly about
• Complications of third stage: injuries to birth canal assisted breach delivery.
 Obstetrical emergencies and their management; 2. CPD
• Presentations and prolepses of cord, Vasa praevia, 3. Write about precipitate labour and prolonged labour.
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BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

amniotic fluid embolism, rupture of aterus 4. Define Postpartum haemorrhage. Discuss the manageme
shoulder dissocial, obstetrical shock of a case of atonic postpartum haemorrhage.
 Obstetrical procedures and operations; 5. Define retained placenta. Discuss the management of a c
• Induction of labour, forceps, vacuum version, manual of Retained placenta.
removal of placenta, caesarean section, destructive 6. Amniotic fluid embolism and its management.
operations 7. Rupture of uterus and its management
 Nursing management of women undergoing 8. List down the conditions of obstetrical emergencies and
Obstetrical operations and procedures brief about shoulder dystocia.
9. Induction of labour and its methods.
10. Write about forceps delivery.
11. Write about ventouse delivery.
12. Write about destructive operations.
13. Caesarean section

IX Abnormalities during Postnatal periods SHORT SHORT ESSAYS (5 MARKS)

 Assessment and management of woman of with postnatal ESSAYS AND 1. Psychological complications during postnatal periods
complications LONG ESSAYS 2. Breast abscess
• Puerperal infections, breast engorgement & infections, 3. Post partum depression
UTI, thrombo-Embolic disorders, postpartum
hemorrhage, Eclampsia and sub involution,
LONG ESSAYS (10 MARKS)
• Psychological complications:
• Post partum Blues 1. List down the postnatal complications and write in deta
• Post partum Depression
about puerperal pyrexia
• Post partum psychosis

X Assessment and management of High risk new born SHORT SHORT ESSAYS (5 MARKS)
 Admission of neonates in the neonatal intensive care Units- ESSAYS AND 1. Phototherapy
protocols LONG ESSAYS 2. Infection control in NICU
 Nursing management of 3.Term and preterm baby
• Low birth weight babies 4. Feeding of high risk newborn
• Infections LONG ESSAYS (10 MARKS)
• Respiratory problems
• hemolytic disorders 1. Nursing management of low birth weight babies.

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BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

• Birth injuries
• Malformations 2. Discuss the causes and management of jaundice in
 Monitoring of high risk neonates newborn.
 Feeding of high risk neonates 3. Organisation and management of neonatal intensive car
 Organization and management of neonatal intensive care units.
Units
 Infection control in neonatal intensive care Units 4. Pathological jaundice and care of baby under photother
 Maintenance of Records and Reports

XI Pharmaco -therapeutics in obstetrics SHORT ESSAYS (5 MARKS)

 Indication, dosage, action, contra indication and side effects 1. Oxytocin
of drugs
 Effect of drugs on pregnancy labour & puerperium 2. Nursing responsibilities in administration of drug
oxytocin
 Nursing responsibilities in the administration of drug
in Obstetrics –oxytocins, antihypertensive, diuretics,
LONG ESSAYS (10 MARKS)
troglodytic agents, anti –consultants; 1. Tocolytic agents
 Analgesics and anesthetics in obstetrics
 Effects of maternal medication on foetus and neonate 2. What are the effects of maternal medication on foetus a
neonate?
3. Use of oxytocin in obstetrics and nursing responsibility
4. Ergometrine drugs.
5. Analgesics and anaesthetics in obstetrics

XII Family welfare programme SHORT SHORT ESSAYS (5 MARKS)

 Population trends and problems in India ESSAYS AND 1. RCH
 Concepts, aims, importance and history of family welfare LONG ESSAYS 2. Safe motherhood
programme 3. Infant Mortality Rate
 National Population: dynamics, policy and education 4. Emergency contraception
 National family welfare programme; RCH, ICDS, MCH. 5. Temporary method of contraception
Safe motherhood 6. Population explosion
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 BSc (NURSING) IVTH YEAR UNIT WISE QUESTIONS; SUBJECT – MIDWIFERY & OBSTETRIC NURSING, COURSE CODE: BSN401

 Organization and administration; at national, state, district, 7. Role of nurse in family welfare programme.
block and village levels LONG ESSAYS (10 MARKS)
 Methods of contraception; spacing, temporary and 1. Discuss the causes of Maternal Mortality in India. How
permanent, Emergency contraception it be reduced?
 Infertility and its management 2. Define infertility, causes and management.
 Counseling for family welfare 3. Define maternal morbidity and mortality, what are the
 Latest research in contraception Maintenance of vital maternity benefits and how you motivate mothers to ado
statistics family planning.
 Role of a nurse in family welfare programme 4. List of the family welfare programmes and role of nurs
 Training/Supervision/Collaboration with other family welfare Programmes
functionaries in community like ANMs. LHVs,
Anganwadi workers, TBAs(Traditional birth
attendant)

Prepared by
Mrs. Hemalatha. M
Asst. Prof