MIDWIFERY AND OBSTETRICAL NURSING

UNIT-1

1.Long Essays: (15m)

a).i)Define Maternal Mortality Rate(3+5+7=15)

ii)List the etiological factors,predisposing to Maternal Mortality Rate.

iii)List The Role of Maternity Nurse in prevention of maternal Mortality Rate

(AnnammaJacob:622-624)

b)What is Midwifery?Enumerate Trends and Issues in Midwifery and Obstetrical

nursing?(3+12=15)

(Annama Jacob:Page no-7 to 10)

c).Discuss the legal and Ethical aspects of Midwifery?(15M)

Margaret A.Cooper-Myles text book:50-59)

2.Short notes :

a)Pre-Conceptional Care(Myles 251-252)

b)Role of a nurse in Midwifery and Obstetrical nursing?

(Myles 254-256)

c)Historical perspectives of midwifery and obstetrical nursing?

Myles:1-8

3.Write Brief Answers of the Following:

a)Infant Mortality rate

b)Perinatal mortality rate

c)national policy and legislation in relation to maternal health and Family welfare

Annamma Jacob:648-649
 UNIT-II

1.Long Essays (15m)

a)Explai in detail the Female Reproductive System

Annamma Jacob:37to41

2.Short Notes:

a)Menstrual Cycle (Annamma Jacob:52-54)

b)Foetal Development(Annamma Jacob:72-74)

c)development of placenta(Annamma Jacob:65-68)

d)Fetal Circulation (Annamma Jacob:77-78)

e)fetal Skull(Annamma Jacob:80-82)

f)Fertilization(Annamma Jacob61-63)

g)Functions of Amniotic fluid and umbilical cord( Annamma Jacob:68-71)

h)gynaecoid pelvis ( Annamma Jacob:37-39)

3.Write Brief Answers of the Following:

a)Velamentous placenta(Annamma Jacob:71)

b)Funis(Annamma Jacob:71)

c)Amniotic fluid(Annamma Jacob:68)

d)Diameters of Fetal Skull(Annamma Jacob:80)

e)Asynclitism(Myles:107)

d)Pelvic inclination(Myles:104)

e)Whartons Jelly(Myles:107)

f)Vertex(Myles:159)
g)Trophoblast(Myles:138,140)

h)Land marks of pelvis(Annamma Jacob:37,38)

i)Acetabulum(Myles:100)

g)Fontanels of fetal Skull(Myles:158)

h)Human Placental Lactogen(Myles:146)

i)Human Chorionic Gonadotrophin( Myles:145)

j)Curve of Carus(Myles:104)

k)High Assimilation Pelvis(Annamma Jacob:43)

l)Ovulation(Annamma Jacob:52)

m)Placenta Circummarginata(Annamma Jacob:70)

n)Placenta Circumvallata(Annamma Jacob:70)

o)Battledore placenta(Annamma Jacob:71)

p)Vasa previa(Annamma Jacob:71)

q)The Justo minor pelvis(Annamma Jacob:42)

r)Android pelvis(Annamma Jacob:42)

s)Platypelloid pelvis(Annamma Jacob:42)

t)decidua(Annamma Jacob:48)

u)Moulding(Annamma Jacob:82)

v)Innominate bones of pelvis(Annamma Jacob:37)

w)Bartholians glands(Annamma Jacob:46)

x)Ductus Arteriosus (Annamma Jacob:78)

y)Foramen Ovale(Annamma Jacob:79)

z)Graffian follicle
 UNIT-III

1.Long Essays (15m)

a)Describe in detail about normal physiological changes that occur in

pregnancy?(15M)

D.C Dutta:46-55

b)Explain in detail about various Diagnostic tests(Invasive&non invasive) that are

done in First trimester,second trimester and third trimester in a pregnant woman?

D.C Dutta:64-73

c)Describe in detail about high Risk Approach ,Screening and Assessment in

Antenatal mother

D.C Dutta:631-634

2.Short Notes:

a)Lepolds maoeuvre(Annamma Jacob:112-115)

b)Subjective symptoms and objective symptoms of antenatal woman in first

trimester(Dutta:64-65)

c)Objective of Antenatal Care(Annamma Jacob:106)

d)Presumptive signs of pregnancy(Myles:209)

e)Minor disorders in pregnancy(Annamma Jacob:102)

f)Substance abuse in pregnancy

g )Psycho social and cultural aspects of Pregnanc y

Margaret A.Cooper-Myles text book 34-37)

h)Non stress Test(Annamma Jacob:785)

i)Amniocentesis
3.Write Brief Answers of the Following:

a)Chadwicks sign(D.C Dutta:65)

b)linea nigra(Myles:206)

c)Positive signs of pregnancy(Myles:209)

d)Quickening(D.C Dutta:68)

e)Osianders sign(D.C Dutta:65)

f)Hegars sign(D.C Dutta:65)

g)Chloasma(Myles:206)

h)Pica(Myles:201-2012)

i)unwed mother

j)kegels excercises(Annamma Jacob:599)

k)Attitude(Annamma Jacob:82)

l)Engagement(Annamma Jacob:121)

m)Cardiotocography(Annamma Jacob:355)

n)Braxton Hicks Contractions(D.C Dutta:47)

o)Alpha-Fetoprotein testing(Annamma Jacob:127)

p)Cardocentesis( Annamma Jacob:128)

q)Contraction Stress test (Annamma Jacob:129)

r)Oxytocin Challenge test(Annamma Jacob:129)

s)hyperstimulation (Annamma Jacob:129)

t)Teenage pregnancy(Sheila balakrishnan:407)

UNIT:IV

1.Long Essays (15m)

a)i)What is normal labour?(3+4+8)

ii)List The causes of onset of normal labour?

iii)Explain the Role Of Midwife in management of third stage labour?(Annamma

Jacob:134-150)

b.Explain in detail about mechanism of Labor? ?(Annamma Jacob:168-171)

c)i)Define normal Labour? ?(3+4+8)

ii)Differentiate between true labor and False labour?

iii)Explain the nursing management of a woman in first stage labour?

d)i)Describe the onset of labor:

ii)describe the physiology of second stage of labour?

iii) Explain the nursing management of a woman in Second stage labour?

e)Describe the physiology of third stage of labor. discuss the examination of

placenta after delivery? ?(Annamma Jacob:134-150)

2.Short Notes:

a)Episiotomy

b)Active management of third stage labour(D.C Dutta:143)

c)Partograph(Annamma Jacob:157-158)

d)Manual removal of placenta(Annamma Jacob:417)

e)Vaginal examination during labour(Myles:445-448)

3.Write Brief Answers of the Following:

a)Show(Myles:442)

b)Polarity(Myles:439)

c)Retraction ring(Myles:439)

d)Fetal axis pressure(Myles:443)

e)Fundal dominance(Myles:439)

f)Cervical effacement(Myles:438)

g)Cervicograph