MARKS.
PART II: SHORT ANSWER QUESTIONS.
Q:1: a)State three (3) causes of brow presentation. 3
b)List four(4) complications of brow presentation. 2
Q: 2: State five (5) vital signs that are considered in APGAR scoring. 5
Q: 3: Briefly explain the four (4) stages of an eclamptic fit . 8
Q: 4: List six (6) complications of polyhydramnios. 3
Q: 5: State four (4) minor disorders of pregnancy. 4
Q: 6: State five (5) aims of an obstetric examination. 5
Q: 7: Outline five characteristics of a true female pelvis. 5
Q: 9: Draw a diagram showing the female external genital organs. 5
PART III: LONG ANSWER QUESTIONS (ESSAY) MARKS
Q: 1: Baby Jewel is admitted to the special baby care unit with a diagnosis
of prematurity.
a) Define prematurity. 1
b) State five (5) causes of prematurity. 5
c) Describe the management of baby Jewel from admission until discharge. 12
d) State two (2) preventive measures of prematurity. 2
Q: 2: Mrs. X, gravida 3 is diagnosed with shoulder dystocia in the second stage
of labour.
a) Define shoulder dystocia. 1
b) State five (5) risk factors of shoulder dystocia. 5
c) Using Mc Robert’s maneuver, describe the management of Mrs. X
up to 24 hours following delivery. 11
d) List four (4) complications that may be associated with shoulder dystocia 2
, PART II: SHORT ANSWER QUESTIONS. MARKS
Q: 1: State two (2) physiological changes that occur in each of the following
systems during pregnancy.
a) Cardiovascular system. 2
b) Skeletal system. 2
Q: 2: Draw a well labeled diagram of the female pelvis illustrating the landmarks
of the pelvic brim. 5
Q: 3: State five (5) minor disorders of pregnancy related to the digestive system. 5
Q: 4: State four (4) premonitory signs of labour. 4
Q: 5: State four (4) observations made by the midwife during the second stage
of labour that indicate good progress . 4
Q: 6: State five (5) vital signs that are considered in APGAR scoring. 5
Q: 7: State three (3) immunological adaptations of the newborn. 3
Q: 8: Outline five (5) factors responsible for infant morbidity and mortality. 5
Q: 9: State five (5) major complications of puerperium. 5
PART III: LONG ANSWER QUESTIONS (ESSAY) MARKS
Q: 1: Master Xuma is born at 34 weeks gestation. On the third day of life
he develops jaundice.
a) State two (2) types of jaundice. 2
b) State four (4) causes of Master Xuma’s condition. 4
c) Describe the management of Master Xuma till discharge. 13
d) List two (2) complications Master Xuma is likely to develop. 1
Q: 2: Mrs. Bela aged 38 years, para 2+0, gravida 3 is admitted in the maternity ward
with a diagnosis of breech presentation in labour.
a) Define breech presentation. 1
b) State four (4) types of breech. 4
c) Describe the management if Mrs. Bela till discharge. 12
d) State three (3) complications of breech presentation in labour. 3