End Term Exam
Maternal Child Nursing Exam - Complete
Q&A with Detailed Solutions & Explanations
Time allowed:
A+
* J 2 5 7 0 1 *
INSTRUCTIONS
• Write your answer to each question in the space provided. If you need extra space use the
lined pages at the end of this booklet. The question numbers must be clearly shown.
• Answer all the questions.
• Where appropriate, your answer should be supported with working. Marks might be given
for using a correct method, even if your answer is wrong.
ADVICE
• Read each question carefully before you start your answer.
© OCR 2025/26 [EXAM/T/YD]) 6895596/3
Turn over
,If gonorrhea is left untreated in women what may it cause? - ✔✔Pelvic inflammatory disease (PID) which can cause
infertility
If the women becomes infected after the third month of pregnancy what may occur? - ✔✔The mucous plug in the cervix
will prevent the infection from ascending.
Because gonorrhea can be transmitted to newborns during delivery what must be given? - ✔✔Eye prophylaxis at birth,
generally w/ erythromycin ophthalmic ointment.
What other areas would cultures be gathered from for the diagnosis of gonorrhea? - ✔✔-Urethra
-Throat
-Rectum
-Depending on the body orifices used for intercourse
*Women are usually asymptomatic
In females with gonorrhea what are the most common symptoms noted? - ✔✔-Purulent, greenish yellow vaginal
discharge
-Dysuria (discomfort, pain, or burning when urinating)
-Urinary frequency.
-Inflammation & swelling of the vulva (in some women)
-Cervix may appear swollen & eroded
-May secrete foul-smelling discharge (in which gonococci are present)
What would be the treatment given to the patient with gonorrhea? - ✔✔-A single dose of ceftriaxone (Rocephin) 250
mg IM PLUS a single 1g dose of azithromycin orally.
-Broad-spectrum antibiotic; bactericidal action
*All sexual partners have to be treated or the women could become reinfected
, What are the 2 types of herpes infection that can occur? - ✔✔- HSV-1 (cold sore): which can cause genital herpes
through oral-to-genital contact
- HSV-2: usually associated with genital infection.
*Herpes is for life
If a pregnant mother has herpes without any treatment how would she deliver her baby? - ✔✔C-section
Is it possible for a patient with herpes to be treated without any visible lesions? - ✔✔Yes
What would be some symptoms noted in patient with herpes genitalis? - ✔✔-Difficult urination
-Urinary retention
-Inguinal lymph node enlargement
-Flu like symptoms
-Genital pruritus/skin rash & tingling
What is the treatment for the patient with herpes genitalis? - ✔✔-Acyclovir (recommended for pregnant women)
-Valacyclovir
-famciclovir
For genital warts options also include:
- imiquimod
-trichloroacetic
How can syphilis be acquired? - ✔✔-Vaginal
-Oral
-Anal sex
-transmitted to an unborn child (transplacentally)
What is the causative agent for syphilis? - ✔✔Treponema pallidum (bacteria)