006/15

The West Bengal University of Health Sciences

[Link]. Nursing Part-IV Examination, 2015
Subject: Midwifery and Obstetrical Nursing
Time: 3 hrs. Full Marks: 75
Use separate answer scriptfor each group
Answer all questions
Group-A
1. a) Define Gestational Diabetes Mellitus. 3+4+8
b) Write down the effect of diabetes on pregnancy.
c)How a mother diagnosed with Gestational Diabetes Mellitus can be managed?

2. a) Define Induction of Labour. 2+5+8

b) What are the parameters to be assessed before Induction of Labour?
c)Describe the various methods of Induction of Labour.

3. Write short notes on any three of the following: 3 x5

a) Partograph. b) Puerperal Sepsis.

c)Oxytocin and Nurses responsibility. d) Physiology of Lactation.

Group- B

4. a) Define "IUGR" and "low birth weight". 3+4+8

b) What are the causes of IUGR?
c) Describe the nursing management of a low birth weight baby in NICU.

5. a) Define Normal Pucrperium. 2+6+7

b) Explain the physiological changes that take place during Puerperium.
c)Describe the management of Normal Puerperium.
6 6 / 12
Health Sciences
The West Bengal University of
2012
[Link]. (H) Nursing Part-IV Examination,

Subject: Midwifery and Obstetrical Nursing

Full Marks: 75
Time: 3 hrs.
Use separate answer script for each group

Answer all questionss

Group A
2+5+8
. a) i) Define labour.
Discuss the main events that occur in first state of labour.
ii)
with first stage of labour.
iii) Describe the nursing management of women

or
wecks of gestation admitted to the hospital with a

i Mrs. Dutta primimother of 37

3+7+5
diagnosis of severe pre-eclampsia.

ii) Enumerate the signs and symptoms that support the diagnosis.
for Mrs. Dutta.
ii) Write down the priority nursing management
iv) List dovwn the maternal and fetal complications Pre-eclampsia.
of

mother with 28 weeks of gestation has been admitted in the hospital

2 Mrs. Sen a second gravid
2+6+7
with painless recurrent bleeding per vagina.

What may be the probable diagnosis of Mrs. Sen?

K Enlist the matenal and fetal risks of this condition.

c) Describe the obstetrical management of Mrs. Sen.

section and has been transferred to observation

unit of
3. Mina has delivered a baby by caesarean

3+7+5
postnatal ward.
a) What observation should be made for Mina within 1" 4 hours of delivery?
and neonate following delivery.
b) Write down the immediate nursing management of mother
c) Prepare a discharge plan for this women and her baby.
Group - B

2+6+3+4
Define Preterm Newborn.

b) Describe physiological characteristics of preterm newborn.

c) List down the complications of preterm newborn.
d) Write down the principles of management of preterm newborn.

3 xS
5. Write short notes on any three of the following
P o s partum haemorrhage.
a)Pre-conceptional
d Safe motherhood.
counseling. bOligohydramnious.
oxytociés and nurses responsibility.
eUse of
 06/14
The West Bengai
University of Heaith Sciences
[Link]. Nursing Part-IV
Examination, 2014
Subject: Midwifery and Obstetrical
Nursing
ime: 3 hrs.
Use Full Marks: 75
separate answer script for each group
Answer all questions
Group A
a) Défine placenta.
3+6+6
b)escribe the functions of placenta.
c)/Explain the various abnormalities of placenta.
.aWhat are the signs of Labour?
2+7+6
b)UWhat are the parameters you will observe and record
throughout 1 stage of Labour?
c) Bescribe the role of a nidwife in early detection of
complications of mother and baby.

3. Write short notes on any three of the following: 3x5

aApgar secore. b Phototherapy.
c) SubinvoBution.
Magnesium Sulphate
Group -B
4. Define prematurity.
2+5+5+3
)Describe the physical characteristics of a preterm newborn.
c)/Write the immediate management of a preterm newborn after birth.
d) Lit the complications of preterm newborn.

5. a) Define rupture of uterus.

2+5+3+5
b) Write down the causes of rupture of uterus.
c)List the signs and symptoms of rupture of uterus.
d) Describe your role in prevention of rupture of uterus during Labour.
 / 13

006/
The West Bengal University of Health Sciences
[Link]. (H) Nursing Part-IV Examination, 2013
Subject: Midwifery and Obstetrical Nursing
Time: 3 hrs. Full Marks: 75
Use separate answer seript for each group
Answer all questions

Group-A
A 20 years old, unbooked, primigravida mother at 28 weeks of gestation has reported to the
antenatal OPD for registration. 3+7+5

Define antenatal care.

vi) What are the aims of antenatal care?
i Discuss the antenatal management of the case and enumerate the antenatal advices to be
given to the expectant woman.
or
b) Mrs. Mukherjee 23 year old Multigravida had atonic postpartum hacemorrhage in the labour
room. 2+5+8

i) Define postpartum haemorrhage.

ii) Enumerate the signs and symptoms of atonie postpartum haemorrhage.
ii) Discuss the management of the case.

Anaemia is a common problems in tropical country during pregnancy". 2+4+9

Define anaemia in pregnancy and its classification.

b Explain the common factors responsible for high incidence of anaemia in pregnancy.
Describe the management of a primigravida woman at 32 weeks of pregnancy with severe
anaemia.

o Y Define puerperium. 2+7+6

bExplain the physiological changes that take place during puerperium.
Describe the management ofearly puerperium by nursing process.
Group B

Define healthy newborn. 2+6+7

/ Compare the physical features of a healthy newborn and a preterm newborn.
Discuss the immediate management of a
healthy newborm.
Write short notes on any three of the following 3 x5

a) Ultrasonography in obstetrics. b) Antenatal exercise. Lochia.

dMinor ailments during pregnancy. Physiological jaundice. f)Post Partum blue
6 / 11

The West Bengal University of Health Sciences

[Link]. (H) Nursing Part-IV Examination, 2011
Subject: Midwifery and Obstetrical Nursing
ime: 3 hrs. Full Marks: 75
Use separate answer script for each group
Answer
any five questions, taking at least two from each group

Group-A
a) Define antenatal care. 2+5+5+3
b) What are the objectives of antenatal care?
c) Describe the components of antenatal care.
d List the common minor problems that may arise in first trimester of pregnancy.

a) What do you mean by gestational diabetes mellitus? 2+4+6+3

b) Explain the sign and symptoms of gestational diabetes mellitus.
c) Describe the management of gestational diabetes mellitus.
d) List the common complications of newborn in gestational diabetic wornan.

Write short notes (any three): 3 x5

a) Contraceptive counseling. b) Birth preparedness. c) Cord prolapse.
d) Physiological Jaundice. e) Puerperal sepsis. ) Post partum psychosis.

Group - B

Mrs. Tara delivered normally a baby before half an hour. On duty midwife kept Tara and her
y in observation room.
1+3+6+5
a) In which stage is Mrs. Tara now?
b)What are the objectives to be achieved by the midwife during this period?
c)What are the physiological parameters of Mrs. Tara and her newborn reassure the midwife
that both are well?

d) List the possible nursing diagnosis and plan of intervention for Mrs. Tara.

a) Define asphyxia neonatorum. 2+4+4+5

b) Explain the matermal and fetal causes of asphyxia.
c) How to assess the severity of asphyxia?
d) Describe the steps of management of an asphyxiated baby.

a) Define prolonged labour. 3+4+4+4

b) Explain the causes of prolonged labour.
c) Describe the management of prolonged labour.
d) List the maternal & fetal complications during prolonged
labour
006/ 10

The West Bengal University of Health Sciences

[Link]. (H) Nursing Part-IV Examination, 2010
Subject: Midwifery and Obstetrical Nursing
Time: 3 hrs.
Use Full Marks: 75
separate answer
script for each group
Answer any five
questions, taking at least two
from each group
Group A

a) Enumerate the causes of

haemorrhage in early pregnany 3+4+8
b) Classify abortion.

How will you diagnose and manage a case

of septic abortion?
What is preeclamptia?
2+4+6+3
b Indicate the signs and symptoms of preeclamptia.
j s t Iwo nursing diagnosis of preeclamptia and plan for their intervention.

d Deseribe the dose and expected therapeutic effect of' MgSO.

aDetine normal labour.
5+5+5
bAssess a mother in second stage of labour.
Write the management of second of stage of labour.

Group - B

V.e short notes any three

on
of the following 3 x5
oral contraceptive pills. U hyperemesis graviderum.
antenatal nutrition. d) phototherapy.

a petine preterm newborn. 2-6+3+4

Describe physiological characteristics of preterm newborn.

Yist complications of preterm newborn.
dy Write the nutritional management of preterm newborn.

a) Write the development of placenta. 5+5+5

Write the functions of placenta.
What are the abnormalities of placenta?
 006/ 09

The West Bengal University of Health Sciences

[Link] (H) Nursing Part-IV Examination, 2009

Subject: Midwifery and
Obstetrical Nursing
Time: 3 hrs. Full Marks: 75

Use separate answer scriptfor each group

Answer any five questions, taking at least two fronm each group

Group A

/
a ) Define antenatal care. 2+4+6+3

b) State the objectives of antenatal care.

c)List the components that should be in the antenatal history during the first antenatal visit.

d) What investigations are to be carried out during antenatal period?

a) Define anaemia in pregnancy. 2+4-9

b) Explain the common factors responsible for high incidence of anaemia in pregnancy.
c) Describe the management of a Primi-gravida woman at 32 wks of pregnancy with severe anaemia.

. A primi-gravida woman at 37 weeks of pregnancy admitted in maternity ward with the complaint of

sudden painless bleeding per vagina. I+6+8

Answer the following in relation to above condition-

a) What will be the possible diagnosis?
b) List the complications of the woman and the fetus in case of blecding in third trimester.

c)Describe the nursing management of the woman.

Group- B

a) Define the term low birth weight', 2+5+8

b) List the conditions associated with low birth weight.
c)Enumerate the principles of nursing management of a low birth weight baby in NICu

5. a) Define puerperium. 2+7+6

b) Explain the physiological changes that take place during puerperium.
c) Describe the management of early puerperium by nursing process.

W r i t e short notes on any three : 3xS

Partograph. b) Counselling in HIV +ve mother.

Oxytocin in obstetrics. Kangaroo mothercare.

e) Hydrops fetalis. Cord prolapse.
006/ 19
of Health Sciences
The West Bengal University
Examination, 2019
[Link]. Nursing Part-IV July
Subject: Midwifery and
Obstetrical Nursing
Full Marks: 75
Time: 3 hrs.
Use separate answer script for each grouP

Answer all questions

Group-A
2+5+8
. a) What are the signs of Labour?

that occur in tirst stage of labour.

Discuss the main events
b)
with first stage of labour.
c) Discuss the nursing management of women

admitted in the hospital with

Mrs. Dutta a second gravid mother with 28 weeks of gestation has been
2+6+7
painless recurrent bleeding per vagina.
Mrs. Dutta?
a) What may be the probable diagnosis of

b) Enlist the maternal and fetal risks of this condition,

[Link].
c) Describe the obstetrical management of

3x
3. Write short notes on any three of the following

a) Phototherapy.

b) Intra uterine contraceptive devices.

c) Oxytocin and Nurse's responsibility.

d) Cord Prolapse.
e) Antenatal Nutrition.

Group B

4 a) What is high risk pregnancy? 3+4+8

b)Write down the high risk screening procedure in pregnancy
risk for better obstetric
c) Write down the role of nurse in identifying and managing high cases

outcome.

2+5+8
5. a) What is Preterm Labour?

b) Write down the risk factors of Preterm Labour.

c) Explain the management of Preterm Labour.

006/ 22

The West Bengal University of Health Sclences

[Link]. Nursing Part-IV October, 2022 Examination
Subjecet: Midwlfery and Obstetrieal Nuralng
Time: 3 hrs. Full Marks: 75
Answer all quostions
1. a) Define Postpartum Haemorhage (PPH). 2+2+4+7
b) Explain the types of PPH.
c) What are the causes of Primary PPH?

d) Discuss the management of Atonic PPH.

2. a) Define Antenatal Care. 3+5+7

b) Why antenatal care is important'7
c)Discuss the antenatal advice to be given to the mothers.

3. Write short notes on any three of the following: 3 x5

a) Partograph.
b) Physiology of Lactation.

c)CordProlapse.
d) Incuction of Labour.

e) Pradhan Mantri Matri Suraksha Yojona (PMMSY).

4. a) Define puerperal sepsis. 2+3t+4+6

b) What are the causes of puerperal sepsis?
c)How can you prevent puerperal sepsis?
d) Describe the management of puerperal sepsis.

5. a) Define IUGR. 3+4+8

b) What are the causes TUGR?
c)Describe the management ofLow Birth Weight baby in NICU
006/ 18

The West Bengal University of Health Sciences

[Link]. Nursing Part-IV Examination, 2018
Subject: Midwifery and Obstetrical Nursing
Time: 3 hrs. Full Marks: 75
Use separale answer script Jor each group

Answer all questions

Group- A
I. a) Define antenatal care. 3+7+5
b) What are the aims of antenatal care ?
c) Discuss the antenatal management of the care and enumerate the antenatal advice to be given to the

expectant women.

2. a) Define Induction of Labour. 2+8+5

b) Deseribe the various methods of Induction of Labour

c) Describe the role of nurse during Induction of Labour.

3. Write short notes on any three of the following: 3 x5

a) Physiology of Lactation.
b) Apgar score.
c) Oral contraceptive pills.
d) Lochia.

c) Counselling in HIV +ve mother.

Group - B

4 a) Define Gestational Diabetes Mellitus. 3+4+8

b) Write down the effect of diabetes on pregnancy.
c) How a mother diagnosed with Gestational Diabetes Mellitus can be managed?

5. a) Define healthy newborn. 2+6+7

b) Discuss the various physical features of a healthy newborn.

c) Discuss the management of a healthy newborn immediately atfter birth.
006 21

The West Bengal University of Health Sciences

[Link]. Nursing Part-IV September, 2021 Examination
Subject: Midwifery and Obstetrical Nursing
Time: 3 hrs. Full Marks: 75
Answer all qucstion
1. a) What is Antenatal Carc? 2+5+8
b) What are the objectives of Quality Antenatal Care?
c) What is the advice you would like to give to an antenatal mother for preparing hersclf for
confinement?

2. a) What are the causes of onsct of Normal Labour? 41417

b) List the events of First stage of Labour.

c) Describe the Active Management of Third stage of Labour.

3. a) Define Pre- Eclampsia & Eclampsia. 3+4-8

b) Write the pathophysiology of Eclampsia.
c) Describe the Nursing Management of Eclampsia based on Nursing Process.

4. a) What do you mean by Essential New Born Care. 34319

b) Write down the benefit of Skin to Skin contact.

c) How will you resuscitate the Asphyxiated newborm soon after birth?

5. Write short notes on any three of the following 3x5

a) Obstetric Emergency.
b) Partograph.
c) High Risk Pregnaney.

d) Postpartum Depression.
) GDM.
006/ 20

The West Bengal University of Health

Sciences
[Link]. Nursing Part-IV October, 2020
Examination
Subject: Midwifery and Obstetrical Nursing
Time: 3 hrs.
Full Marks: 75

I. a) Define normal labour.

5+5+5
b) Assess mother in second stage of
a
labour
c) Write the management of second stage of labour.

2. a) Enumerate the causes of

haemorrhage in early pregnancy. 3+4+8
b) Classify abortion.
c) How will you diagnose and manage a case of septic abortion.

3. Write short notes on

any three of the following: 3x5
a) Birth preparedness.

b) Puerperal sepsis.
c) Physiological jaundice.
d) Magnesium Sulphate.

e)Safemotherhood.

4. a) Define Preterm Newborn.

2+6+3+4
b) Describe physiological characteristics of preterm newbon.
c) List down the complications of preterm newborn.

d) Write down the principles of management of preterm newborn.

5. a) Define Normal Puerperium. 2+6+7

b) Explain the physiological changes that take place during Puerperium.
c) Describe the management of Normal Puerperium.
006/ 17
Health Sciences
The West Bengal University of
[Link]. Nursing Part-IV Examination, 2017

Subject: Midwifery and Obstetrica! Nursing

Full Mark: 75
Time: 3 brs. Use separate answer script for each group

Answer all questions

Group A
2+6+7
1. a) i) Define normal labour.

What the causes of onset of normal labour?

i) are

Write in details about the events of first stage of labour.

ii)
or

in first trimester of pregnancy.

2+6+7
b) i) List down the subjective signs seen

ii) What are the investigation to be done during early pregnancy?

ii) Write about the metabolic and systemic changes seen during pregnancy.

2. a) Define Primary Postpartum Haemorrhage and its types. 3+6+6

b) What are the causes of primary post partum haemorthage?

c) How can you prevent the onset

of Postpartum Haemorrhage?

3. Write short notes on any three of the followings: 3 x5

a) Causes of rupture of uterus

b) Process of Implantation.
c) Foetal circulation.

d) Anatomical features of parent pelvic types..

Group-B
4. a) Define asphyxia Neonatorium. 2+66+7

b) Enumerate the care to be given to a

preterm Neonate.

c)How will you manage an asphyxiated newborn after birth?

5. Write short notes on (any three) of the following: 3x5

a) Physiological Jaundice.
W Magnesium Sulphate
Difference between true and false labour pain.
d) Determination of Zygosity among twins.
 006/ 16
Sciences
The West Bengal University of Health
2016
[Link]. Nursing Part-IV Examination,
and Obstetrical Nursing
Subject: Midw ifery
Full Marks: 75
Time: 3 hrs.
Use separate unswer script for each group

Answer all questions

Group-A
I. A 32 weeks primi añtenatal woman came to antenatal clinic for routine checkup. 4+4+7
would you expect to be found in this woman?
a) What signs and symptoms
ailments third trimester of pregnancy.
b) Describe the common minor of
the maternal and fetal wellbeing.
c) Describe the various clinical assessments you will do to assess

of maternal death in India?

3+5+7
2. a) What are the causes

b) Write down the causes of Anaemia during pregnancy.

Describe the preventive and actual management of Iron deficiency anaemia during pregnancy.
c)

3. Write short notes on any three of the tollow ings : 35

a) MTP.
b) Fertilization and Implantation.
c) Abnormalities of placenta and cord.

d) Ditlerence between true labour pain and False labour pain.

e) Induction of labour.

Group B
2+3+4+6
a) Define Puerperal sepsis.
b) What are the causes of puerperal sepsis?
c) Write down the preventive measures to be undertaken to prevent the occurrence of puerperal sepsis.

d) Describe the medical and nursing management of puerperal sepsis.

5. a) Define Preterm baby. 2+3+3+7

b) Describe the causes of preterm labour.

c)Write down the clinical manifestation of prelerm baby.

d) Describe the complications and management of preterin baby.
 006/17

The West Bengal University of Health Sciences

[Link]. Nursing Part-TIV (Supplementary) Examination, 2017
Subject: Midwifery and Obstetrical Nursing
Time: 3 hrs. Full Marks: 75
Use separate answerscript for each group
Answer all questions

Group-A
1. a) Define Gestational Diabetes Mellitus (GBM). 2+6+7
b) Write down the effects of GDM on mother and fetus during pregnancy, labour and puerperium.
c)Describe the medical and obstetrical management of a mother with GDM.

2. A term Primi Gravida mother admitted in Labour room for delivery. 4+6+5
a) Write down the immediate assessments to be done for the mother.
b) Describe the following physiological changes occurs in 1 stage of labour
i) Formation of upper and lower uterian segment.
ii) Polarity of Uterus.
ii) Bag of membrane.
c)Describe the immodiate care of mother ani ier baby for the first one hour after delivery.

3. Differentiate any three of the following 3xS

a) Caput Succedaneum & Cephal haematoma.

b) Placcnta Pracvia & Abruptio placentae.

c) Constricting Ring and Retraction ring.
d) Complete abortion and incomplete abortion.

Group-B
4. a) Define PPH. 2+6+7
b) Write down the causes of PPH.
PPH.
C)Describe tho management ofa mother with atonic

5. a) Define preterm labour. 2+6+7

b) Write down the complication that may arise in a preterm new born.
c)Describe the immediate care of a new borm in labour room in a case of preterm labour.