Amref Virtual Nursing School College Final Supplementary Examination Paper Two (Obstetrics, Midwifery and Neonatal Care)

The paper of Wednesday 25 November 2009. The multiple choice section covers the blastocyst layer that erodes the decidual vessels, perinatal mortality rate, the warning signs of uterine rupture, the reflexes that protect an infant's airway, the intervention that produces a diuretic effect in pre-eclampsia, the management of physiological jaundice, the predisposing factors to shoulder presentation and a matching item on the types of placental separation. The written section ends with the case of a woman bleeding after expulsion of the placenta, asking for active management of the third stage, the management until the bleeding stops and the causes of atonic uterine action.