Amref Virtual Nursing School College Final Examination Paper Two (Obstetrics and Midwifery)

The paper of Wednesday 11 November 2009. The multiple choice section covers the diagonal conjugate, the adverse effects of injectable contraceptives, the characteristics of the chorion, heat loss in the newborn and how closing the curtains reduces it, preventing sub-involution of the uterus and the newborn reflexes. Short answers ask for fundal height by week of pregnancy, the definition of hypotonic uterus, discharge messages after antepartum haemorrhage, predisposing factors to puerperal psychosis, the signs of the second stage of labour, the ten aspects of the individual birth plan in focused antenatal care, the findings suggesting an occipito-posterior position, infant feeding counselling for a couple living with HIV and the needs of a newborn. The long answer is Mrs. Kobi, para 2+0 at 32 weeks with severe pre-eclampsia: its classification, the cardinal signs of impending eclampsia, management until term and the effects of pre-eclampsia.