Tamil Nadu Open University (TNOU) 2008 Diploma in Hospital Management in Health Assistant - MATERNAL AND CHILD HEALTH - Question Paper

DIPLOMA exam – JUNE 2008.
Diploma in Health Assistant
MATERNAL AND CHILD HEALTH
Time : three hours Maximum marks : 75
part A — (20 × one = 20 marks)
ans ALL ques..
Multiple option ques. :
1. An oval brimmed pelvis is called
(a) Android pelvis
(b) Anthropoid pelvis
(c) Platypeloid pelvis
(d) Justominor pelvis
2. Polyhydramnios is described as being a volume of amniotic fluid which exceeds
(a) 500 ml (b) 800 ml
(c) 1500 ml (d) 3000 ml
3. Anti-D immunoglobulin should be provided within
(a) 24 hrs (b) 48 hrs
(c) 72 hrs (d) 96 hrs
4. The drug which has no effects on fetus for a pregnant mother with Tuberculosis is
(a) Isoniazid (b) Rifampicin
(c) Ethambutol (d) Streptomycin
5. The abortion in which the fetus dies and is retained with placenta in the uterus is known as
(a) Induced (b) Missed
(c) Inevitable (d) Habitual
6. Milk secretion truly begins
(a) Soon after delivery
(b) After 1 week
(c) After three or four days
(d) When labour pain begins
7. The antero-posterior diameter of birth canal is known as
(a) Diagonal conjugate
(b) Transverse conjugate
(c) Conjugate vera
(d) Transverse diameter
8. A common method of locating the precise position of fetus prior to an amniocentesis
(a) X-ray (b) Fetoscopy
(c) Fluroscopy (d) Sonography
9. The highest reason of perinatal mortality is
(a) Hypoxia (b) Immaturity
(c) Infection (d) Birth injury
10. The avg. weight gain during pregnancy is
(a) 14 kg (b) 10 kg
(c) 12 kg (d) 13 kg
11. The weight of the Indian Newborn ranges from
(a) 2–2.5 kg (b) 3 kg
(c) 3.5 kg (d) 2.5–2.75 kg
12. Hydramnios is more common in
(a) Biovular twins
(b) Uniovular twins
(c) Fraternal twins
(d) None of the above
13. If the presentation is cephalic, odema under the scalp is
(a) Hydrocephalus
(b) Torticollic
(c) Caput succidancum
(d) Chignon
14. The spontaneous change in the cervix can be replicated by the use of
(a) Oestrogen (b) Progesterone
(c) Prostaglandin (d) All the above
15. Deeper patch coloring on the face is known as
(a) Diastasis recti (b) Striae gravidarum
(c) Linea niagra (d) Chiasma
16. The hormone which acts to soften the pelvic joints during labour is
(a) Progesterone (b) Oestrogen
(c) Oxytocin (d) Relaxin
17. The weight of the uterus in non-pregnant state is
(a) 20 to 50 gms (b) 50 to 80 gms
(c) 80 to 100 gms (d) none of the above
18. The relationship of the fetal head and limb to its trunk is
(a) Attitude (b) Presentation
(c) Denominator (d) Position
19. Inflammation of Breast outcome from
(a) Infection (b) Milk stasis
(c) Abscess (d) Engorgement
20. The vaginal discharge during puerperium
period is
(a) Lochia (b) Menstruation
(c) Show (d) None of the above
part B — (5 × five = 25 marks)
Short ans ques..
ans any 5 ques..
21. What are the physiological modifications will take place during pregnancy?
22. State the difference ranging from Female and Male Pelvis.
23. Mention the immediate care of a newborn.
24. Write short notes on medical termination of pregnancy.
25. Explain about the post natal exercises.
26. Explain about the stages of menstrual cycle.
27. Explain about the Diameters and sutures Foetal Skull.
28. Mention the causes of Anaemia during pregnancy and how will you prevent Anaemia.
part C — (3 × 10 = 30 marks)
Long ans ques..
ans any 3 ques..
29. Define Labour and discuss the mechanism of Normal Labour.
30. Define abortion and discuss the kinds of abortion.
31. Define ante-natal care aims and role of Health Assistant in Antenatal care.
32. Explain the advantages of Breast feeding and disadvantages of Artificial feeding.
33. Explain the Maternal and child health programme in our country.

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