College of Nursing

All India Instutite of Medical Sciences, Rishikesh

(Uttarakhand)
Post Basic Diploma in OT Nursing Batch – 2018
Examination – 2019
Subject – Obstetrics and Gynaecological OT
Nursing

Note: All questions are compulsory. Each carries 1 mark

1) A postpartum mother Geeta is scheduled for Evacuation of retained products of conception (ERCP)
coming morning. Which of the following shoud NOT be part of nursing pre-opertaive assessmnet?
A) Eating and drinking: Explin to Geeta B) Elimination: Ask Geeta to
the importance of staying Nill per orally empty her boel and bladder
before the procedure
C) Restrict Mobility D) Part preparation

2) Which of the following is not a factor that can lead to ectopic pregnancy?
A) Previous tubal surgery B)Pelvic Inflammatory disease

C) Endometriosis D) Gestational-induced Hypertension

3) A patient had lower segment cesarean section today. she enquires the nurse on which day her stiches
would be removed. What should be the nurses cprrect response?
A) 6th day B)10th day

C) 14th day D) 3rd day

4) "A pregnant woman during her first pregnancy presents to her obstetrician at the first prenatal visit in
early pregnancy and requests a planned Caesarean delivery. Which of the following is appropriate way of
managing this?
A) Agreeing to her request and noting B)Telling the pregnant woman that he is not
in the chart that planned cesarean personally comfortable with her request
delivery will be provided after 39 weeks.
C)After consulting with Risk
Management, implement the patient’s
request.
and will refer her to another obstetrician if
that is her preference.
D) Recommend against planned Caesarean
delivery and refuse to carry out Caesarean
delivery because doing so because of patient's
request would be unprofessional.

5) Which of the following is/are the safest treatment(s) in cases of unexpected placenta accreta in an
emergency?
A) Total hysterectomy. B) Subtotal hysterectomy
C) Hysterotomy via the uninvaded area, D) Resection of the invaded area and
leaving the placenta in situ and uterine reconstruction.
closing the uterus.

6) "Which of the following statement is not true regarding the rising primary Caesarean section rate?
A) It is primarily due to the fear of B) It is influenced by time-management
malpractice. issues for parents.
C) It is because of lack of petience to D) It is because of improved maternal
carry out labour process outcome due to LSCS.

7)"Which of the following is not true regarding Informed consent:"

A) Is given by the clinician. B) Is given by the patient.
C) Is an understanding with the patient D) Is static – once signed it is
that demands revision as circumstances irrevocable.
change.
8) A 47-year-old woman presents to gynaecological unit with heavy bleeding. She is a nonsmoker. Which of
the following is the treatment of choice for dysfunctional uterine bleeding?
A) Oral contraceptive pill B) Hysterectomy
C) Reassurance D) Dilation and curettage

9) A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring
neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated
adenocarcinima in the situ. The most appropriate next step is:
A) Vaginal hysterectomy B) Radical hysterectomy/Radiotherapy
C) Cold-knife conization of the cervix D)Loop excision of the cervical tranformation zone

10) A 40-years-old female with history of fibroid on investigation showed CIN-2 changes. Treatment of
choice in this case is :
A) Hysterectomy B) Conization
C) Cryotherapy D) Laser ablation

11) Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is scanty with no discernible
tissue in the cervical os. There are no palpable adnexal masses. The uterus is mildly tender.
Ultrasonographic exam does not reveal a gestational sac.Which of the following should be recommended
A) Dilatation & curettage B) Culdocentesis.
C) Observation followed by serial D) Diagnostic laparoscopy
B-HCG determinations.

12) A 37-year-old female is diagnosed with invasive squamous cell carcinoma of the cervix. She is found to
have minimal microscopic stromal invasion that is confined to the cervix. What is the most appropriate
treatment option?
A) Simple hysterectomy B) Radical hysterectomy
C) Radiotherapy D) Combination chemotherapy

13) A 30 years old lady with infertility with bilateral tubal block at cornua comes to OPD. Best method of
management is :
A) Laparoscopy & Hysteroscopy B) Hydrotubation
C) IVF D) Tuboplasty

14) A 57-year-old menopausal patient presents to your office for evaluation of postmenopausal bleeding.
She is morbidly obese and has chronic hypertension and adult onset diabetes. An endometrial sampling done
in the office shows complex endometrial hyperplasia with atypia, and a pelvic ultrasound done at the
hospital demonstrates multiple, large uterine fibroids. Which of the following is the best treatment option for
this patient?
A) Myomectomy B)Total abdominal hysterectomy
C) Oral contraceptives D)Uterine artery embolization

15) "A PP nurse is assessing a mother who delivered a healthy newborn infant by C-section. The nurse is
assessing for signs and symptoms of superficial venous thrombosis. Which of the following signs or
symptoms would the nurse note if superficial venous thrombosis were present?
A) Paleness of the calf area B) Enlarged. hardened veins
C) Coolness of the calf area D) Palpable dorsalis pedis pulses

16)Which specific intervention is included by the nurse in the plan during the first 12 hours following the
delivery of this client? A nurse is developing a plan of care for a PP woman with a small vulvar hemato
A) "Assess vital signs every 4 hours B) Inform health care provider of assessment findings
C) Measure fundal height every 4 hours D) Prepare an ice pack for
application to the area.

17) "A woman is admitted in gynaeology ward with the diagnosis 3rd degree Uterine prolapse with rectocele.
Which type of surgery can be performed for this patient to correct the disorder?
A) Le Fort repair B) Fothergill's operation
C) Manchester operation D) Sling surgery

18) A 58-year-old woman is seen for evaluation of a swelling in her right vulva. She has also noted pain in
this area when walking and during coitus. At the time of pelvic examination, a mildly tender, fluctuant mass
is noted just outside the introitus in the right vulva in the region of the Bartholin gland. Which of the
following is the most appropriate treatment?
A) Marsupialization B) Administration of antibiotics
C)Surgical excision D) Incision and drainage