NATIONAL OPEN UNIVERSITY OF NIGERIA
14/16 AHMADU BELLO WAY, VICTORIA ISLAND, LAGOS
SCHOOL OF SCIENCE AND TECHNOLOGY
MARCH/APRIL 2014 EXAMINATION
COURSE CODE: NSS 324
COURSE TITLE: MATERNAL AND CHILD HEALTH II
TIME ALLOWED: 3 HOURS
INSTRUCTION: ANSWER ONLY 5 OUT OF 7 QUESTIONS
1 a Match the items in group 1 with the most appropriate item in group 11 10mks
| S/N | Group 1 | Group 11 | |
| 1 | Dry gangrene………………… | A | Imperforate anus |
| 2 | Immunity ……………… | B | Haemolytic disease |
| 3 | Lanugo …………………… | C | Umbilical cord stump |
| 4 | Hyperbilirubinaemia…………… | D | Prematurity |
| 5 | Loose offensive stool stool………… | E | Breast feeding |
| 6 | Absence of stool…………… | F | White spots |
| 7 | Barlow ………………………… | G | Gastro enteritis |
| 8 | Lactose ………………………… | H | Underfed baby |
| 9 | Milia ……………………………… | I | Artificial fed baby |
| 10 | Hypoxia ……………………… | J | Intra cranial injury |
| K | Congenital dislocation of hip | ||
| L | Protein in Cow,s milk | ||
1.b Complete the following section of the chart 10 mks
| Sign | 0 | 1 | 2 | |
| 1 | Heart rate | Absent | ||
| 2 | Respiratory rate | Slow and irregular | ||
| 3 | Muscle tone | Active | ||
| 4 | Colour | Pale or blue | ||
| 5 | Reflex response | Grimace |
2. Explain briefly the physiological adaptation the neonate has to make at birth in the following 5 mks each( 20mks)
a. Thermal Adaptation
b. Digestion
c. Elimination
d. Urinary System
3 Describe the care of the newborn in the following area 5mks each =10mks
a. Maintenance of Warmth
b. Protection from infection and injuries
c. Complete the following 2mks each
a. The newborn baby,s thermo constant environment in the uterus is ……
b. At birth heat loss in the newborn is mainly from the head is about ……..
c. Heat loss occurring through contact with cold surface is called…….
d. The baby has the capacity to generate heat only by ……………..
e. The most common reason for failure to establish respiration at birth is ……
f. Late administration of pain relief during first stage of labour adversely affects the baby……………
g. Breast feeding should be established within ………….of birth
h. The most important immunoglobulin found in the colostrums is………….
i. The main function of Vitamin E present in the breast milk is to …………..
4. Describe the conduct of 5 Neurological Test and reflexes on the newborn 20mks
5. Discuss the factors that affect child’s growth and development 20mks
6 Baby Ibrahim with Apgar score 10 was delivered a few hours ago
Explain in details the following in the care of Baby Ibrahim 10mks each
Observation and Recording
Education of Mother
7. Write briefly on the following 5mks each
a. Understanding Language
b. Development of Teeth Eruption and shedding
c. Composition table of colostrums and Breast Milk
d. Essentials for successful Lactation
You can get the exam summary answers for this course from 08039407882
Check anoda sample below
