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55. You have been called to the delivery of a 30-year-old primigravida who is pushing. The baby is in the breech position. The midwife is conducting the breech delivery and the head of the baby is trapped behind the cervix, which is only 8 cm dilated. What action will you take to deliver the head? A. Apply a forceps B. Apply Burns -Marshall technique C. Apply Mauriceau -Smellie-Veit manoeuvre D. Incise the cervix at 3 and 70' clock positions 56.You have counselled a 30-year-old primigravida at 35 weeks of gestation with a breech presentation, and she agrees to an external cephalic version You have scheduled this procedure at 36 weeks of gestation. What success rate will you give this woman? A 30% -37% B 38% -45% C 46% -55% D 56% -64% 57. In the conduct of a breech vaginal delivery, what manoeuvre should be used in delivering the arms? A. Bracht manoeuvre B. Burns-Marshall technique C. Gentle traction on the arms D. Lovset's manoevre 58. A woman died from genital sepsis that occurred at 30 weeks of gestation. What is the most common site of infection associatec with septic shock in pregnancy? A. Ascending genital tract B. Gastrointestinal C. Pharyngeal D. Urinary tract

44. A woman came to a clinic with her husband with complaint of inability to conceive for one year after unprotected I intercourse. They couples are highly concerned about conception and their health status. The laboratory investigatior results show normal semen analysis and hormonal section . Unexplainec is diagnosed for the couple. What is the priority nursing intervention for this couple? A. Provide medication to resume fertility B. Advise to reduce alcohol consumption C. Suggest alternative sources of childbearing D. Reassure the couple for psychological upset 45. A nurse provides post abortion care for a pregnant woman who has vaginal bleeding for two days. She has lower abdominal pain and small uterus for dates. Her blood pressure is 100/60 mmHg and pulse rate is 110/min the woman is diagnosed with incomplete abortion. What is the priority nursing intervention for this woman? A. Give appointment after two weeks B. Provide clear instruction on self-care C. Counsel on consumption of abortion D. Resuscitate the woman with normal saline 46. An adolescent girl with complaint of excessive menstrual bleeding for more than I a week came to a health center. She also has fainting, breast tenderness and loss of appetite. She uses more than five pads per day. Her blood pressure is 80/60mmHg pulse rate is 120/min , temperature is 37.5^circ C and her hemoglobin level is 10.0gm/dL What is the priority nursing intervention for this girl? A. Administer iron-sulfate B. Administer IV fluid C. Administer antipyretics D. Administer oral contraceptive

38. A mother, who was lactating for seven months, came to family planning clinic to take contraceptive. A nurse assessed for medical eligibility criteria and explained to her about the options, side effects and benefits of contraceptive for her . The mother preferred to take combined oral contraceptive. For which category of contraceptive the woman is eligible? A. Category 1 B. Category 2 C. Category 3 D. Category 4 39.A 26-year-old mother used Depo -Provers contraceptive for one year. She discontinued the contraceptive due to irregular bleeding , nausea, headache, and missing period. After three month of discontinuing the contraceptive, she became amenorriC. Her body mass index is 238 and blood pressure is 110/70mmHg What would be the priority side effect of discontinuing this contraceptive? A. Nausea B. Headache C. Amenorrhea D. Irregular bleeding 40. A multi-para woman came to family clinic for the service of contraceptive. She has repeated history of STI. The nurse discussed with the woman on family planning option, benefits, side effect and time to initiate the contraceptives. What is the most priority contraceptive to be recommended for this woman? A. Sino-implant B. LNG-IUD C. CU-IUD D. Injectable

38. A mother, who was lactating for seven months, came to family planning clinic to take contraceptive. A nurse assessed for medical eligibility criteria and explained to her about the options, side effects and benefits of contraceptive for her . The mother preferred to take combined oral contraceptive. For which category of contraceptive the woman is eligible? A. Category 1 B. Category 2 C. Category 3 D. Category 4 39.A 26-year-old mother used Depo -Provers contraceptive for one year. She discontinued the contraceptive due to irregular bleeding , nausea, headache, and missing period. After three month of discontinuing the contraceptive, she became amenorriC. Her body mass index is 23.8 and blood pressure is 110/70 mmHg. What would be the priority side effect of discontinuing this contraceptive? A. Nausea B. Headache C. Amenorrhea D. Irregular bleeding 40. A multi-para woman came to family clinic for the service of contraceptive. She has repeated history of STI The nurse discussed with the woman on family planning option, benefits, side effect and time to initiate the contraceptives. What is the most priority contraceptive to be recommended for this woman? A. Sino-implant B. LNG-IUD C. CU-IUD D. Injectable

41. A 24-year-old I girl went to a nearby hospital with complaint of irregular menstrual periods. She stated that her menses comes every two month apart and the amount of bleeding is also very little. What is the most likely pattern of this menstrual cycle? A. Oligomenorrhea B. Hypomenorrhea C. Menorrhagia D. Metrorrhagia 42. A 54-year-old woman with complaints of pelvic pressure sensation, backache and painful intercourse came to a gynecologic cliniC. She had urinary frequency, urgency and incontinence. On physical examination , ulcerated cervix was observed at the level of vaginal introitus. What is the most likely manifestatior used to reach the diagnosis? A. Cervix on vaginal introitus B. Pelvic pressure sensation C. Painful sexual intercourse D. Urinary incontinence 43. A 29-year-old woman came to a hospital with a complaint of lower abdominal pain that aggravates during sexual intercourse. She fear and dissatisfaction toward her sexual life . On assessment, the woman has adnexal and cervical motion tenderness.Her blood pressure is 110/70mmHg pulse rate is 78/min and temperature is 37.5^circ C What is the priority nursing diagnosis for this woman? A. Ineffective sexuality pattern B. Sexual dysfunction