Test Papers / Previous Question Papers of Indira Gandhi National Open University HS3T1 Paediatric Nursing December 2006

Post Basic Bachelor of Science (BSc)
NURSING
Term-End Examination

HS3T1: Paediatric Nursing

Time: 3 hours
Maximum Marks: 70

Note : Answer all the five questions.

December 2006

1. (a) State the differences between growth and development.

(b) Describe the factors influencing growth and development of a child.

(c) Explain why is it important for a nurse to study growth and development. (3+6+6=15)

2. (a) Define the term Congenital Diaphragmatic Hernia.

(b) List down the signs and symptoms of CDH

(c) Describe the pre-operative and post-operative nursing care of a baby with CDH.

(d) List any four congenital anomalies that require immediate intervention. (7+4+8+2=15)

3. Ritu, six years old, has been admitted in Paediatric Ward with the complaints of dyspnoea, tachypnoea, frequent respiratory infections and feeding difficulty. She has been diagnosed as a case of congenital acyanotic heart diiease i.e. ventricular septal defect (VSD)

(a) List the differences between cyanotic and acyanotic heart disease with suitable examples.

(b) Explain the altered haemodynamics of ventricular septal defect.

(c) Describe the nursing management of Ritu using nursing process (4+4+7=15)

4. Raju, four years old, is admitted in the Paediatrlc Ward with manifestation of enlarged hydrocephalus.

(a) Explain the term Hydrocephalus

(b) Describe with reasons the pathophysiology of hydrocephalus.

(c) Describe the priority based post-operative nursing management of Raju.

(d) What health education will you give to the parents of Raju for home care at the time of discharge? (2+4+5+4=15)

5. Fill in the blanks: (1x10:10)

(a) Death occurring after 28 weeks of fetal life and within 7 days after birth of the child is called as __ death.

(b) The growth spurt of puberty stops at ____ years in boys and at ____ years in girls.

(c) The expected ability of personal independence and social responsibility is known as ____ behaviour.

(d) Bed wetting during sleep is called a ____

(e) In infants the Moro's reflex can be seen between ___ to ___ months of life.

(f) The babies born with less than 10th percentile of the main weight for their gestational age are called ___.

(g) The head circumference of a normal newborn baby is between ___ cms to ____ cms.

(h) Abnormal decrease in the size of red blood cells is known as ___.

(i) Nephrotic syndrome is characterised by proteinuria, hyperlipidemia and ______

(j) A sac-like protrusion in the lumbar does not contain nerve tissue is known as ____