Midwifery and Obstetrical Nursing Practice Questions 6/2025: Day 160

Ace NORCET & RRB 2025

Preparing for NORCET, RRB, KGMU, SGPGI, DSSSB, or JIPMER in 2025? Day 160 at logyanlo.in offers a comprehensive Midwifery and Obstetrical Nursing Question Bank covering Abortion, Medical Termination of Pregnancy (MTP), Ectopic Pregnancy, Molar Pregnancy, and Chorionic Villi Sampling. These exam-focused points ensure you master essential concepts for nursing exams. Dive into our Test Series to excel in your preparation!

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Why Midwifery and Obstetrical Nursing Matters

Midwifery and Obstetrical Nursing is vital for nursing exams:

• Covers critical areas like pregnancy complications and diagnostic procedures.
• Tests knowledge of conditions such as abortion, ectopic pregnancy, and molar pregnancy.
• Prepares you for maternal and fetal care roles in clinical settings.
  Our Test Series at logyanlo.in ensures your 2025 success with targeted practice!

Key Topics in Midwifery and Obstetrical Nursing

Abortion

Quick Fact

Abortion is the termination of pregnancy before fetal viability, often before 20 weeks.

Complete Coverage

• Definition: Loss of pregnancy before 20 weeks or fetal weight <500 g, spontaneous or induced.
• Types: Spontaneous (miscarriage), threatened, inevitable, incomplete, complete, missed, septic.
• Threatened Abortion: Vaginal bleeding, closed cervix, viable fetus; may progress or resolve.
• Inevitable Abortion: Bleeding, cramping, open cervix; pregnancy cannot be sustained.
• Incomplete Abortion: Partial expulsion of products of conception; retained tissue causes bleeding.
• Complete Abortion: All products expelled; cervix closes, bleeding stops.
• Missed Abortion: Fetal death without expulsion; no symptoms until diagnosed via ultrasound.
• Diagnostics: Ultrasound (fetal viability), hCG levels (declining in non-viable pregnancy), pelvic exam.
• Symptoms: Vaginal bleeding, cramping, lower abdominal pain, passage of tissue.
• Complications: Hemorrhage, infection (septic abortion), disseminated intravascular coagulation (DIC).

Medical Termination of Pregnancy (MTP)

Quick Fact

MTP is the intentional termination of pregnancy using medical or surgical methods.

Complete Coverage

• Definition: Induced abortion using medications or surgical procedures to end pregnancy.
• Methods: Medical (mifepristone, misoprostol up to 9 weeks), surgical (D&C, vacuum aspiration).
• Indications: Fetal abnormalities, maternal health risks, unwanted pregnancy within legal limits.
• First Trimester MTP: Up to 12 weeks; medical method preferred; misoprostol causes uterine contractions.
• Second Trimester MTP: 13–20 weeks; surgical (D&E) or medical (prostaglandins); higher risk.
• Contraindications: Ectopic pregnancy, uncontrolled hypertension, severe anemia, anticoagulant therapy.
• Diagnostics: Ultrasound (gestational age, fetal viability), blood tests (Rh factor, hemoglobin).
• Symptoms: Cramping, heavy bleeding, passage of clots post-procedure; monitored for completion.
• Complications: Incomplete abortion, infection, uterine perforation (surgical), excessive bleeding.
• Monitoring: Post-procedure ultrasound, hCG levels, vital signs to confirm complete termination.

Ectopic Pregnancy

Quick Fact

Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube.

Complete Coverage

• Definition: Implantation of embryo outside uterine cavity, typically in fallopian tube (95%).
• Sites: Fallopian tube (ampulla, isthmus), ovary, cervix, abdominal cavity (rare).
• Risk Factors: Pelvic inflammatory disease, previous ectopic, tubal surgery, endometriosis.
• Pathophysiology: Embryo growth causes tubal stretching, risking rupture and hemorrhage.
• Symptoms: Unilateral pelvic pain, vaginal bleeding, shoulder pain (referred from hemoperitoneum).
• Diagnostics: Transvaginal ultrasound (empty uterus, adnexal mass), serum hCG (abnormal rise).
• Types: Tubal, ovarian, cervical, abdominal; tubal most common, potentially life-threatening.
• Complications: Tubal rupture, hypovolemic shock, infertility, intra-abdominal bleeding.
• Lab Findings: hCG <doubling in 48 hours, low progesterone (<5 ng/mL) in non-viable pregnancy.
• Monitoring: Serial hCG, ultrasound to confirm location, hemoglobin for bleeding assessment.

Molar Pregnancy

Quick Fact

Molar pregnancy is a gestational trophoblastic disease with abnormal placental tissue growth.

Complete Coverage

• Definition: Abnormal placental development due to genetic errors during fertilization.
• Types: Complete mole (no fetal tissue, 46,XX paternal chromosomes), partial mole (abnormal fetus, triploidy).
• Pathophysiology: Trophoblastic proliferation forms cystic villi, resembling grape-like clusters.
• Symptoms: Vaginal bleeding (first trimester), hyperemesis gravidarum, uterine size > gestational age.
• Diagnostics: Ultrasound (“snowstorm” pattern in complete mole), high hCG (>100,000 mIU/mL).
• Risk Factors: Extremes of maternal age (<20, >35), previous molar pregnancy, Asian descent.
• Complications: Choriocarcinoma, persistent gestational trophoblastic disease, thyrotoxicosis.
• Lab Findings: Elevated hCG, anemia (bleeding), hyperthyroidism (hCG mimics TSH).
• Monitoring: Serial hCG post-evacuation (D&C), chest X-ray for metastasis detection.
• Prognosis: Complete mole higher risk for malignancy; partial mole rarely malignant.

Chorionic Villi Sampling

Quick Fact

Chorionic villi sampling (CVS) is a prenatal diagnostic test to detect fetal chromosomal abnormalities.

Complete Coverage

• Definition: Invasive procedure to obtain placental tissue for fetal genetic testing.
• Timing: Performed at 10–13 weeks gestation; earlier than amniocentesis (15–20 weeks).
• Methods: Transcervical (catheter through cervix), transabdominal (needle through abdomen).
• Indications: Advanced maternal age, abnormal ultrasound, family history of genetic disorders.
• Procedure: Ultrasound-guided; samples chorionic villi for karyotyping or DNA analysis.
• Diagnostics: Detects Down syndrome (trisomy 21), cystic fibrosis, Tay-Sachs disease.
• Risks: Miscarriage (0.5–1%), infection, bleeding, limb reduction defects (rare).
• Contraindications: Active vaginal infection, inaccessible placenta, maternal bleeding disorders.
• Symptoms: Mild cramping, spotting post-procedure; monitored for complications.
• Complications: Fetal loss, Rh sensitization (if Rh-negative mother), amniotic fluid leakage.

Why logyanlo.in?

Our Test Series offers:

• Free NORCET & RRB 2025 question banks tailored for midwifery and obstetrical nursing.
• Mobile-friendly tools for studying pregnancy complications and diagnostics.
• Mock tests for KGMU, SGPGI, DSSSB, JIPMER to boost your exam readiness.

Conclusion: Excel in 2025

Ace NORCET & RRB 2025 with Day 160 Midwifery and Obstetrical Nursing Question Bank at logyanlo.in. Master abortion, MTP, ectopic pregnancy, molar pregnancy, and chorionic villi sampling for exam success! Boost your preparation with our  Question Bank for more free practice.

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