Match List 1st with List 2nd and select the correct answer from the codes given below: List 1st: a. Inevitable abortion b. Tetanic contraction of uterus c. Erythroblastosis fetalis d. Oxytocin List 2nd: 1. Control of bleeding 2. Hemolytic disease 3. Rupture of uterus 4. Dilatation of cervix

1. A

   A-4, B-3, C-2, D-1

2. B

   A-2, B-4, C-3, D-1

3. C

   A-1, B-2, C-3, D-4

4. D

   A-3, B-4, C-1, D-2

Appeared in: UPPSC-2021

Explanation

• The question requires matching obstetric terms with their corresponding clinical associations.
• Inevitable abortion is defined by cervical dilatation, making pregnancy loss unavoidable.
• Tetanic uterine contractions, or hyperstimulation, are a major risk factor for uterine rupture, a severe obstetric emergency.
• Erythroblastosis fetalis is a classic example of a hemolytic disease of the newborn, caused by maternal antibodies destroying fetal red blood cells.
• Oxytocin is a primary medication used after delivery to contract the uterus and control postpartum bleeding.

Why Other Options Were Wrong

• Option B: This option incorrectly matches 'Inevitable abortion' with 'Hemolytic disease' and 'Tetanic contraction' with 'Dilatation of cervix'. These pairings are clinically incorrect.
• Option C: This option incorrectly matches all pairs. For example, it links 'Inevitable abortion' to 'Control of bleeding' and 'Oxytocin' to 'Dilatation of cervix'. While bleeding occurs in abortion, cervical dilatation is the defining feature. Oxytocin causes contraction, not primarily dilatation.
• Option D: This option incorrectly matches 'Inevitable abortion' with 'Rupture of uterus' and 'Tetanic contraction' with 'Dilatation of cervix'. These associations are incorrect.

Related Visual

Clinical Relevance

• Nursing practice connection: Knowing This question tests the knowledge of key obstetric and gynecological conditions, their complications, and management principles helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
• Recognizing these associations is critical for timely and appropriate nursing action in obstetric settings.
• For instance, identifying uterine hypertonus (tetanic contraction) during an oxytocin infusion requires the nurse to immediately stop the drug to prevent uterine rupture and fetal distress.
• Understanding that oxytocin's primary postpartum role is to control hemorrhage ensures its correct and safe administration.

How to Approach the Question

• This is a 'Match the Following' question, which tests direct recall of associations between concepts.
• First, analyze each item in List 1 individually.
• For 'a. Inevitable abortion', recall its definition. The key feature that makes it 'inevitable' is the opening of the cervix. Find 'Dilatation of cervix' in List 2. This gives a-4.
• For 'b. Tetanic contraction of uterus', think about the consequences of such a powerful, sustained contraction. It puts immense stress on the uterine wall, risking a tear. Find 'Rupture of uterus' in List 2. This gives b-3.
• For 'c. Erythroblastosis fetalis', recall its pathophysiology. It's a blood disorder where fetal red cells are destroyed (hemolysis). Find 'Hemolytic disease' in List 2. This gives c-2.
• For 'd. Oxytocin', consider its primary use in the postpartum period. It's given to make the uterus contract and prevent bleeding. Find 'Control of bleeding' in List 2. This gives d-1.

Concept Tested & Keywords

• Concept Tested: This question tests the knowledge of key obstetric and gynecological conditions, their complications, and management principles.
• Stem keywords: Inevitable abortion, Tetanic contraction of uterus, Erythroblastosis fetalis, Oxytocin
• Lead-in keywords: Match List 1st with List 2nd

Question ID

qchFtNAAHs8jemIiRpLGx

Copy ID

Reference Book

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 225-227

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 13-18