d) Explain the initial steps of resuscitation

a) Describe clinical features of cleft lip and cleft palate.

c) Prepare an Apgar scoring chart for a baby whose delivery has been attended by you during your clinical experience.

b) List the conditions which demand resuscitation alert.

a) Define Nephrotic syndrome.

b) Describe its type of TEF with the help of a diagram

c) Discuss the nursing management of child with Nephrotic Syndromne based on nursing process.

Place a tick mark () against the most appropriate answer given under each statement
a)   Non-bilious projectile vomiting is characteristic feature of:
i)    Hirschprung’s disease.
ii)   Congenital hypertrophy pyloric stenosis
iii)  Intussuception
iv)  Anorectal malformation.

b) Hypospadias is the most common congenital anomaly of the penis in which:
i.   Urethral opening is situated on the dorsal portion of the urethera
ii.   Water filled cyst is found in front of the testis
iii.  Urethral opening is situated on the ventral side of the shaft of the penis
iv.  Abnormal urinary stream and dribbling

c) Whooping cough is highly contagious and present with following clinical feature:-
i.   Koplik spots
ii.  Formation of membrane and severe toxemia
iii.  Lock jaw
iv.  Severe cough at night, chocking and vomiting makes the child red and tired

d) Diabetes insipidus is
i.   Failure of the body to conserve water
ii.  Disorder of glucose intolerance caused by deficiency in insulin production and action.
iii. Autosomal - dominant disorder in which there is formation of abnormal insulin having decreased biologicalactivity.
iv. Failure of body to Excrete water

e) Galactosemia is characterized by:
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i)   Presence of hepatic enzyme galactose –I phosphate
ii)   Absence of uridine transferase and galactose
iii)   Presence of galactose and uridine transferase
iv)   Absence of hepatic enzyme galactose-I phosphate, uridine transferase