Maternal Health & Antenatal Care

1.Rema aged 30 presents to your OPD with tiredness. She is now 28 weeks pregnant. On investigation her Hb is found to be 5g/dl.

• a) What is the diagnosis
• b) How will you manage this patient
• c) What is the WHO classification of this disease
• d) What are the complications of this condition
• e) How will you prevent such cases in the community A study to assess the risk factors of anemia among adolescent girls is to be undertaken in a
• f) PHC area..
• g) Suggest an appropriate study design.
• h) List the steps of conducting this study design
• i) What are the advantages of this study design
• j) Classify epidemiological study designs
• k) Is it possible to establish a cause effect relationship
• l) List the bias/biases involved in this study

2.What advice will you give to a group of pregnant mothers on how to take care of themselves during pregnancy

3.You are the medical officer in a primary health centre located in a remote rural community. A pregnant lady presents to you, claiming to be 6 months pregnant, this is her first visit to a health centre. In this context, answer the following questions:

• a) List and briefly describe the components of essential obstetric care.
• b) List and briefly describe the components of birth preparedness.
• c) How could this lady benefit from the provisions of the janani suraksha yojana scheme Problems

4.A 21 years old tribal woman presents to you in the 34th week of her pregnancy with a hemoglobin level of 6gm/dL. How will you handle this case

5.Eighteen years old Anisha a primi gravida comes with 4 months amenorrhea for check up. How will you proceed with clinical examination and management

6.Prepare a diet chart for a postnatal case weighing 50kg and breast feeding in a village set up

7.What are the critical factors that you consider when taking the history of a 43 years old woman who has presented to you with 8 weeks of amenorrhea. What advice you would give her

1.A primigravid mother at 4 months of amenorrhea has Hemoglobin of 9 g/dL. How would you manage the situation

1.Components of Essential Obstetric care

2.Indicators to monitor and evaluate RCH Programme

3.Services provided for the pregnant woman under RCH program

4.High risk antenatal mothers under “Risk approach for Maternal and child health”

5.Obstetric care in RCH phase II

6.“High Risk” pregnancy

7.Indicators of maternal and child health care

1.Classical triad of Congenital rubella syndrome includes all the following except

• a) Deafness
• b) Hydrocephalus
• c) Cataract
• d) Congenital heart disease

2.Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission

• 1) For promoting institutional delivery
• 2) Integrates cash assistance with delivery and post-delivery care.
• 3) Women are provided with absolutely free and no expense delivery, including caesarean section
• 4) The Yojana has identified Accredited Social Health Activist (ASHA) as an effective link between the
• a) 1 and 2 are correct
• b) 1, 2 and 4 are correct
• c) 1, 2 and 3 are correct
• d) 1 and 4 are correct

3.Registration of all pregnant woman before 12 weeks is to

• 1) Assess the health status of mother
• 2) screen for risk factors early
• 3) Obtain base line information on blood pressure hemoglobin and weight
• 4) Manage risk factors and refer to FRU/district hospital
• a) 3, 4 are correct
• b) 1, 3 are correct
• c) 2, 3, 4 are correct
• d) 1, 2, 3, 4 are correct

4.What is the recommended timings to insert an IUCD (Intra Uterine Contraceptive Devise)

• 1) Within seven days of the beginning of last menstrual period or anytime during the menstrual cycle
• 2) Immediately or within 48 hours after delivery
• 3) More than 6 weeks post partum.
• 4) After one week post partum.
• a) 1 and 2 are correct
• b) 1, 2 and 4 are correct
• c) 1, 2 and 3 are correct
• d) 1, 3 and 4 are correct