Maternal Health

Question 1

Trimesters

Answer 1

1st- 12wk
2nd-. 13-27wk
3rd-. 28-40wk

Question 2

Prenatal visits

Answer 2

28wk- every 4 wk
28-36wk- every 2 wk
Until delivery- weekly

Question 3

Social and environmental factors that affect the reproduction

Answer 3

Age of marriage
Age of child bearing
Birth spacing (less fertility)
Family size
Religion
Level of education
Economic status
Customs and believes
Role of women in society

Question 4

Minimum examination during pregnancy

Answer 4

4

Question 5

Investigation for high risk pregnancy

Answer 5

Blood group
Hb (<10g %)
TORCH infections
HIV
Diabetes
Renal disorders
Ultrasound for gestational age

Question 6

Prevention of high risk pregnancy

Answer 6

Iron folic acid (IFA) supplement
Nutritional supplement
Weight gain during pregnancy
Adequate spacing during pregnancy
Motivation to adopt

Question 7

Complication in ultrasound for gestational age

Answer 7

Bleeding per vagina(antepartum haemorrhage)
Excessive vomiting
Hypertension
Proteinuria
Severe anaemia
Abnormal wt gain
Hydramnios
Oligohydramnios
Preterm labour
Pre eclampsia
Eclampsia

Question 8

Calorie requirement in pregnancy

Answer 8

Pregnancy -extra 350 cal
Lactation -extra 550 cal

Question 9

Sleep shcedule recommended for pregnants

Answer 9

2 hours after lunch + 8 hours at night

Question 10

Fetal alcohol syndrome

Answer 10

Intrauterine growth retardation
Developmental delays

Question 11

Smoking in pregnancy

Answer 11

Low birth wt
Increased risk of perinatal death

Question 12

Drugs prohibited during pregnancy

Answer 12

Thalidomide - seal limb deformity
LSD - chromosomal damage
Streptomycin - 8th /vestibulocochlear nerve damage
Sex hormone - virilism
Tetracyclin - bones and enamel growth affected
Corticosteroid - impaired foetal growth
Anaesthetics - depressant effect, delays respiration onset
Iodine prep - congenital goitre

Question 13

Warning signs and symptoms in pregnancy

Answer 13

Feet Odema
Convulsions
Bleeding/discharge per vagina
Blurring of vision
Severe headache
Giddiness
Loss of foetal movement

Question 14

Direct causes of Maternal death

Answer 14

Haemorrhage
Infection/sepsis
Eclampia
Obstructed labour
Unsafe abortion
Ectopic pregnancy
Embolism
Intervention

Question 15

Indirect causes of maternal death

Answer 15

Anaemia
Malaria
TB
Hepatitis
HIV/AIDS
Endocrine disease
CVS disease

Question 16

Janani Suraksha Yojana (JSY)
12th April ,2005

Answer 16

National maternal benefit scheme modified
Safe motherhood intervention

Reduce infant and MMR.
Encourage institutional delivery.
Institutional care of women below poverty line.
Cash assistance
High performing states benefits rural + urban women (upto 2 live births).
Women with 3rd child who chooses to undergo permanent sterlization in which she delivered.
Subsidize cost of caesarean section + obstetrics management (upto rs.1500 in govnt facility)
ASHA worker as linkage , gets cash benefits (escort to health centre).

Question 17

Programmes for maternal health

Answer 17

Janani suraksha yojana
Janani shishu suraksha karyakram
Mother and child tracking system
Pradhanmantri matrutva suraksha yojana.
Emergency obstretric services
Family planning services
Preconception + prenatal diagnostic techniques.

Question 18

National health programme in ANC

Answer 18

RCH reproductive health care
ICDS child development services scheme.
National immunization program
National anaemia prophylaxis program.
Janani suraksha yojana
Janani shishu suraksha karyakram
Pradhan matri matritva suraksha yojana.
Vante matram scheme

Question 19

Puerperium

Answer 19

First 6 weeks after delivery /childbirth

Question 20

Complications of puerperium

Answer 20

Puerperal sepsis
Urinary tract infection
Breast infection
Venous thrombosis
Pulmonary thromboembolism
Puerperal haemorrhage
Incontinence in urine
Psychiatric disorders