Maternal Health

Question 1

Vaccines for pregnant mother

Answer 1

Tb
Whooping cough
Diptheria
Tetanus
Hep B
H influenzae type B
JE
Measles
Polio

Question 2

Identification of at risk baby

Answer 2

Low birth weight less than 2500 grams
Weight below < 70 pervent expected weight
Failure to gain weight in 3 months
Pem! Diarrhoea
Birth order 5
Twins or more
Artifical fed child
Working mother, single parent

Question 3

Causes of low birth weight

Answer 3

Premature
Small for gestational age

Question 4

Preterm means

Answer 4

Less than 47 to 42w

Question 5

Kangaroo mother care

Answer 5

SANE
skin to skin contact x maintain body temp
Ambulatory aupport
Nutritional support
Emotional support

Question 6

How often is breastfeeding done

Answer 6

2 hourly 6 to 8 times a day

Question 7

MAA

Answer 7

MAA - vaginal delivery - within 1 hr
C section - within 4 hours
2. Exclusive breast feed for 6 months - to prevent INFECTION not about digestion
IMS act - milk substitutes feeding bottles and infant food regulation 2004 ammended - prohibition of publicity of infant feeding substitutes

Question 8

Criteria for SNCU admission

Answer 8

Low birth weight - less than 1500g
Apgar score less than 6

lungs
Persistent respiratory distress
Shock cyanotic spells
Delayed cry for more than 5 min

liver
Bile stained vomit
Severe jaundice
Severe pallor

infection
Suspected sepsis

brain
Convulsions
Seizures

Question 9

Normal post delivery visits

Answer 9

3, 7, 14, 21, 28, 42

Question 10

Rashtriya bal swasthya karyakram objectives

Answer 10

Development delay
Deficiencies
Disease - congenital
Disease of childhood
Leprosy
Tb
Congenital hypothyroidism
Sickle cell anemia
Beta thalassemia

Question 11

Rashtriya kishore swasthya karyakram objectives

Answer 11

For both boys and girls
Sathiya approach x approaching as peer
7 c
Clinics
Counselling
Communication
Content
Convergence
Care
Community

Question 12

MAA guidelines

Answer 12

Promote breast feeding in india
Normal labour - within 4 hours or asap
C section within 6 hours or asap
Exclusively for 6 months, no water, no liquid diet
TO PREVENT INFECTION

Question 13

India newborn action plan goals

Answer 13

Neonatal mortality rate - less than 10/ 1000 live births
Still birth rate - less than 10/ 1000 live births

Question 14

High risk antenatal cases

Answer 14

1. Elder primi
2. Short stature primi
3. Malpresentations - breech
4. Antepartum hemorrhage
5. Pre eclampsia and eclampsia
6. Anemia
7. Twins
8. Previous still birth, intrauterine death, manual removal of placenta
9. Elderly grand multiparas
10. Prolonged pregnancy
11. History of previous caesarean or instrumental delivery
12. Pregnancy associated diseases
13. Treatment for infertility
14. Three or more spontaneous consecutive abortions