Perinatal health

Question 1

Age:

Answer 1

Advanced maternal age > 40 years increases maternal mortality.
Risk of medical conditions and fetal chromosomal abnormalities rises with advancing maternal age.

Question 2

Grand Multiparity:

Answer 2

Grand multiparity is having more than 5 births.
Risks include anemia, unstable lie, ruptured uterus, PPH, and cervical cance

Question 3

Poor Obstetric History:

Answer 3

Conditions requiring referral: repeated miscarriages, stillbirths, congenital abnormalities, preterm labor, severe birth asphyxia, eclampsia.

Question 4

EDD Calculation:

Answer 4

Naegele’s rule, adding 7 days to LMP.

Question 5

Advanced maternal age is considered a risk factor for increased maternal mortality, especially in women older than:
a) 25
b) 30
c) 35
d) 40

Answer 5

40

Question 6

Grand multiparity refers to:
a) Having multiple husbands
b) Having more than 2 children
c) Having more than 3 children
d) Having more than 5 births

Answer 6

d) Having more than 5 births

Question 7

Which of the following is NOT a condition that requires referral due to poor obstetric history?
a) Repeated miscarriages
b) Previous preterm labor
c) One previous live birth
d) Previous congenital abnormality

Answer 7

C

Question 8

Gestational age can be assessed by all of the following methods EXCEPT:
a) Last normal menstrual period (LNMP)
b) Abdominal palpation
c) Quickening
d) Ultrasound scan

Answer 8

c) Quickening