ANC Case Questions

SOCIODEMOGRAPHIC

1. What is the relevance of asking details like age, religion, marital status, education, occupation, address, migrant/native?

2. What is the legal age of marriage?

3. Why is it important to know the age of marriage?

4. Why is it important to ask about the age at first pregnancy?

5. How do you calculate expected due date of delivery(EDD)?

ADDICTIONS 

1. Why should you ask about addictions in a pregnant woman?

2. In a pregnant woman is it important to ask about addictions in the husband? Why?

SOCIO-CULTURAL PRACTICES

1. List common socio-cultural practices pertaining to pregnancy, delivery and infant feeding practices.

WEIGHT GAIN

1. What is the importance of recording weight?

2. How much weight gain occurs during pregnancy?

3. When would you say weight gain is poor during pregnancy?

4. What could be the consequences of poor weight gain?

5. When would you say the weight gain is excess?

6. What does excess weight gain in pregnancy indicate?

7. What advice will you give a woman who is not gaining adequate weight?

8. What advice will you give a woman who has excess weight gain?

HEIGHT

1. When is a pregnant woman considered to be short-statured?

2. Why is short stature a risk factor?

HYPERTENSIVE

1. What is the importance of recording BP of the pregnant woman?

2. When would you label a pregnant woman as hypertensive?

3. What is the significance of high blood pressure?

4. Is oedema of the legs a normal manifestation of pregnancy?

5. What could be the causes of oedema in a pregnant woman?

6. When is oedema in a pregnant woman considered abnormal?

7. What are the causes of non-pitting oedema in a pregnant woman?

ABDOMINAL EXAMINATION

1. How is an abdominal examination done in a pregnant women?

2. How to determine gestational age based on fundal height?

3. If the gestational age on examination turns out to be LESS than the period of amenorrhoea, what does it indicate?

4. If the gestational age on examination turns out to be MORE than the period of amenorrhoea, what does it indicate?

FOETAL HEART SOUNDS

1. When are foetal heart sounds audible?

2. How much is the normal foetal heart rate?

FOETAL MOVEMENTS

1. When are foetal movements felt by the mother?

2. How should a pregnant woman count the foetal movements?

COMPLICATIONS IN PREGNANCY

1. List common complications in pregnancy.

2. List criteria for high risk pregnancy.

INVESTIGATIONS IN ANC PERIOD

1. Which Investigations are commonly done and State its relevance?

2. Which kit is made available by Govt of India to diagnose pregnancy?

MANAGEMENT

1. List the pharmacological treatment in a pregnant woman.

2. List the non-pharmacological advice that you would like to give.

IRON AND CALCIUM SUPPLEMENTATION

1. When is a pregnant woman said to be anaemic?

2. What is the difference between IFA therapeutic and Prophylactic doses?

3. Give details of the therapeutic dose of IFA to be administered?

4. In which trimester is IFA prophylaxis started during pregnancy?

5. If Hb is between 7 to 11 g%, and the woman is in the third trimester, how would you manage?

6. Is Albendazole given during pregnancy?

7. What is the strength of the IFA tablet used in pregnancy?

8. List the points to be included while counselling women on IFA.

9. What is the strength of calcium tablets used in pregnancy?

10. What is the dosage schedule of IFA and Calcium Supplementation during pregnancy?

11. What is the number of days IFA and Calcium should be taken during pregnancy

IMMUNISATION AGAINST TETANUS

1. How many doses of Tetanus Toxoid (TT/Td)  should a  pregnant woman receive?

2. Mention dose and route of administration of TT/Td?

3. When does a pregnant woman receive one injection Td as compared to the routine two doses of Td.

4. When is Tetanus Toxoid administered ideally in pregnancy?

5. What if a pregnant woman who has come for delivery is UNIMMUNISED?

SYPHILIS MANAGEMENT

1. How to manage a pregnant woman with Secondary syphilis?

2. How to manage a pregnant woman with Tertiary Syphilis?

3. How to manage a baby born to a woman with Syphilis?

Rh INCOMPATIBILITY

1. What does Rh incompatibility / Rh iso-immunization mean?

2. How is Foetal haemolysis clinically present?

3. If a woman is Rh negative, what will you do?

ANC VISITS

1. What is the ideal time for ANC registration?

2. Why is EARLY registration for ANC care important?

3. How often should a pregnant woman visit the clinic?

4. What is the minimum number of ANC visits every pregnant should make?

5. What advice will you give a pregnant woman about antenatal care

DIET DURING PREGNANCY

1. What advice would you give on diet to the pregnant woman?

2. What is the additional nutritional requirement in pregnancy (Calories, Calcium, Iron)?

3. Name some prepared or cooked food items that are rich in iron and calcium.

REST IN PREGNANCY

1. How many hours of rest does a pregnant woman need?

2. Why should a pregnant woman lie on the left lateral side?

SEX DURING PREGNANCY

1. Should sexual intercourse be restricted during pregnancy?

BREASTFEEDING

1. What points should be included in counselling on breastfeeding?

DRUGS CONTRAINDICATED IN PREGNANCY

1. Name drugs that have serious side effects during pregnancy.

WARNING SIGNS DURING PREGNANCY

1. List the warning signs on which you would educate a pregnant woman

NATIONAL HEALTH PROGRAMMES

1. List the benefits that a pregnant woman receives under the various government schemes/yojanas/national health programme.