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Care During Pregnancy MCQ - Practice Questions with Answers

Solve 13 Care During Pregnancy questions for RAS/RPSC preparation.

Practice questions

Q1At an antenatal visit, which routine check most directly supports early detection of hypertension, anaemia, and urinary abnormalities in pregnancy?

A Blood pressure measurement along with blood and urine examination at the visit.
B Only abdominal palpation, because laboratory tests are needed only during labour.
C Only recording the expected date of delivery, because it determines all clinical risk categories.
D Only asking whether the woman feels well, because symptoms appear before every major complication.
Explanation

Routine ANC is meant to detect risks before they become emergencies. The MCP Card specifically asks for blood pressure to be checked and blood and urine to be examined at each visit, while NHM's ANC package includes physical examination, Hb estimation, urine investigation, and screening for conditions such as gestational diabetes. Therefore, objective measurement and testing are central to safe antenatal care.

Q2Under Pradhan Mantri Surakshit Matritva Abhiyan, which statement correctly describes the service for pregnant women?

A It provides postnatal care only after institutional delivery
B It is limited to vaccination of newborn children
C It replaces routine ANC visits, so other check-ups are stopped
D Assured comprehensive antenatal care is provided on the 9th of every month for women in the second and third trimesters
Explanation

PMSMA should be understood as a quality-ANC strengthening measure. The official NHM description states that assured, comprehensive antenatal care is provided universally to pregnant women in the second and third trimesters on the 9th of every month. It also supports identification and follow-up of high-risk pregnancies, rather than replacing routine care.

Q3During an antenatal home visit, an ANM finds that a pregnant woman has gained more than 3 kg in the last month. Under standard antenatal guidance, this pattern should first raise suspicion of which condition or situation?

A Normal expected weight gain after the first trimester
B Possible pre-eclampsia, multiple pregnancy or diabetes
C A sign that calorie intake is too low
D Confirmation that the fetus is macrosomic
Explanation

Antenatal weight monitoring is not only for total pregnancy gain; the monthly pattern matters. Standard NHM skilled-birth-attendance guidance notes that normal total gain is roughly 9-11 kg, with about 2 kg per month after the first trimester. A gain above 3 kg in one month should make the worker check for pre-eclampsia, twins or diabetes rather than dismiss it as routine.

Q4A woman in her second trimester is advised to attend Pradhan Mantri Surakshit Matritva Abhiyan services. Which statement correctly describes the programme feature most relevant to her?

A It replaces all routine ANC contacts, so no other check-up is needed during pregnancy.
B It is a postnatal-only service meant for newborn immunization after delivery.
C It provides fixed-day assured comprehensive antenatal care in the second and third trimesters on the 9th of every month.
D It is available only for women who have already developed labour pains.
Explanation

PMSMA is a fixed-day ANC initiative for pregnant women in the second and third trimesters, held on the 9th of every month at designated government facilities. Its package includes specialist check-up and investigations, and it supports identification and follow-up of high-risk pregnancies. It should be understood as an added quality ANC contact, not a substitute for all routine care.

Q5For judging whether a pregnant woman has received the minimum routine antenatal care package under NHM guidance, which combination is most appropriate?

A Monthly visits are compulsory only after the expected date of delivery is crossed.
B Only two visits, one for tetanus vaccination and one for delivery referral.
C At least four antenatal check-ups, with pregnancy registered within the first trimester.
D One visit in the ninth month, provided institutional delivery is planned.
Explanation

NHM describes quality antenatal care as including at least four ANC visits, early registration, and the first ANC within the first trimester. The MCP guidebook similarly stresses registration within 12 weeks for timely identification of danger signs and complications. Therefore, a woman with only late or isolated contacts has not received the minimum routine ANC package.

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More questions

6A pregnant woman reports reduced fetal movement along with labour-like pain before 37 weeks. What is the appropriate classification and action by a frontline worker?

APregnancy danger sign; arrange immediate referral to an FRU or hospital
BMinor nutritional complaint; provide extra food supplementation only
CNormal discomfort; advise rest at home and review after one week
DExpected sign of the third trimester; no referral is needed

7A pregnant woman in her second trimester is receiving both IFA and calcium tablets. Which counselling is most appropriate?

ATake IFA daily from the second trimester and keep a gap from calcium tablets
BTake calcium and IFA together to reduce the number of tablets
CStop IFA once calcium tablets are started
DUse IFA only after delivery because pregnancy iron needs are low

8In maternal and child protection work, what is the best use of the MCP card during pregnancy?

AA prescription pad used only by a specialist doctor
BA counselling and tracking tool for antenatal visits, services, immunization and growth monitoring
CA card used only to record the child's school admission details
DA one-time proof that no further antenatal visit is required

9Which set best represents the routine checks that should be recorded at every antenatal visit to monitor maternal and fetal well-being?

AOnly ultrasound in the third trimester
BOnly abdominal height and fetal sex determination
CWeight, blood pressure, haemoglobin test and urine test for sugar and protein
DWeight measurement only at registration

10During counselling at an antenatal clinic, which advice best reflects the MCP Card guidance on monitoring weight gain in a normal pregnancy?

ACheck weight at every visit, expect total gain of at least 9-11 kg, and at least 1 kg per month in the last six months.
BCheck weight only in the first trimester because later gain mainly reflects fetal growth and is not useful for risk detection.
CAdvise no weight gain after the first trimester if the woman has mild swelling of the feet.
DRecord weight only at the ninth month because the birth weight can then be estimated more accurately.

11As per the MCP Card counselling schedule, which advice about tetanus protection during pregnancy is correctly stated?

ANo tetanus injection is needed if the woman plans delivery in a hospital.
BBoth doses should be delayed until after delivery to avoid affecting fetal growth.
CThe second dose is given only if the baby is low birth weight on ultrasound.
DGive the first dose when pregnancy is confirmed and the second dose after one month; give only one dose if adequately vaccinated within the previous three years.

12What is the best description of the Mother and Child Protection Card in maternal and child health work?

AA document used only by hospitals to issue the birth certificate after delivery.
BA tool for documenting and monitoring antenatal, intranatal and postnatal care, along with immunization and growth monitoring of infants.
CA register meant only for recording the family income of eligible pregnant women.
DA nutrition coupon used only for supplementary food distribution at the Anganwadi Centre.

13Which set should be treated as danger signs in pregnancy requiring immediate referral or urgent facility care?

AOccasional backache after work, mild constipation, and preference for sour foods.
BVaginal bleeding, convulsions, severe headache with blurred vision, or decreased fetal movements.
CMild nausea in early morning, increased appetite, and darkening of the areola.
DFrequent urination without fever, normal fetal movements, and mild breast tenderness.

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