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Child Malnutrition MCQ - Practice Questions with Answers

Solve 13 Child Malnutrition questions for RAS/RPSC preparation.

Practice questions

Q1Which antenatal measure is specifically aimed at reducing the risk of maternal anaemia and low birth weight?

A Iron and folic acid supplementation during pregnancy
B Delaying antenatal check-ups until the last month
C Stopping all physical activity throughout pregnancy
D Giving the newborn vitamin A immediately at birth
Explanation

During pregnancy, regular antenatal contact is used to identify nutrition risks and provide supplements. Iron and folic acid help prevent or treat anaemia, which is important because anaemia is associated with adverse birth outcomes including low birth weight.

Q2A child is now six completed months old. Which practice best prevents malnutrition from this stage onward?

A Avoid family foods until the child has all teeth
B Give only tea, biscuits and diluted milk between feeds
C Start safe, thick complementary foods while continuing breastfeeding
D Continue only breast milk until one year because it is always sufficient
Explanation

At six completed months, the child's needs start exceeding what breast milk alone can provide. Safe, age-appropriate complementary food should be introduced gradually, with breastfeeding continued so both energy and micronutrient needs are supported.

Q3Which household condition can repeatedly cause infection and thereby contribute to child malnutrition after birth?

A Unsafe drinking water and poor sanitation
B Using a growth chart at Anganwadi visits
C Keeping the child's immunization card safely
D Feeding mashed vegetables and pulses after six months
Explanation

Malnutrition after birth is not only due to lack of food. Repeated diarrhoea and infections reduce intake and absorption, so safe water, sanitation, handwashing and hygienic food preparation are important protection measures.

Q4During counselling, a pregnant woman says she takes calcium tablets at the same time as her iron-folic acid tablet. What should the worker advise?

A Stop calcium completely once iron-folic acid is started.
B Take calcium only on days when there is no meal available.
C Take calcium and iron-folic acid at different times of the day.
D Take both tablets together because they absorb better as a pair.
Explanation

Government calcium supplementation guidance advises that calcium and IFA should not be taken together because calcium reduces iron absorption. The practical protection measure is to continue both prescribed supplements but take them at separated times, along with routine antenatal follow-up.

Q5At an Anganwadi visit, a child's weight curve on the growth chart is flattening for two consecutive months. What is the most appropriate first response?

A Review feeding and illness history, counsel the caregiver, and ensure follow-up or referral as needed.
B Wait until the child looks visibly wasted before taking action.
C Advise the family to stop breastfeeding so the child feels hungrier.
D Record the weight but avoid discussing feeding practices with the caregiver.
Explanation

A flat or falling growth curve is an early warning sign. The worker should assess feeding, recent illness and care practices, counsel the caregiver, and arrange follow-up or referral when danger signs or severe malnutrition are suspected. This prevents a mild problem from becoming severe.

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More questions

6An infant has completed six months. Which advice is most suitable to prevent post-birth malnutrition?

AIntroduce thick, nutrient-dense complementary foods while continuing breastfeeding.
BContinue only breast milk until the first birthday.
CGive only tea and biscuits because they are easy to digest.
DStart animal milk only and stop breastfeeding immediately.

7Which child should be included in the routine Vitamin A supplementation programme for preventing deficiency-related health and nutrition problems?

AOnly pregnant women in the first trimester.
BOnly adolescent girls before marriage.
COnly newborns below one month of age.
DChildren from 9 months to 5 years of age.

8Which prenatal factor most directly increases the risk of low birth weight and later undernutrition in the baby?

AStarting complementary food at six completed months
BGiving colostrum within the first hour after birth
CCompleting the child's routine immunization
DMaternal iron-deficiency anaemia during pregnancy

9A child below five years has severe acute malnutrition with medical complications. Which facility-based service is meant for clinical management and nutrition care?

AOnly home weighing without any medical assessment.
BOnly distribution of biscuits without checking illness.
CAdmission and care at a Nutrition Rehabilitation Centre.
DOnly a school-based quiz on healthy food.

10For preventing postnatal malnutrition, what is the best feeding advice for a healthy infant during the first six months?

AGive honey and water along with breast milk from the first week
BGive only breast milk, without water or other foods, for six completed months
CStop breastfeeding once the child receives the first vaccine
DStart dal water and rice water from the third month

11Which feeding practice is the best protection against malnutrition in a healthy infant during the first six months after birth?

AGive water daily in summer along with breast milk.
BGive honey on the first day and breastfeed only from the third day.
CReplace night breastfeeding with thin cereal water from birth.
DStart breastfeeding within one hour and give only breast milk for six months.

12A pregnant woman asks which routine measure best protects the unborn child from nutrition-related low-birth-weight risk linked with maternal anaemia. Which advice is most appropriate?

AStart complementary feeding before birth by giving the mother diluted animal milk.
BTake the prescribed iron-folic acid tablets regularly during pregnancy.
CAvoid all pulses in the last trimester to keep digestion light.
DSkip antenatal visits if there is no visible swelling or fever.

13Which postnatal service package most directly helps prevent malnutrition caused by infections and micronutrient deficiency?

AAvoiding Anganwadi weighing because weight changes worry parents
BGiving only packaged snacks to make the child eat more often
CWithholding vaccines whenever the child has mild cough
DRoutine immunization, vitamin A supplementation, deworming when age-eligible and growth monitoring

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