National Maternal-Child Health Programs — Practice

Question 1

Which is the leading direct cause of maternal death in India?

Accepted Answer

B

Question 2

How many registered medical practitioners must give an opinion for termination at 22 weeks in an eligible woman?

Accepted Answer

B

Question 3

Which function distinguishes comprehensive from basic emergency obstetric care?

Accepted Answer

C

Question 4

Under Janani Shishu Suraksha Karyakram, which is NOT provided free to a pregnant woman in a public facility?

Accepted Answer

D

Question 5

A couple ask a radiologist to reveal the fetal sex, stating they will not terminate. What is the legal position?

Accepted Answer

B

Question 6

Why did institutional delivery rates rise sharply after Janani Suraksha Yojana without a proportionate fall in maternal mortality?

Accepted Answer

Because the scheme addresses the second delay and maternal deaths are also caused by the third. A conditional cash transfer changes where a woman delivers by removing the financial disincentive to travel, and it did so effectively, with institutional delivery rising substantially across the country.

But arriving at a facility only helps if that facility can perform the interventions that save lives. A woman with a postpartum haemorrhage needs blood, and a woman with obstructed labour needs a caesarean section, and both require infrastructure that many facilities receiving these deliveries did not have.

Delivering in a health centre with no blood bank, no operating theatre and no doctor overnight converts a home death into a facility death without changing the outcome. This is exactly why later programmes such as LaQshya, Dakshata and the designation of First Referral Units shifted the emphasis from where women deliver to what the facility can actually do, and why respectful care matters, since women who are treated badly do not come back.

Question 7

A fetal anomaly incompatible with life is detected at 27 weeks. What is the correct pathway?

Accepted Answer

C

Question 8

A woman at 32 weeks has a haemoglobin of 7.8 g/dL. Why is intravenous rather than oral iron preferred?

Accepted Answer

B

Question 9

Why is maternal death review deliberately structured as a non-punitive process?

Accepted Answer

B

Practice — National Maternal-Child Health Programs

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