Question 1

Which of the following best describes the WHO definition of maternal death?

Accepted Answer

Death of a woman while pregnant or within 42 days of termination of pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes.

Question 2

Which of the following is a direct cause of maternal mortality?

Accepted Answer

Pre-eclampsia

Question 3

A 28-year-old woman is 10 weeks pregnant. Which hormone is primarily responsible for maintaining her pregnancy at this stage?

Accepted Answer

Progesterone produced by the corpus luteum

Question 4

Which of the following is the correct order of evidence strength in evidence-based medicine, from highest to lowest?

Accepted Answer

Meta-analysis and systematic review, randomized double-blinded control trial, cohort study, expert opinion

Question 5

Which of the following statements about cholesterol is correct?

Accepted Answer

Cholesterol is also a constituent of bile salt used in digestion to facilitate absorption of fat-soluble vitamins A, D, E, and K.

Question 6

Which of the following is an example of secondary prevention in health care?

Accepted Answer

Screening for breast cancer and cervical cancer in at-risk populations

Question 7

A woman with a BMI of 38 and a history of epilepsy is planning pregnancy. What is the recommended dose of folic acid supplementation for her?

Accepted Answer

$$5\,\mathrm{mg}$$ once a day

Question 8

Which physiological change is most responsible for the 'physiological anemia of pregnancy'?

Accepted Answer

Plasma volume increases more than red cell volume

Question 9

Which of the following best describes the process of capacitation in sperm?

Accepted Answer

A series of changes in the female reproductive tract that enable sperm to fertilize the oocyte without altering their ultrastructure

Question 10

A pregnant woman is found to be Rh-negative and her partner is Rh-positive. What is the main purpose of administering anti-D immunoglobulin after a sensitizing event?

Accepted Answer

To prevent the mother from developing antibodies against Rh-positive fetal cells

Question 11

Which hormone is primarily responsible for relaxing pelvic ligaments and increasing the number of oxytocin receptors in the uterus during pregnancy?

Accepted Answer

Estrogen

Question 12

Which of the following is a common complication in the first trimester of pregnancy?

Accepted Answer

Miscarriage

Question 13

Which of the following best explains why glucose levels are higher in the blood during pregnancy?

Accepted Answer

Insulin resistance increases due to high levels of cortisol, progesterone, estrogen, and hPL

Question 14

Which of the following is a key function of the placenta?

Accepted Answer

Endocrine, immunological, nutrition, and excretion

Question 15

A woman presents with amenorrhea, breast tenderness, and nausea. Which test is most sensitive for confirming early pregnancy?

Accepted Answer

Serum beta-hCG test

Question 16

Which of the following is the correct formula for calculating cardiac output?

Accepted Answer

$$	ext{Cardiac Output} = 	ext{Stroke Volume} 	imes 	ext{Heart Rate}$$

Question 17

Which of the following is a recommended intervention to reduce the risk of neural tube defects?

Accepted Answer

Folic acid supplementation prior to and during early pregnancy

Question 18

Which of the following best describes the process of meiosis in human gametogenesis?

Accepted Answer

A diploid cell undergoes two rounds of division to yield four haploid gametes

Question 19

Which of the following is a barrier to accessing adequate prenatal care?

Accepted Answer

Distance from care

Comprehensive Study Notes on Reproductive and Maternal Health

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