*On Demand by Aspirants...!!!🌀🌀* *⭕NURSING OFFICER* *MCQ QUIZ NO: 309* *⭕Series: Maha Ratainale* *⭕Date: 11/02/2025* *⭕Sub: Community Health Nursing-23* *⭕Day: Tuesday* *1.Ans C* Perinatal period begins from 28th week of pregnancy to ending at 28 days after birth. Perinatal mortality rate: Number of stillbirths (gestation of 28 weeks or more) plus death in first 7 days of life divided by number of live births plus stillbirths. *2.Ans B* Stillbirth means the birth of a dead fetus after 22 weeks of pregnancy or fetal weight more than 500gm (death after the period of viability). It may be varying according period of viability. *3.Ans C* Neonatal mortality means the number of deaths of newborn younger than 28 days of age per 1000 live births per year. *4.Ans B* Refer MCQ No 3 *5.Ans D* Causes of neonatal mortality/morbidity in India (2016) are LBW and prematurity (most common, 43.1%), intrapartum related complication e.g., birth asphyxia (18.9%), neonatal sepsis (13.6%), congenital anomalies (11.1%), pneumonia (5.1%), diarrhea (0.7%) & other (5.9%). *6.Ans C* Refer MCQ No 5 *7.Ans B* Infant mortality rate means the number of deaths per year of infants less than 1 year of age divided by the number of live births in the same year. IMR:::No. of deaths of children less than 1 year of age in a year//Numbers of live births in the same year×1000 This is expressed as deaths per 1000 live births. *8.Ans B* Causes of IMR are low birth weight and prematurity (most common, 57%), respiratory infection (17%), diarrheal disease (4%), congenital malformation (5%), cord infection (2%), birth injury (3%) and unclassified (18%). *9.Ans A* As per SRS Bulletin of Registrar General of India (RGI), IMR is 30 per 1,000 live births in 2019 at National Level. Lowest IMR at Mizoram and Nagaland 3, Kerala 6 and highest at MP 46 per 1000 live birth. *10.Ans A* Breast feeding is the most effective measures to decrease the IMR because it provides passive immunity to infant to fight against common childhood infectious illness (mainly gastrointestinal and respiratory infection) and also protects from PEM. *11.Ans C* Causes of child mortality (under-five year) rate in India (2016) are pneumonia (14.6%), preterm (27.9%), intrapartum (11.7%), sepsis (8%), congenital anomalies (9%), diarrhea (19.5%), measles (2.2%), malaria (0.6%) & others (10%). *12.Ans D* Refer MCQ No 11 *13.Ans A* MMR means the number of maternal deaths due to causes associated with pregnancy, childbirth and the puerperium within 42 days after delivery. Late maternal death means death beyond 6-week postpartum period. MMR expressed as deaths per 100,000 live births As per special bulletin released by the RGI, on 30 November 2022, MMR of India is 97 per 100,000 live birth (as per SRS 2018-20) *14.Ans D* Refer MCQ No 13 *15.Ans A* Causes of MMR in India are: • Hemorrhage 38%, Sepsis 11%, Hypertensive disorder 5%, Obstructed labor 5%, Abortion 8% and other conditions 34% Causes of MMR worldwide are: Obstetric hemorrhage (APH & PPH) 25%, infection 15%, hypertensive disorder (eclampsia) 12%, obstructed labor 8%, unsafe abortion 13%, indirect cause like anemia 20%, other direct cause 8%. *16.Ans A* Refer MCQ No 15 *17.Ans A* Refer MCQ No 15 *18.Ans A* Morbidity (state of being diseased) means the number of sick persons or cases of disease in relationship to a specific population. Departure from physiological & psychological health of mother during pregnancy, childbirth and puerperium called maternal morbidity. Anemia is commonest morbid condition among pregnant women. WHO estimate that 42% woman suffers from anemia during pregnancy. *19.Ans C* Early registration and antenatal care/checkup are an important factor to reduce MMR. Although in India a large number of maternal deaths could be prevented by help of more train local dais and female health workers (ANM). *20.Ans C* Demography is the scientific study of human population, like change, composition and distribution in population size, age, race, sex, or marital status. These information's may be used to forecast health need and use of health services. *Regards:* *Maha Nursing ✍️ 🏆*