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Test 1: Introduction to maternal and perinatal mortality

  1. What is the meaning of mortality rate?
    • The commonest causes of death.
    • The total number of people who die each year.
    • The proportion or percentage of people who die each year.
    • The speed at which people die.
  2. The mortality rate:
    • Is usually the same for all hospitals.
    • Usually does not change from year to year.
    • Falls as people get older.
    • Is usually calculated each year for each health district.
  3. Why is it useful to know the mortality rate?
    • It reflects the amount of illness in a community.
    • It reflects the standard of health care.
    • It reflects both the amount of illness and the standard of health care.
    • It reflects the number of people in the community rather than the amount of illness or standard of health care.
  4. The primary cause of death is:
    • The cause of most deaths in that community.
    • The condition which led to the death.
    • The cause of death that is the easiest to prevent.
    • The first cause of death that is thought of.
  5. The final cause of death is:
    • The most unexpected cause of death.
    • The cause of death diagnosed by a doctor.
    • The event which finally caused the death.
    • The most likely cause of death.
  6. What is an audit?
    • An instrument for examining the ear.
    • A systematic assessment.
    • A common cause of maternal death.
    • A death report.
  7. What is a mortality meeting?
    • A meeting of health care workers where the deaths of patients are discussed.
    • A funeral service.
    • A support group to help patients who are dying.
    • A meeting to decide which staff member is responsible for a patient’s death.
  8. Why is a mortality report important?
    • It is used to calculate the funding needed by each hospital.
    • It is used to identify problems and plan improvements in a clinical service.
    • It is used to calculate the staff required in each clinic.
    • It is used to identify doctors or nurses who need to attend training courses.
  9. What is morbidity?
    • A preventable cause of death.
    • A cause of death which cannot be prevented by good care.
    • Conditions which make patients ill but do not kill them.
    • A condition which causes severe depression after delivery.
  10. Why is it important to document morbidity?
    • It can be treated with antibiotics.
    • Because deaths can be prevented by reducing the morbidity.
    • Because morbidity is easy to document.
    • It is a sign of good care.
  11. Who should be responsible for collecting maternal mortality information?
    • The medical superintendent or matron.
    • Only the medical staff.
    • The senior nursing staff.
    • Everyone in the service.
  12. What is a confidential enquiry?
    • A secret investigation into poor care provided by a doctor or nurse.
    • An attempt to prevent the public knowing that a patient died due to negligence.
    • An investigation by a magistrate or judge.
    • An investigation into a death where the name of the patient and staff are not made known.
  13. What is a birth register?
    • A person who registers all births.
    • A book in labour ward where a record of all births is kept.
    • A list of infants admitted to the nursery.
    • The number of women who deliver each month.
  14. A minimum data set is:
    • The essential information which should be recorded on a patient held antenatal card.
    • The information which is documented in the partogram (labour record).
    • The basic information which must be collected on all births.
    • Information recorded on all low birth weight infants.
  15. Why is the percentage of pregnant women screened for syphilis important?
    • It indicates the amount of sexually transmitted disease in the community.
    • It indicates the quality of antenatal care.
    • It can be used to calculate the maternal mortality rate.
    • It can be used to calculate the stillbirth rate.
  16. What is the expected Caesarean section rate in a developing country?
    • 10%.
    • 15%.
    • 20%.
    • 25%.
  17. What is the use of knowing the rate of asphyxiated infants (infants who do not breath well after delivery)?
    • A high rate indicates poor care during pregnancy.
    • A high rate indicates poor care in labour.
    • A high rate indicates inadequate resuscitation.
    • A high rate indicates poor newborn care.
  18. The low birth weight rate is:
    • The number of infants weighing less than 2000 g at birth.
    • The percentage of infants weighing less than 2500 g at birth.
    • The number of infants born before 37 weeks gestation per 1000 deliveries.
    • The number of infants born before 35 weeks gestation per 10 000 deliveries.
  19. The low birth weight rate is important because it:
    • Reflects the socioeconomic status of the community.
    • Is used to calculate the perinatal mortality rate.
    • Can be used to predict the number of Caesarean sections needed in a hospital.
    • Increases in communities where diabetes during pregnancy is common.
  20. What is the low birth weight rate in South Africa?
    • About 5%.
    • About 10%
    • About 15%.
    • About 20%.