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Test 2: Maternal mortality

  1. The maternal mortality includes:
    • Only deaths during pregnancy.
    • Deaths that occur between 20 weeks and delivery.
    • Deaths during pregnancy and the first week after delivery.
    • Deaths between conception and forty two days after delivery.
  2. How is the maternal mortality ratio expressed?
    • As a percent.
    • Per 1000 deliveries.
    • Per 100 000 deliveries.
    • Per million deliveries.
  3. The maternal mortality ratio reflects:
    • The number of pregnant women in the community.
    • The general health of women.
    • The standard of care for pregnant women.
    • Both the health of women and the standard of care available.
  4. What is the maternal mortality ratio in industrialised countries?
    • About 1.
    • About 10.
    • About 100.
    • About 1000.
  5. What is the estimated maternal mortality ratio in South Africa?
    • About 50.
    • About 200.
    • About 500.
    • About 2500.
  6. Are maternal deaths notifiable in South Africa?
    • All maternal deaths are notifiable.
    • Only deaths that occur in hospitals or clinics.
    • Only deaths that occur after 20 weeks of pregnancy.
    • Only deaths that occur during pregnancy, labour or delivery.
  7. What are important direct causes of maternal death?
    • Hypertension.
    • AIDS.
    • Motor car accidents.
    • Malaria
  8. What is a common indirect causes of maternal death?
    • Abruptio placenta.
    • Cardiac disease.
    • Suicide.
    • Puerperal sepsis.
  9. What is the commonest cause of maternal death in South Africa?
    • Septic abortion.
    • Hypertension.
    • Haemorrhage.
    • AIDS.
  10. What is the commonest direct cause of maternal death in level 1 clinics and hospital in South Africa?
    • Obstetric haemorrhage, especially postpartum haemorrhage.
    • Diabetes.
    • Complications of hypertension.
    • Puerperal sepsis.
  11. Why do so many pregnant women still die in poor countries?
    • Lack of knowledge about how to treat ill women.
    • Many more complications during pregnancy.
    • Poor health of pregnant women.
    • Women do not have easy access to good care.
  12. Is there a confidential enquiry into maternal deaths in South Africa?
    • Yes.
    • Only in the private sector.
    • Only in cities and large towns.
    • No.
  13. What is the Saving Mothers Report?
    • A newspaper for midwives.
    • An official report on the confidential enquiry into maternal deaths.
    • A report given in parliament each year.
    • A training manual for doctors and nurses working in maternity hospitals.
  14. Avoidable factors, missed opportunities or substandard care :
    • Cannot be prevented in poor countries.
    • Are not a problem in large, teaching hospitals.
    • Should be looked for in each maternal death.
    • Should be reported to the police.
  15. Which is a patient related problem?
    • Not attending antenatal care.
    • Prolonged labour.
    • Lack of transport to antenatal clinic.
    • No hospital within easy reach.
  16. What is an administrative related problem?
    • A mother not seeking help when warning signs present.
    • Lack of adequate training for midwives.
    • Lazy and negligent staff.
    • Delay in referring a sick patient from clinic to hospital.
  17. What is a staff related problem?
    • Inadequate facilities.
    • Too few staff.
    • Mothers not reporting decreased fetal movements.
    • Not following standard protocols.
  18. What is an honest error?
    • Forgetting to chart observations on the partogram.
    • Not completing the partogram correctly as you do not think partograms are useful.
    • Being too lazy to use a partogram.
    • Completing the partogram but not interpreting it correctly according to the standard protocol.
  19. What is the maternal mortality index?
    • The maternal mortality in South Africa compared to industrialised countries.
    • The percentage that the maternal mortality increases or decreases over a year.
    • The number of maternal deaths divided by the number of deaths or near deaths.
    • The number of maternal deaths divided by the number of perinatal deaths.
  20. What is happening to the maternal mortality rate in most African countries?
    • It is increasing due to the number of AIDS deaths during pregnancy.
    • It is decreasing as HIV positive women are not falling pregnant.
    • It is decreasing as the standard of maternal care improves.
    • It has remained the same for many years.