Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email or call +27 76 657 0353.

Printed books

Learning is easiest with printed books. To order printed books, email or call +27 76 657 0353.

Visit for information.

Test 4: Maternal and perinatal mortality audits

  1. Why conduct an audit of health care?
    • It is a legal requirement.
    • It is the best method of identifying clinical problems.
    • It guarantees improved heath care.
    • To calculate the funds needed to manage a health care service.
  2. What is a maternal care audit?
    • A review of problems which occur during the care of pregnant women.
    • An investigation to determine the number of nurses needed to provide antenatal care.
    • A list of women who die during labour and delivery.
    • A training course for midwives.
  3. What is a perinatal care audit?
    • A list of common causes of stillbirth.
    • A list of important causes of early neonatal death.
    • An assessment of care given to infants before, during and after delivery.
    • A review of maternal problems during labour and delivery.
  4. At a perinatal mortality meeting:
    • Only maternal deaths are discussed.
    • Only stillbirths are discussed.
    • Only neonatal deaths are discussed.
    • Maternal deaths, stillbirths and neonatal deaths are discussed.
  5. Who should attend a perinatal mortality meeting?
    • All the staff.
    • Only doctors.
    • Only the midwives.
    • The senior medical and nursing staff.
  6. Who usually arranges a perinatal mortality meeting?
    • The local magistrate.
    • The paediatric intern.
    • The senior pathologist.
    • A senior member of the obstetric staff.
  7. How often should a perinatal mortality meeting be held?
    • Every day.
    • Once a week to once a month.
    • Once a year.
    • Whenever a maternal death occurs.
  8. What routine information should be presented at a perinatal mortality meeting?
    • The number of normal, assisted and Caesarean deliveries.
    • Only the total number of deliveries.
    • The number of infants receiving phototherapy.
    • The number of women with prolonged labour.
  9. How should information be presented at a perinatal mortality meeting?
    • The folders should be photocopied and read by all the participants.
    • The patient records should be summarised and distributed a week before the meeting.
    • The clinical records should be summarised and presented at the meeting.
    • The history and examination should be presented from memory.
  10. Is confidentially important in a perinatal mortality meeting?
    • The mother’s name should not be mentioned.
    • The hospital or clinic’s name should not be mentioned.
    • The content and discussion should be confidential.
    • Confidentiality is not important as long as the names of the staff concerned are not mentioned.
  11. What is meant by a ‘near miss’ at a mortality meeting?
    • A perinatal mortality meeting which was almost cancelled due to a lack of support.
    • A threatened miscarriage which was prevented with good treatment.
    • A missed opportunity to prevent a maternal death.
    • A very ill patient who nearly died.
  12. Why should ‘great saves’ be mentioned at a perinatal mortality meeting?
    • They remind the staff that most patients received good care.
    • They compensate for staff errors which resulted in a perinatal death.
    • They prevent the medical superintendent from criticising particular staff at the meeting.
    • They encourage all the staff to attend.
  13. A perinatal mortality meeting is:
    • An excellent opportunity for learning how best to care for mothers and infants.
    • Should not be used for teaching nurses and doctors.
    • Is usually boring and a waste of time.
    • Is outdated and no longer necessary.
  14. How is a perinatal mortality report prepared?
    • It should be written before the perinatal mortality meeting.
    • A special form is used to record the main findings of each death discussed at the meeting.
    • Only the details of maternal deaths are needed for the report.
    • Maternal and neonatal deaths but not stillbirths should be included in the report.
  15. What is the Perinatal Problem Identification Programme?
    • A supplementary manual of PEP.
    • A programme to train medical students.
    • A computer-based system of analysing the causes of maternal and perinatal deaths.
    • A computer programme to record research information.
  16. What is the goal of the Perinatal Problem Identification Programme?
    • To determine the causes of maternal and perinatal deaths.
    • To look for avoidable factors.
    • To seek solutions.
    • All of the above.
  17. At a feed back meeting:
    • Parents are told the cause of their infant’s death.
    • The results of a perinatal audit are discussed with the staff.
    • Errors made by the staff are reported to the medical superintendent.
    • The result of a post mortem examination is made available to the magistrate.
  18. How are sites for gathering perinatal data usually grouped?
    • In metropolitan, city and town, and rural areas.
    • Into areas with high or low perinatal mortality rates.
    • Into coastal and inland sites.
    • Into sites with a high or low socioeconomic status.
  19. Intrapartum hypoxia is a common cause of perinatal death in rural areas, suggesting that:
    • All women should be delivered in town.
    • Most women should be delivered by a doctor.
    • Use of a partogram is not helpful.
    • Labour management of often poor.
  20. What is the Saving Babies Report?
    • A textbook on newborn care.
    • A report on the number of infants under 5 years who die each year.
    • A review of perinatal deaths and avoidable factors.
    • A report on causes of cot deaths.