Antenatal Care
Obstetrics & Gynaecology · Topic 8
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 8 · combined PDF page 428
Practice questions
- A pooled analysis of 18 Ethiopian studies estimated adherence to the WHO eight-contact ANC model. Which estimate was reported?
- The Ethiopian eight-contact ANC meta-analysis reported I²=98.9%. What is the most appropriate interpretation?
- A counselling intervention is being planned to encourage ANC attendance in a setting similar to those in the Ethiopian review. Which factor was associated with higher adherence and is potentially amenable to education?
- Which statement best describes the evidence linking planned pregnancy with adherence to eight-contact ANC in Ethiopia?
- Which combination consists entirely of factors reported as significantly associated with adherence to eight-contact ANC in the Ethiopian meta-analysis?
- A health system is using the Ethiopian pooled adherence estimate to predict adherence in every district. Which caution is most appropriate?
- In a systematic review of community-based ANC models in low- and middle-income countries, what proportion of included studies reported improved preventive maternal health practices?
- A rural community ANC program improves initial access but has weak onward referral arrangements. Which response best addresses a key implementation condition identified in the systematic review?
- Which result was reported for early ANC initiation in the review of community-based ANC models?
- A community-supported ANC program reports improved referral compliance. What range of increase in referral compliance was reported across community-supported models in the review?
- Which set contains implementation challenges identified in the review of community-based ANC?
- In a sub-Saharan African meta-analysis, group ANC was compared with traditional individual ANC. Which pooled result was reported for attending four or more ANC visits?
- Which outcome did the group ANC meta-analysis find was not significantly different from traditional individual ANC?
- A program planner claims that group ANC is proven cost-effective in sub-Saharan Africa based on the available systematic review. Which appraisal is most accurate?
- Which statement best characterizes group ANC as described in the evidence review?
- The group ANC meta-analysis reported a pooled risk ratio of 1.23 for postnatal care attendance. Which interpretation is most appropriate?
- An antenatal service serving women with limited proficiency in the dominant language wants to improve communication. Which response is supported by the overview of qualitative reviews?
- Which experience was identified as a common challenge for underserved and marginalised women during antenatal care in high-income countries?
- A migrant patient reports that she does not understand how to access local maternity services. Which issue most directly matches a barrier identified in the qualitative-review overview?
- A rural ANC model for Indigenous women is being redesigned. Which approach best reflects features associated with more culturally safe and accessible models in the systematic review?
- Which staffing feature was identified as supportive in antenatal models for rural Indigenous women?
- A remote community has difficulty reaching fixed ANC clinics. Which service feature was specifically described as supporting accessibility in rural Indigenous antenatal models?
- A review of Ethiopian women who booked ANC reported a pooled estimate of 44.55% for dropout from health-facility childbirth. Which interpretation is most accurate?
- Which factors were reported as associated with dropout from health-facility childbirth after ANC booking in Ethiopia?
- A district identifies long travel time as a possible contributor to failure to reach a facility for childbirth after ANC booking. Which review finding is most directly relevant?
- A pooled estimate for facility-childbirth dropout after ANC booking has I²=99.2%. Which conclusion should guide its use in local planning?
- A study reports that media exposure is associated with lower dropout from facility childbirth after ANC booking. Which conclusion is justified by the systematic review evidence?