OB Evals 1

1. MERCADO, EUNICE F. Which of the following phrases best describes Reproductive Health? a. absence of disease b. complete state of well-being c. adequate coverage of contraception d. prevention of maternal death and sexually transmitted infections Answer: B Rationale: Within the framework of WHO's definition of health as a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, reproductive health addresses the reproductive processes, functions and system at all stages of life. Reference: World Health Organization 2012 (http://www.who.int/topics/reproductive_health/en/) 2. Mendoza, Rigel Faye R. Which of the following statements is/are component of Reproductive Health: a. safe motherhood b. management of abortion complications c. information and services on Family Planning d. prevention and management of sexual violence e. all of the above Answer: E All of the above Rationale: Reproductive Health includes: 1. Counseling, information, education, communication and clinical services in family planning; 2. Safe motherhood, including antenatal care, safe delivery care and postnatal care, breastfeeding and infant and women’s health care; 3. Gynecologic care, including prevention of abortion, treatment of complications of abortion and safe termination of pregnancy as allowed by law; 4. Prevention and treatment of sexually transmitted diseases ( including HIV/AIDS), including condom distribution and universal precautions against transmission of blood-borne infections, voluntary testing and counseling 5. Prevention and management of sexual violence; 6. Active discouragement of harmful traditional practices such as female genital mutilation; 7, Reproductive health programs for specific groups such as adolescents, including information, education, communication and services. Reference: Textbook of Obstetrics 3rd edition, Sumpaico, Andres, Capito, Carnero, Diamante, Gamilla, Page 2, Chapter 1. 3. MASTRILI, JESSICA MARIE T. Due to limited resources, which Reproductive Health program/s in the Western Pacific region will be prioritized according to WHO? a. safe motherhood c. improve child mortality b. family planning d. A and B are correct ANSWER: B RATIONALE: “Reproductive health now includes, among others, family planning, safe motherhood, women’s healthcare …. However, due to limited resources and capacity, it is important to prioritize issues to address reproductive health…. Making pregnancy safer and family planning are the priority issues that need to be addressed.” (WHO Western Pacific Region, 2012) Reference: WHO website, The scope of reproductive health work in the WHO Western Pacific Region (http://www.wpro.who.int/sites/rph/) 4. Tanhui, Kristel For the Millenium Development Goal, Maternal Mortality by year 2015 should be decreased by how many percent? a. 25 b. 50 c. 75 d. 85 Answer: c. 75

Rationale: The fifth millennium development goal is to improve maternal health, reducing the maternal mortality ratio by 3 quarters. Source: http://www.un.org/millenniumgoals/maternal.shtml (none available in williams) 5. Reyes, Katrina May T. Which branch of medicine is concerned with pregnancy, labor and puerperium and aims to promote health and well-being? a) Obstetrics b) Reproductive Health c) Perinatology d) Midwifery Answer: A. Obstetrics Rationale: According to the Oxford English Dictionary, the word obstetrics is defined as "that branch of medicine that deals with childbirth and the care and treatment of the mother before and after birth." In the contemporaneous sense, obstetrics is concerned with reproduction of humans. The specialty promotes health and well-being of the pregnant woman and her fetus through quality prenatal care. Such care entails appropriate recognition and treatment of complications, supervision of their labor and delivery, ensuring care of the newborn, and management of the puerperium to include follow-up care that promotes health and provides family planning options. rd Reference: Cunningham, F. et al, Williams Obstetrics, 23 edition, McGraw-Hills Company, Inc, 2010, Chapter 1. Overview of Obstetrics 6. REYES, RACHEL ANN Q. Which of the following is the best index of the quality of life and health in a society? a) population density b) fertility rate c) maternal outcome d) life expectancy Answer: C Rationale: it is written in the book Chapter 1 Broad Perspective of the Overview Section that, “the importance of obstetrics is attested to by the observation that maternal and neonatal outcomes are universally used as an index of the quality of health and life in human society.” nd Reference: Cunningham, Gary F., et al. Williams Obstetrics 22 Edition Ebook, 2005. Page 7 7. RADIN, C PHILIP TEOMAR, II, A. Which of the following is NOT a prerequisite to livebirth? a) AOG more than 20 weeks AOG b) Placenta delivered c) Pulsation of the umbilical cord d) Breathing movement Answer: B Rationale: Because according to Sumpaico’s Textbook of Obstetrics, live birth is the complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy, which, after such expulsion or extraction, breathes or shows any evidence of life, such as beating of the heart, pulsation of umbilical cord, or definite movement of voluntary muscles whether or not the umbilical cord has been cut or the placenta is attached. Heart beats are to be distinguished from transient cardiac contraction; respirations are to be distinguished from fleeting respiratory efforts of gasps. Delivering of the placenta is not a prerequisite to live birth. rd Reference: Sumpaico W., et. al., Textbook of Obstetrics (Physiologic and Pathologic Obstetrics) 3 edition, 2008. Page 7 08. ALPHA RANA M. HAYES (evals 1) Which of the following is/are true regarding effect/s of severe undernutrition during pregnancy of the fetus a. starvation during later pregnancy can cause the baby to be lighter, shorter, and thinner at birth

b. early exposure to severe starvation is associated with increased CNS anomalies and schizophrenia-spectrum personality disorder c. severe dietary deprivation cause subsequent decrease mental performance d. all of the above e. A&B Answer: D Rationale: If a pregnant woman is malnourished, it is understandable that the baby in the mother's womb is not receiving enough nutrients. In other words, the nutrients and trace minerals essential for developing a whole life are not provided in sufficient amounts. As a consequence, the baby will exhibit poor growth rate and low weight. Lowbirth-weight is a significant contributor to infant mortality. Moreover, low birth-weight babies who survive are likely to suffer growth retardation with decrease mental performance throughout their childhood, adolescence and into adulthood. Children born to starving mothers are more likely to develop schizophrenia, according to a new study of people conceived during the Chinese Famine of 1959 to 1961. The results support the idea that prenatal nutritional deficiency raises the risk of schizophrenia and provides hope that schizophrenia risk can be lowered by making sure pregnant women receive proper nutrition. rd References: Sumpaico, Walfrido et. al (2008) Textbook of Obstetrics: Physiologic and Pathologic Obstetrics. 3 Edition. Chapter 43. Quezon City: Association of Writers of the Philippine Textbooks of Obstetrics and Gynecology, Inc. Website: http://news.sciencemag.org/sciencenow/2005/08/02-03.html 9. NALDO, JACOB TIMOTHY C. Total births include livebirths: a. 20 weeks AOG and above b. Fetal deaths 20 weeks AOG and above c. 20 weeks AOG and above and fetal deaths 24 AOG and above d. Fetal deaths 24 weeks AOG and above Answer: A Rationale: A Birth is defined as the complete expulsion or extraction form the mother of a fetus after 20 weeks AOG. A fetus or embryo removed or expelled from the uterus during the first half of gestation- 20 weeks or less or in the absence of accurate dating criteria and fetuses weighing