Maternal and child health: high-risk pregnancy: practice question

A PSM question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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PSM · Maternal and child health: high-risk pregnancy

Sample item

Which of the following would classify a pregnant woman as high risk?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Height below 140 cm

Short stature below 140 cm raises the risk of cephalopelvic disproportion and obstructed labour. Age under 18 or over 35, severe anaemia, previous caesarean or stillbirth and hypertension are also risk factors.

Option by option

  • A. Age of 24 years

    Age 24 is within the low-risk age band.

  • B. Second pregnancy with 3-year interval

    A 3-year spacing is adequate.

  • C. Haemoglobin of 11.5 g/dL

    Haemoglobin 11.5 g/dL is normal in pregnancy.

  • D. Height below 140 cm (correct)

    Correct. Short stature is a high-risk factor.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this PSM question

What is the answer to this PSM question?

The best answer is D, Height below 140 cm. Short stature below 140 cm raises the risk of cephalopelvic disproportion and obstructed labour.

Why is "Age of 24 years" not the answer?

Age 24 is within the low-risk age band.

Why is "Second pregnancy with 3-year interval" not the answer?

A 3-year spacing is adequate.

Why is "Haemoglobin of 11.5 g/dL" not the answer?

Haemoglobin 11.5 g/dL is normal in pregnancy.

What concept does this question test?

It tests Maternal and child health: high-risk pregnancy in PSM. Age under 18 or over 35, severe anaemia, previous caesarean or stillbirth and hypertension are also risk factors.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Maternal and child health: high-risk pregnancy?

Practise biostatistics with small calculations until sensitivity, predictive values and risk measures are automatic. Then use the flashcards and the other PSM questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.