Newborn care: home-based newborn care visits: 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 · Newborn care: home-based newborn care visits

Sample item

A baby was born at home in a village under an ASHA worker's area. How many home-based newborn care visits should the ASHA make?

AA single visit on day 7BThree visits, on days 3, 7 and 28CSix visits, on days 3, 7, 14, 21, 28 and 42DSeven visits, on days 1, 3, 7, 14, 21, 28 and 42

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

The answer and the reasoning

D. Seven visits, on days 1, 3, 7, 14, 21, 28 and 42

Under the home-based newborn care programme, the ASHA visits on days 3, 7, 14, 21, 28 and 42 after an institutional delivery. For a home delivery, an additional visit is made on day 1, giving seven visits. Visits include assessing danger signs, weighing, promoting breastfeeding and referring sick newborns.

Option by option

A. A single visit on day 7
A single visit does not allow monitoring of the newborn period.
B. Three visits, on days 3, 7 and 28
Three visits are too few for the schedule.
C. Six visits, on days 3, 7, 14, 21, 28 and 42
Six visits is the schedule for an institutional delivery without the day 1 visit.
D. Seven visits, on days 1, 3, 7, 14, 21, 28 and 42 (correct)
Correct. A home delivery needs the extra day 1 visit, giving seven visits.

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.

Questions about this PSM question

What is the answer to this PSM question?

The best answer is D, Seven visits, on days 1, 3, 7, 14, 21, 28 and 42. Under the home-based newborn care programme, the ASHA visits on days 3, 7, 14, 21, 28 and 42 after an institutional delivery.

Why is "A single visit on day 7" not the answer?

A single visit does not allow monitoring of the newborn period.

Why is "Three visits, on days 3, 7 and 28" not the answer?

Three visits are too few for the schedule.

Why is "Six visits, on days 3, 7, 14, 21, 28 and 42" not the answer?

Six visits is the schedule for an institutional delivery without the day 1 visit.

What concept does this question test?

It tests Newborn care: home-based newborn care visits in PSM. For a home delivery, an additional visit is made on day 1, giving seven visits. Visits include assessing danger signs, weighing, promoting breastfeeding and referring sick newborns.

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 Newborn care: home-based newborn care visits?

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.