Puerperium: home-based postnatal care: practice question

A OBG 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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OBG · Puerperium: home-based postnatal care

Sample item

Under the national home-based newborn and postpartum care schedule, for a mother who delivered in an institution, on which days does the ASHA make home visits?

ADays 10 and 30 onlyBDays 3, 7, 14, 21, 28 and 42CDays 1, 2 and 3 onlyDDays 7 and 28 only

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

The answer and the reasoning

B. Days 3, 7, 14, 21, 28 and 42

For institutional deliveries, the ASHA makes six home visits on days 3, 7, 14, 21, 28 and 42 after birth, and for home deliveries an additional visit on day 1 is made. During the visits she checks the newborn for danger signs, supports breastfeeding and cord care, and identifies maternal complications such as bleeding, fever or hypertension. Referral is arranged when danger signs are found.

Option by option

A. Days 10 and 30 only
These dates do not match the schedule.
B. Days 3, 7, 14, 21, 28 and 42 (correct)
Correct. The schedule for institutional births is days 3, 7, 14, 21, 28 and 42.
C. Days 1, 2 and 3 only
Three early visits only is not the schedule.
D. Days 7 and 28 only
Two visits are insufficient under the programme.

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 OBG question

What is the answer to this OBG question?

The best answer is B, Days 3, 7, 14, 21, 28 and 42. For institutional deliveries, the ASHA makes six home visits on days 3, 7, 14, 21, 28 and 42 after birth, and for home deliveries an additional visit on day 1 is made.

Why is "Days 10 and 30 only" not the answer?

These dates do not match the schedule.

Why is "Days 1, 2 and 3 only" not the answer?

Three early visits only is not the schedule.

Why is "Days 7 and 28 only" not the answer?

Two visits are insufficient under the programme.

What concept does this question test?

It tests Puerperium: home-based postnatal care in OBG. During the visits she checks the newborn for danger signs, supports breastfeeding and cord care, and identifies maternal complications such as bleeding, fever or hypertension. Referral is arranged when danger signs are found.

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 Puerperium: home-based postnatal care?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG 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.