Antenatal care: intimate partner violence: 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 · Antenatal care: intimate partner violence

Sample item

A pregnant woman attends antenatal clinic accompanied by her husband, who insists on staying with her. She has unexplained bruises and missed several visits. What is the best approach to enquire about abuse?

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

The answer and the reasoning

B. Ask direct questions in private, away from the partner, in a non-judgemental way

Women are at higher risk of violence in pregnancy, and enquiry must be private, sensitive and confidential. The woman is offered support, safety planning and referral without coercion. Asking in the presence of the partner can endanger her.

Option by option

  • A. Ask her in front of her husband to be transparent

    Asking in front of the abuser can lead to further violence.

  • B. Ask direct questions in private, away from the partner, in a non-judgemental way (correct)

    Correct. Privacy and a supportive manner allow safe disclosure.

  • C. Report her husband to the police without discussing it with her

    Acting without her involvement removes her control and may increase risk.

  • D. Avoid the subject until she raises it herself

    Waiting for disclosure misses a chance to help, since many women do not volunteer it.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Ask direct questions in private, away from the partner, in a non-judgemental way. Women are at higher risk of violence in pregnancy, and enquiry must be private, sensitive and confidential.

Why is "Ask her in front of her husband to be transparent" not the answer?

Asking in front of the abuser can lead to further violence.

Why is "Report her husband to the police without discussing it with her" not the answer?

Acting without her involvement removes her control and may increase risk.

Why is "Avoid the subject until she raises it herself" not the answer?

Waiting for disclosure misses a chance to help, since many women do not volunteer it.

What concept does this question test?

It tests Antenatal care: intimate partner violence in OBG. The woman is offered support, safety planning and referral without coercion. Asking in the presence of the partner can endanger her.

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 Antenatal care: intimate partner violence?

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.