Medical disorders in pregnancy: hepatitis B: 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 · Medical disorders in pregnancy: hepatitis B

Sample item

A newborn is born to a HBsAg and HBeAg positive mother. What is the recommended management?

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

The answer and the reasoning

B. Hepatitis B immunoglobulin and hepatitis B vaccine within 12 hours of birth

Neonatal passive-active immunoprophylaxis (HBIG plus vaccine within 12 hours, followed by the vaccine schedule) prevents over 90 per cent of perinatal transmission. Mothers with a high viral load may receive tenofovir in the third trimester. Breastfeeding is safe after immunoprophylaxis.

Option by option

  • A. Immediate caesarean for all

    Caesarean section does not reliably prevent transmission.

  • B. Hepatitis B immunoglobulin and hepatitis B vaccine within 12 hours of birth (correct)

    Correct. Early HBIG and vaccine prevent vertical transmission.

  • C. Stop breastfeeding permanently

    Breastfeeding is not contraindicated after prophylaxis.

  • D. Vaccine at 6 weeks only

    Delaying the vaccine to 6 weeks misses the window.

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, Hepatitis B immunoglobulin and hepatitis B vaccine within 12 hours of birth. Neonatal passive-active immunoprophylaxis (HBIG plus vaccine within 12 hours, followed by the vaccine schedule) prevents over 90 per cent of perinatal transmission.

Why is "Immediate caesarean for all" not the answer?

Caesarean section does not reliably prevent transmission.

Why is "Stop breastfeeding permanently" not the answer?

Breastfeeding is not contraindicated after prophylaxis.

Why is "Vaccine at 6 weeks only" not the answer?

Delaying the vaccine to 6 weeks misses the window.

What concept does this question test?

It tests Medical disorders in pregnancy: hepatitis B in OBG. Mothers with a high viral load may receive tenofovir in the third trimester. Breastfeeding is safe after immunoprophylaxis.

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 Medical disorders in pregnancy: hepatitis B?

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.