RML MAINS 2025
Obstetrics & Gynaecology
Easy
A pregnant woman visits the antenatal clinic. Which of the following is NOT CONSIDERED a danger sign during pregnancy?
Appeared in: RML MAINS 2025
Explanation
- Loss of appetite is a common symptom, especially in the first trimester, often associated with 'morning sickness' (nausea and vomiting).
- It is caused by hormonal changes (e.g., increased hCG and progesterone) and is generally not considered a threat to the mother or fetus.
- While it can be uncomfortable, it typically resolves as the pregnancy progresses and does not usually indicate a life-threatening condition.
Why Other Options Were Wrong
- Option A: Heavy vaginal bleeding is a critical danger sign in pregnancy.
- Option B: Blurred vision is a significant neurological danger sign during pregnancy.
- Option D: Severe or persistent abdominal pain is a major danger sign in pregnancy.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Differentiating between common pregnancy symptoms and critical danger signs as background academic context rather than a clinical decision trigger.
- A primary role of the nurse in antenatal care is to educate the pregnant woman and her family about the danger signs that require immediate reporting. This empowers the patient to seek timely care, which can be life-saving.
- When a pregnant woman presents with any danger sign, the nurse must perform a rapid and systematic assessment (e.g., vital signs, fetal heart rate, pain assessment) and escalate care to the provider immediately.
- What if? - If loss of appetite is accompanied by severe, persistent vomiting (hyperemesis gravidarum) and significant weight loss, it transitions from a common symptom to a serious complication requiring medical intervention for dehydration, electrolyte imbalance, and malnutrition.
How to Approach the Question
- First, identify the negative framing of the question, indicated by the word 'NOT'. This means you are looking for the option that is an exception.
- The core concept is 'danger signs during pregnancy'. Your goal is to find the option that is NOT a danger sign.
- Evaluate each option: Is 'Heavy vaginal bleeding' a danger sign? Yes. Is 'Blurred vision' a danger sign? Yes. Is 'Pain abdomen' a danger sign? Yes.
- Evaluate the final option: Is 'Loss of appetite' a danger sign? No, it's a common symptom of early pregnancy.
- Therefore, the option that is not a danger sign is the correct answer.
Concept Tested & Keywords
- Concept Tested: Differentiating between common pregnancy symptoms and critical danger signs.
- Stem keywords: pregnant woman, antenatal clinic, danger sign, pregnancy
- Lead-in keywords: NOT CONSIDERED
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
- Negative lead-in flag: The question asks to identify the option that is NOT a danger sign.
Question ID
Q6Mzzrpc9mjih5wWjr1-hm
Reference Book
E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur pp. 5-10, 65-80
Practise the full RML MAINS 2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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