MP CHO -2021 (Shift 1st)
Obstetrics & Gynaecology
Easy

During which period should a pregnant woman visit the Antenatal clinic twice a month?

Appeared in: MP CHO -2021 (Shift 1st)

Explanation

  • The standard guideline for antenatal care in a low-risk pregnancy recommends increasing the frequency of visits as the due date approaches.
  • During the 8th month of gestation (approximately 28 to 36 weeks), visits are scheduled twice a month, or every two weeks.
  • This fortnightly schedule allows for closer monitoring of maternal blood pressure, fetal growth, and position, and screening for late-pregnancy complications.
  • This contrasts with monthly visits in the first seven months and weekly visits in the final month.

Why Other Options Were Wrong

  • Option A: During the 6th month (part of the second trimester, up to 28 weeks), antenatal visits are typically scheduled once a month for a low-risk pregnancy.
  • Option B: During the 7th month (up to 28 weeks), the standard frequency of antenatal visits is still once per month.
  • Option D: During the 9th month (from 36 weeks until delivery), the frequency of visits increases to once a week.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Antenatal visit schedule as background academic context rather than a clinical decision trigger.
  • Adherence to the recommended antenatal visit schedule is crucial for early detection and management of pregnancy-related complications, contributing to reduced maternal and perinatal mortality and morbidity.
  • Nurses play a key role in educating pregnant women about the importance of each visit, what to expect, and the danger signs to report immediately.
  • This schedule is for low-risk pregnancies. High-risk pregnancies (e.g., with gestational diabetes, hypertension, multiple gestations) require a more frequent and individualized visit schedule determined by the healthcare provider.
How to Approach the Question
  • Identify the core of the question, which asks for the specific period when antenatal visits occur twice a month.
  • Recall the standard guidelines for the frequency of antenatal care (ANC) visits during an uncomplicated pregnancy.
  • Remember that the frequency of visits increases as the pregnancy progresses.
  • Mentally review the schedule: monthly for the first two trimesters, then fortnightly (twice a month), and finally weekly in the last month.
  • Match the 'twice a month' frequency to the corresponding gestational period, which is the 8th month (28-36 weeks).
  • Select the option that correctly identifies this month.
Concept Tested & Keywords
  • Concept Tested: Antenatal visit schedule
  • Stem keywords: pregnant woman, Antenatal clinic, twice a month
  • Lead-in keywords: During which period
  • Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

Question ID

QoV9yPCy_WlPubFOivFGj9

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 17-19

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 204-206

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 32-40

Practise the full MP CHO -2021 (Shift 1st)

Attempt every question from this paper in a timed mock, then review the full solution for each one.

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