The highest sex ratio is in the state:

Appeared in: Haryana CHO -2023

Explanation

According to the 2011 Census of India, Kerala has the highest sex ratio among the given options, with 1084 females for every 1000 males.
This figure is significantly higher than the national average (943) and indicates a more favorable social environment for women compared to the other states listed.
A sex ratio above 1000 means there are more females than males in the population, a demographic feature that Kerala is known for in India.

Option B: Karnataka's sex ratio of 973 (as per the 2011 Census) is below Kerala's 1084 and also below the 1000 mark.
Option C: Gujarat's sex ratio of 919 is significantly lower than Kerala's and is below the national average, indicating a deficit of females.
Option D: Haryana has one of the lowest sex ratios in India, recorded at 879 in the 2011 Census. This makes it the opposite of the correct answer.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Indian States by Sex Ratio (Census Data) as background academic context rather than a clinical decision trigger.
Understanding demographic indicators like sex ratio is crucial for community health nurses to identify regions with potential gender disparities and related health challenges.
A low sex ratio can indicate issues like female feticide, neglect of female children, and poor access to healthcare for women, which are all public health concerns that nurses may need to address through education and advocacy.
What if? If the question asked for the Union Territory with the highest sex ratio, the answer would be Puducherry (1037), not Kerala.

How to Approach the Question

First, understand the question. It asks to identify the Indian state with the 'highest sex ratio' from the given options.
Recall the definition of sex ratio: the number of females per 1000 males.
This is a factual recall question based on general knowledge of Indian demography, specifically from the Census data.
Access your knowledge about the demographic indicators of Indian states. Kerala is widely known for its high human development indicators, including a favorable sex ratio.
Compare the approximate sex ratios if you know them: Kerala (>1000), Karnataka (970s), Gujarat (920s), Haryana (<900).
Based on this comparison, Kerala clearly has the highest value. Select it as the correct answer.

Concept Tested & Keywords

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E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) pp. 7-9, 6-8

Practise the full Haryana CHO -2023

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