What is the dose of IFA for a pregnant lady in the Anemia Mukt Bharat campaign?

NORCET 2 - 2021 (shift-1)

Obstetrics and Midwifery Nursing

Easy

Appeared in: NORCET 2 - 2021 (shift-1)

Explanation

The Anemia Mukt Bharat (AMB) strategy specifies a prophylactic dose for all pregnant women to prevent anemia.
This standard dose is a single daily tablet containing 60 mg of elemental iron and 500 mcg (0.5 mg) of folic acid.
This regimen should start from the second trimester of pregnancy and continue for 180 days, and also be followed for 180 days during the postpartum period.
These tablets are typically red, distinguishing them from the blue (adolescent) and pink (pediatric) tablets used in the same program.

Option A: This option suggests 100 mg of iron. This is not the standard prophylactic dose under the AMB campaign.
Option B: A dose of 20 mg of iron is insufficient to meet the increased physiological demands of pregnancy.
Option C: A dose of 30 mg of iron is inadequate for preventing anemia in pregnant women.

Visual 1: Infographic: A chart showing the 6x6x6 strategy of Anemia Mukt Bharat, detailing the six beneficiary groups, six interventions, and six institutional mechanisms.
Visual 2: Visual Guide: An image displaying the different colored IFA tablets (Red for pregnant women, Blue for adolescents, Pink for children) with their respective dosages clearly labeled.
Visual 3: Timeline: A visual timeline illustrating the recommended IFA supplementation schedule for a pregnant woman, starting from the second trimester and continuing into the postpartum period.

Clinical Relevance

Nursing practice connection: Knowing The concept tested is the prophylactic dosage of Iron and Folic Acid (IFA) for pregnant women as per the guidelines of the Anemia Mukt Bharat (AMB) national program in India helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses play a crucial role in counseling pregnant women on the importance of IFA adherence to prevent maternal anemia, postpartum hemorrhage, low birth weight, and preterm delivery.
Patient education is key to managing common side effects like nausea, constipation, and black stools, which can otherwise lead to non-compliance. Advise taking the tablet after a meal and increasing fluid and fiber intake.
What if the patient's hemoglobin is 8 g/dL at the first antenatal visit? The nurse should recognize this as moderate anemia. The patient would require a therapeutic dose (e.g., two 100 mg iron tablets daily) instead of the prophylactic 60 mg dose, and the case should be highlighted for the Medical Officer's attention for further management and investigation.

How to Approach the Question

First, identify the key components of the question: 'IFA dose', 'pregnant lady', and 'Anemia Mukt Bharat campaign'. This indicates the need for specific knowledge about a national health program.
Recognize that national health programs have standardized protocols. The question is asking for the standard prophylactic (preventive) dose, not a treatment dose.
Recall or deduce the different dosage levels for various populations. Differentiate between prophylactic doses for prevention and therapeutic doses for treatment.
Evaluate the options. 60 mg iron is the standard prophylactic dose for pregnancy. 100 mg is typically therapeutic. 20 mg and 30 mg are pediatric doses. This process of elimination points to the correct answer.
Select the option that matches the standard prophylactic guidelines for pregnant women under the AMB program.

Concept Tested & Keywords

Concept Tested: The concept tested is the prophylactic dosage of Iron and Folic Acid (IFA) for pregnant women as per the guidelines of the Anemia Mukt Bharat (AMB) national program in India.
Stem keywords: IFA, pregnant lady, Anemia Mukt Bharat, dose
Lead-in keywords: What is
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

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