Which of the following is not true for Severe Anaemia in Pregnancy.

MP CHO -2019 (Shift-2)

Obstetrics and Midwifery Nursing

Medium

Appeared in: MP CHO -2019 (Shift-2)

Explanation

The statement suggests providing Iron Folic Acid (IFA) tablets for only 15 days, which is an incorrect and insufficient treatment for severe anaemia.
Severe anaemia (Hb < 7 g/dL) requires aggressive management, primarily with intravenous (IV) iron therapy to correct the deficit quickly.
Even for mild or moderate anaemia, oral IFA therapy is prescribed for at least three months, not just 15 days.
A 15-day course of oral iron would not significantly raise haemoglobin levels in a severely anaemic patient and would fail to prevent serious maternal and fetal complications.

Option A: This is a true and essential part of management. Severe anaemia is a high-risk condition that necessitates evaluation and treatment by a Medical Officer (MO) at a higher-level health facility.
Option B: This is a true statement. Intravenous iron sucrose is a standard and preferred first-line treatment for severe anaemia in pregnancy because it corrects iron deficiency much faster than oral preparations.
Option C: This is a true and important supportive measure. Rest reduces the body's oxygen demand and decreases the strain on the cardiovascular system, which is already compromised by the low oxygen-carrying capacity of the blood.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Management of Severe Anaemia in Pregnancy as background academic context rather than a clinical decision trigger.
Severe anaemia in pregnancy is a medical emergency linked to increased risks of preterm birth, low birth weight, postpartum haemorrhage, cardiac failure, and maternal death.
Nurses play a critical role in identifying at-risk women, administering IV iron safely (including monitoring for adverse reactions), providing patient education on diet and medication compliance, and ensuring timely referral.
What if? If the severely anaemic patient was in the third trimester (e.g., 36 weeks), the urgency is even higher. In addition to IV iron, a blood transfusion would be strongly considered to rapidly improve oxygen-carrying capacity before the stress of labour and delivery.

How to Approach the Question

First, identify that the question is a 'negative' question, asking for the statement that is 'not true'.
Recall the definition of severe anaemia in pregnancy (Haemoglobin < 7 g/dL).
Think about the management principles for a high-risk condition. It requires intensive, rapid, and specialist-led care.
Evaluate each option against this standard. 'ANC check-up by MO', 'Iron sucrose injection', and 'Advise rest' are all appropriate, intensive interventions.
Recognize that 'IFA Tab for 15 days' is a minimal intervention, completely inadequate for a severe condition, making it the incorrect statement.

Concept Tested & Keywords

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