Emergency Obstetric and Newborn Care

1. According to a 2006 WHO analysis, major causes of maternal mortality are:

a) Hemorrhage and sepsis

b) Obstructed labor and ruptured uterus
c) Unsafe abortion and tetanus

2. Among the functions of basic emergency and newborn care (BEmONC) are the
following:

a) Regular monitoring of blood pressure during antenatal care

b) Administering antibiotics to mother and newborn
c) Performing cesarean sections
d) All of the above

3. Emergency obstetric and newborn care (EmONC) deals with:

a) The prevention of complications

b) The management of complications
c) Normal antenatal care (ANC), childbirth, and postpartum care (PPC)
d) Teaching healthy self-care and care for the newborn

4. An effective referral system:

a) Requires reliable transportation

b) Ensures that emergencies are treated at the highest possible level of the
referral network
c) Requires a mechanism to ensure that very ill patients can bypass levels of
the system as patients and families choose

5. To meet United Nations criteria, a population should have a c-section rate of:

a) 5% to 15%
b) 15% to 25%
c) At least 15%

6. To meet the United Nations criteria for availability of emergency obstetric

and newborn care (EmONC) services there should be at least:

a) One comprehensive EmONC facility and two basic EmONC facilities for each
50,000 population
 b) One comprehensive EmONC facility and four basic EmONC facilities for
each 500,000 population
c) One comprehensive EmONC facility for every 500,000 population and one
basic EmONC facility for every 50,000 population

7. An indication of the quality of care in a facility is provided in the calculation

of:

a) The geographical distribution of services

b) The proportion of births in a facility
c) The met need for emergency obstetric and newborn care (EmONC) services
d) The case fatality rate

8. United Nations recommendations for every 500,000 population includes all of

the following EXCEPT:

a) One facility providing basic emergency obstetric and newborn care

(BEmONC)
b) Four facilities providing BEmONC
c) One facility providing comprehensive emergency obstetric and newborn
care (CEmONC)

9. Lessons learned in the FOGSI program in India included all of the following
EXCEPT:

a) Policy change requires national advocacy by a professional association.

b) Quality performance requires a standardized training approach and
materials.
c) Only obstetricians/gynecologists should deal with comprehensive
emergency obstetric care (CEmOC).
d) Coordination with the state government reduces the transfer of trained
manpower.

10. Elements of success in the project in Mozambique included all of the

following EXCEPT:

a) Investment in human resources

b) Upgrading facilities
c) Restriction on provision of emergency obstetric care (EmOC) by primary
health care professionals
d) Effective monitoring and evaluation
 e) Community mobilization

11. Key factors in the success of the FEMME project in Peru included all of the
following EXCEPT:

a) Effective and culturally appropriate guidelines and protocols

b) Effective systems and structures
c) Establishment of maternity waiting homes
d) Increased political will
e) Improved staff capabilities

12. In the PAC program in Nepal, crucial attention was given to all of the
following EXCEPT:

a) Safety and privacy of clients

b) Allowing only married women to access services
c) 24-hour staff coverage
d) Essential supplies, equipment, and drugs
e) Training of teams of health care providers

13. In Francophone Africa, success resulted from all of the following EXCEPT:

a) Staff trained and working together as "teams"

b) South-to-South collaboration
c) Resistance to change overcome
d) Hospitals equipped and supplied to provide emergency obstetric and
newborn care (EmONC)

14. Preventive measures are NOT crucial to reducing maternal mortality if

quality emergency obstetric care services are accessible.

 False
True

15. Increasing access to basic emergency obstetric and newborn care (BEmONC)
may be more cost-effective for increasing coverage than focusing on hospital-
based births.

 True Upgrading existing lower level (peripheral) facilities, increasing the

numbers of those facilities, and improving the referral systems may be more
 cost-effective in achieving widespread coverage than focusing on increasing
hospital-based births.

16. "Met need" is calculated by dividing the number of women with

complications treated in a facility or facilities in a region (numerator) by the
number of complications you would expect to occur in that population
(considered to be 15%).

 True
False

17. Comprehensive emergency obstetric and newborn care (CEmONC) functions

should be available at every primary health care facility where skilled birth
attendants function.

 False CEmONC functions are usually performed at the district or tertiery

hospital level.

18. The project in Bangladesh included community-based activities, facility-

based activities, and activities to link the facility and the community.

 True
False