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PHC-3
🫥Inverse care
→EQUITY
🫥Impoverishing care
→AFFORDABILITY
🫥Fragmented and fragmenting care
→ CONTINUITY & COMPLETENESS
🫥Unsafe care
→ ASSESSABILITY, & ACCOUNTABILITY
🫥Misdirected care
→ INTERSECTORAL COORDINATION
🫥Maternal mortality 70 per 100,00
🫥Under-5 25 per 1000
🫥Neonatal 12 per 1000
🫥UHC > equity, quality, finishing-risk protection
🫥two indicators to monitor UHC
proportion who > can access essential quality health services
proportion who > spend a large amount of household income
507
👑 A pregnant woman has Hb 10.8 g/dL with no pallor or symptoms. Which is the sneakiest correct interpretation?
🔹A) Severe anemia because Hb is below normal pregnancy value.
🔹B) Moderate anemia because Hb is below 11.
🔹C) Mild anemia according to WHO classification.
🔹D) Physiological anemia because pallor is absent.
507
👑 A pregnant woman at 31 weeks has hypertension and proteinuria. The doctor starts magnesium sulfate. Which statement is MOST accurate?
🔹A) Magnesium sulfate is recommended routinely to prevent preeclampsia in all pregnant women.
🔹B) Magnesium sulfate is used to prevent/treat seizures in severe PE/eclampsia.
🔹C) Magnesium sulfate corrects calcium deficiency causing PE.
🔹D) Magnesium sulfate lowers plasma volume to improve placental flow.
507
👑 A pregnant woman taking carbamazepine is prescribed 5 mg folic acid. Why are the other options incorrect?
🔹A) High-dose folate prevents iodine deficiency-related hypothyroidism.
🔹B) High-dose folate reduces risk of folate deficiency-related NTDs in women on antiepileptics.
🔹C) High-dose folate is given because antiepileptics increase calcium loss.
🔹D) High-dose folate prevents iron deficiency anemia directly.
507
👑 A neonate is born at 36 weeks weighing 980 g. Why are the other options incorrect?
🔹A) LBW only because weight is below 2500 g.
🔹B) VLBW because weight is below 1500 g only.
🔹C) ELBW because weight is below 1000 g and infant is preterm.
🔹D) Normal birth weight because prematurity changes classification.
507
👑 A pregnant woman with BMI 17 gains only 5 kg during pregnancy. Which option BEST explains why the other options are wrong?
🔹A) LGA is expected because maternal underweight increases fetal overgrowth.
🔹B) Polyhydramnios is the most characteristic outcome of maternal underweight.
🔹C) LBW risk increases because maternal underweight BMI <18.5 impairs fetal growth.
🔹D) Post-term delivery is directly caused by low maternal BMI.
