Quiz 2: Maternal mortality

Please choose the one, most correct answer to each question or statement.

1. The maternal mortality includes:
   • Only deaths during pregnancy.
   • Deaths that occur between 20 weeks and delivery.
   • Deaths during pregnancy and the first week after delivery.
   • Deaths between conception and forty two days after delivery.
2. How is the maternal mortality ratio expressed?
   • As a percent.
   • Per 1000 deliveries.
   • Per 100 000 deliveries.
   • Per million deliveries.
3. The maternal mortality ratio reflects:
   • The number of pregnant women in the community.
   • The general health of women.
   • The standard of care for pregnant women.
   • Both the health of women and the standard of care available.
4. What is the maternal mortality ratio in high-income countries?
   • About 1.
   • About 10.
   • About 100.
   • About 1000.
5. What is the estimated maternal mortality ratio in South Africa?
   • About 50.
   • About 200.
   • About 500.
   • About 2500.
6. Are maternal deaths notifiable in South Africa?
   • All maternal deaths are notifiable.
   • Only deaths that occur in hospitals or clinics.
   • Only deaths that occur after 20 weeks of pregnancy.
   • Only deaths that occur during pregnancy, labour or delivery.
7. What are important direct causes of maternal death?
   • Hypertension.
   • AIDS.
   • Motor car accidents.
   • Malaria
8. What is a common indirect causes of maternal death?
   • Abruptio placenta.
   • Cardiac disease.
   • Suicide.
   • Puerperal sepsis.
9. What is the commonest cause of maternal death in South Africa?
   • Septic abortion.
   • Hypertension.
   • Haemorrhage.
   • AIDS.
10. What is the commonest direct cause of maternal death in level 1 clinics and hospital in South Africa?
    • Obstetric haemorrhage, especially postpartum haemorrhage.
    • Diabetes.
    • Complications of hypertension.
    • Puerperal sepsis.
11. Why do so many pregnant women still die in low-income countries?
    • Lack of knowledge about how to treat ill women.
    • Many more complications during pregnancy.
    • Poor health of pregnant women.
    • Women do not have easy access to good care.
12. Is there a confidential enquiry into maternal deaths in South Africa?
    • Yes.
    • Only in the private sector.
    • Only in cities and large towns.
    • No.
13. What is the Saving Mothers Report?
    • A newspaper for midwives.
    • An official report on the confidential enquiry into maternal deaths.
    • A report given in parliament each year.
    • A training manual for doctors and nurses working in maternity hospitals.
14. Avoidable factors, missed opportunities or substandard care:
    • Cannot be prevented in low-income countries.
    • Are not a problem in large, teaching hospitals.
    • Should be looked for in each maternal death.
    • Should be reported to the police.
15. Which is a patient related problem?
    • Not attending antenatal care.
    • Prolonged labour.
    • Lack of transport to antenatal clinic.
    • No hospital within easy reach.
16. What is an administrative related problem?
    • A mother not seeking help when warning signs present.
    • Lack of adequate training for midwives.
    • Lazy and negligent staff.
    • Delay in referring a sick patient from clinic to hospital.
17. What is a staff related problem?
    • Inadequate facilities.
    • Too few staff.
    • Mothers not reporting decreased fetal movements.
    • Not following standard protocols.
18. What is an honest error?
    • Forgetting to chart observations on the partogram.
    • Not completing the partogram correctly as you do not think partograms are useful.
    • Being too lazy to use a partogram.
    • Completing the partogram but not interpreting it correctly according to the standard protocol.
19. What is the maternal mortality index?
    • The maternal mortality in South Africa compared to high-income countries.
    • The percentage that the maternal mortality increases or decreases over a year.
    • The number of maternal deaths divided by the number of deaths or near deaths.
    • The number of maternal deaths divided by the number of perinatal deaths.
20. What is happening to the maternal mortality rate in most African countries?
    • It is increasing due to the number of AIDS deaths during pregnancy.
    • It is decreasing as HIV positive women are not falling pregnant.
    • It is decreasing as the standard of maternal care improves.
    • It has remained the same for many years.