Child Morbidity & Mortality Indicators (MR/PNMR/NMR/IMR/U5MR) MCQ Quiz | Foundations & Public Health

Quiz Introduction

Welcome, future medical professionals! This quiz is designed to test your understanding of key Child Morbidity and Mortality Indicators, a critical component of the Foundations & Public Health syllabus for MBBS. You will face 25 multiple-choice questions covering Infant Mortality Rate (IMR), Neonatal Mortality Rate (NMR), Perinatal Mortality Rate (PNMR), and Under-Five Mortality Rate (U5MR). These indicators are vital for assessing community health, evaluating healthcare interventions, and understanding global health trends. After submitting your answers, you’ll see your score and a detailed review of each question. For your revision, you can also download a PDF copy of all questions with their correct answers. Good luck!

1. The Infant Mortality Rate (IMR) is defined as the number of deaths of children under one year of age per:

2. The Neonatal Mortality Rate (NMR) specifically measures deaths occurring within what period after birth?

3. The Under-Five Mortality Rate (U5MR) is a crucial indicator of a country’s:

4. What is the denominator used for calculating the Perinatal Mortality Rate (PNMR)?

5. The numerator for the Perinatal Mortality Rate (PNMR) includes:

6. The time period for a “late fetal death” (stillbirth) according to WHO is typically after how many weeks of gestation?

7. Which of the following rates best reflects the quality of both antenatal and intranatal care?

8. Post-neonatal mortality refers to deaths occurring between:

9. The leading causes of neonatal mortality globally include:

10. If a country has an IMR of 50, what does this mean?

11. A stillbirth is defined as the death of a fetus:

12. Which indicator provides the most comprehensive picture of child health, as it includes neonatal, infant, and child mortality?

13. Early neonatal mortality refers to deaths occurring in which period?

14. Which mortality rate is LEAST sensitive to socio-economic improvements and more reflective of the quality of obstetric and neonatal care?

15. A decrease in Post-Neonatal Mortality Rate is often attributed to improvements in:

16. The formula for Under-Five Mortality Rate (U5MR) is:

17. Which of these mortality indicators is included in the Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs) as a key target?

18. To calculate the Neonatal Mortality Rate, the denominator is:

19. The Infant Mortality Rate (IMR) can be divided into two main components:

20. A very high Perinatal Mortality Rate (PNMR) with a relatively low Neonatal Mortality Rate (NMR) might suggest:

21. What is a “live birth” according to the WHO definition?

22. In a community of 50,000 people, there were 1,000 live births in a year. During that year, 20 infants died before their 28th day and a total of 40 infants died before their first birthday. What is the IMR?

23. Using the data from the previous question, what is the Neonatal Mortality Rate (NMR)?

24. Which of the following interventions would have the most significant and direct impact on reducing the Neonatal Mortality Rate?

25. Child Mortality Rate (not U5MR) specifically refers to the number of deaths per 1,000 children in which age group?