TOOL FOR DATA COLLECTION

A TOOL TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED TEACHING

PROGRAMME ON KNOWLEDGE OF ANTE NATAL MOTHERS REGARDING ANTE

NATAL CARE

INTERVIEW SCHEDULE

Video assisted teaching programme for assessment of effectiveness of knowledge regarding

antenatal care among antenatal women

The interview schedule will be designed to elicit the relevant information from ante natal women

regarding ante natal care

The interview schedule will be divided into 2 parts as follows:

Section-A: It consists of 8 items related to demographic variables of the ante natal women

Section-B: It consists of 20 items related to knowledge aspects of ante natal women regarding

ante natal care

 SECTION-A

DEMOGRAPHIC PROFORMA

CODE:...................

1. AGE IN YEARS:

(a) Women between 15 to 20 years [ ]

(b) Women between 21 to 30 years [ ]

(c) Women between 31 to 40 years [ ]

(d) More than 40 years of age [ ]

2. TOTAL NO OF CHILDREN:

(a) Having less than 2 children [ ]

(b) Having more than 2 children [ ]

3. INFORMATION OBTAINED REGARDING ANTE NATAL CARE FROM :

(a) Health workers [ ]

(b) Television [ ]

(c) Physician’s office [ ]

(d) News papers [ ]

(e) Peer groups and family members [ ]

4. OCCUPATION OF ANTE NATAL MOTHER :

(a) Home maker [ ]

(b) Professionalist [ ]

(c) Coolie [ ]

(d) Business [ ]

5. INCOME EARNED ANNUALLY (in rupees) :

(a) Less than 12, 000 [ ]

(b) Between 13, 000 to 30, 000 [ ]

(c) Between 31, 000 to 50, 000 [ ]

(d) More than 50, 000 [ ]

6. TRIMESTER OF PREGNANCY :

(a) First Trimester [ ]

(b) Second Trimester [ ]

(c) Third Trimester [ ]

7. TYPE OF FAMILY:

(a) Nuclear [ ]

(b) Joint [ ]

8. EXPOSURE TO RADIATIONS DURING PREGNANCY :

(a) YES [ ]

(b) NO [ ]
 SECTION-B

This section is designed to assess the knowledge of ante natal women regarding ante natal care

KNOWLEDGE ASPECTS OF ANTE_NATAL WOMEN REGARDING ANTE NATAL

CARE

1. What is the need of ante natal care?

(a) To promote, protect and maintain the health of the women during pregnancy [ ]

(b) To detect “ high risk” cases [ ]

(c) To remove fear and anxiety associated with delivery. [ ]

(d) All the above. [ ]

2. How many hours should a pregnant women sleep in the night?

(a) 12 hours [ ]

(b) 10 hours [ ]

(c) 14 hours [ ]

(d) 8 hours [ ]

3. What type of food should a pregnant women consumes for normal fetal well being?
 (a) Well balanced diet [ ]

(b) Protein rich diet [ ]

(c) Protein fat rich diet [ ]

(d) Vitamin rich diet [ ]

4. Do you know how much weight gain is expected in a normal healthy woman during

pregnancy ?

(a) 12 kgs [ ]

(b) 10 kgs [ ]

(c) 8 kgs [ ]

(d) 6 kgs [ ]

5. What is the amount of Calories consumed by a pregnant women during pregnancy?

(a)1000 kcal [ ]

(b) 2400kcal [ ]

(c)1500 kcal

[ ]
 (d)1600 kcal

[ ]

6. What is the purpose of exercise during pregnancy?

(a) Helps to reduce pain during labour

[ ]

(b) Helps to improve posture during labour

[ ]

(c) Helps to have normal delivery. [

(d) All the above. [

7. When the first dose of tetanus toxoid (TT) should be given during pregnancy ?

(a) Between 2 to 4 weeks [ ]

(b) Between 6 to 8 weeks [ ]

(c) Between 10 to 12 weeks [ ]

(d) Between 16 to 20 weeks [ ]

 8. What should be the minimum interval of the two doses of tetatus toxoid (TT) which

is

given during pregnancy?

(a) 1 month [ ]

(b) 2 month [ ]

(c) 3 month [ ]

(d) 4 month [ ]

9. What is the dose of iron and folic acid supplements which is distributed to pregnant

women throughout pregnancy?

(a) 60mg & 500mcg [ ]

(b) 60mcg & 500mg [ ]

(c) 100mg & 500mcg [ ]

(d) 100mcg & 500mg [ ]

10. What is the amount of fluid to be taken by the pregnant women per day?

(a)1-2 litres [ ]

(b) 2-3 litres [ ]

(c) 3-4 litres [ ]

 (d) 4-5 litres [ ]

11. Which of the following is most important aspects of personal hygiene during

pregnancy ?

(a) Bathing everyday and wear clean clothes [ ]

(b) Hairs should be kept clean and tidy [ ]

(c) Both a & b [ ]

(d) None of the above [ ]

12. What is the importance of Breast Care?

(a) To correct the retracted nipple [ ]

(b) To check the size. [ ]

(c) To check the fullness [ ]

(d) None of the above [ ]

13. Sexual intercourse should be strictly restricted during which trimester of pregnancy?

(a) Ist Trimester [ ]

(b) IInd Trimester [ ]

(c) IIIrd Trimester [ ]

(d) All trimesters of pregnancy [ ]

14. When a pregnant women should restrict travelling?

(a) Ist Trimester [ ]

(b) IInd Trimester [ ]

(c) Throughout pregnancy [ ]

(d) None of the above [ ]

15. Which of the following should be avoided during pregnancy?

(a) Exposure to any radiations [ ]

(b) Smoking [ ]

(c) Alcohol [ ]

(d) All the above [ ]

16. When is the 1st fetal movement felt by the mother?

(a) 2-3 month of pregnancy [ ]

(b) 4-5 month of pregnancy [ ]

(c) 6-7 month of pregnancy [ ]

(d) None of the above [ ]

17. Which part of the day is the fetal movement felt vigorously?

(a) after a meal [ ]

(b) during sleep [ ]

(c) during walk [ ]

(d) None of the above [ ]

18. How many times a healthy fetus move?

(a) 5 times in 12 hrs [ ]

(b) 10 times in 12 hrs [ ]

(c) 15 times in 12 hrs [ ]

(d) 20 times in 12 hrs [ ]

19. Minimum of how many visits should be made by ante natal women during pregnancy?

(a) Once [ ]

(b) Twice [ ]

(c) Thrice [ ]

(d) Five times [ ]

20. The physician is consulted when the ante natal mother experiences the following

symptoms ?

(a) Swelling of the feet [ ]

(b) Headache and fits [ ]

(c) Bleeding or discharge through vagina [ ]

(d) If any one of the above features are present [ ]

 ANNEXURE-XIV

SCORING KEY

SECTION-B

S.No Answer

1 d

2 d

3 a

4 a

5 c

6 d

7 d

8 a

9 a

10 b

11 c

12 a
 13 a

14 a

15 d

16 b

17 a

18 b

19 c

20 d

For each correct answer one score is given. Total score is 20