Community Medicine (PSM) · Nutrition (Macro/Micronutrients, RDA, PEM, Nutritional Programmes)

As per the National Nutritional Anaemia Prophylaxis Programme guidelines currently followed in India, the iron and folic acid supplementation given routinely to all pregnant women consists of:

  • A One tablet daily containing 30 mg elemental iron and 400 micrograms folic acid, starting from the first trimester
  • B Weekly tablet containing 60 mg elemental iron and 2800 micrograms folic acid throughout pregnancy
  • C Two tablets daily containing 60 mg elemental iron each, given only if haemoglobin is below 11 g/dL
  • D One tablet daily containing 60 mg elemental iron and 400 micrograms folic acid for at least 100 days during pregnancy
Correct answer: D. One tablet daily containing 60 mg elemental iron and 400 micrograms folic acid for at least 100 days during pregnancy

Explanation

The current national guideline is one daily tablet of 60 mg elemental iron plus 400 micrograms folic acid, taken for a minimum of 100 days during pregnancy and again for 100 days postpartum. Option A reflects the older 30 mg formulation used before the revision, which is the key distractor. Option C describes therapeutic rather than prophylactic dosing, since routine supplementation is universal and does not wait for anaemia to develop.

Reference: Park's Textbook of Preventive and Social Medicine, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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