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REPRODUCTIVE HEALTH
(A) NCERT QUESTIONS & SOLUTIONS
‘What do you think is the significance of reproductive health in a society?
Ans. In a society if the people are aware of birth control methods to avoid sexually transmitted
diseases and the importance of breast-feeding and post-natal care of the mother and baby then the
society can have healthy children who are the future citizens ofa nation.
Suggest the aspects of reproductive health which need to be given special attention in the
present scenario?
* Providing support and facilities such as medical assistance to people during pregnancy, STIs,
« It will provide right information to avoid myths and misconceptions about sex related queries.
Do you think that reproductive health in our country has improved in the past 50 years? If
Ans. Yes, the reproductive health has tremendously improved in India in the last 50 years. The areas
of improvement are as follows.
« Batter awareness about sex related matters.
« Increase number of medically assisted deliveries and better post natal care of child and mother
leading to decrease maternal and infant mortality rate.
« Increase numbers of couples with small families.
« Better detection and cure of STIs and overall increased medical facilities for all sex related
problems.
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What are the suggested reasons for population explosion?
Ans. The suggested reasons of population explosion are :
(a) rapid decline in death rate.
(b) decline in maternal mortality rate (MMR)
(c) decline in infant mortality rate (IMR) and
(d) increase in number of people in reproducible Age
Is the use of contraceptives justified? Give reasons.
Ans. Yes, the use of contraceptives is absolutely justified. The human population is increasing
tremendously. Therefore to regulate the population growth by regulating reproduction has
become a necessary demand in the present times. Various contraceptive devices have been
devised to reduce unwanted pregnancies which help in bringing down the increased birth rate and
hence, in checking population explosion.
Removal of gonads cannot be considered as a contraceptive option. Why?
Ans. The removal of gonads not only stops the production of gametes but will also stop the secretion
of various important hormone which required for body functions. This method is irreversible and
thus, cannot be considered as a contraceptive method.
Amniocentesis for sex determination is banned in our country. Is this ban necessary?
Comment. [IMP.]
Ans. Yes. the ban is necessary because amniocentesis is misused for determining the sex of the foetus
and then aborting the child if it is a female.
Suggest some methods to assist infertile couples to have children.
Ans. The reasons of infertility could be physical, congenital diseases, drugs, immunological and even
psychological. Specialized health care units called infertility clinics could help in diagnosis and
corrective treatment of some of these disorders. Through special techniques called assisted
reproductive technologies (ART), infertile couple could be assisted to have children.
ART includes:
(i) In vitro fertilisation,
(ii) Gamete intra fallopian transfer (GIFT),
(iii) Intra cytoplasmic sperm injection (ICSI), and
(iv) Artificial insemination (Al).
10. ‘What are the measures one has to take to prevent from contracting STDs? [IMP.]
Ans. Sexually transmitted Infection (STIs) get transferred from one individual to the other through
sexual contact. Adolescents and young adults are at the greatest risk of acquiring these sexually
transmitted diseases. Hence,
Creating awareness among the adolescents regarding its after-effects can prevent them from
contracting STIs.
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The use of contraceptives such as condoms etc. while intercourse can prev f
these diseases.
Sex with unknown partners or multiple partners should be avoided as they may have such
diseases.
Specialists should be consulted immediately in case of doubt so as to assure early detection and
cure of the disease.
(b) Infertility is defined as the inability to produce a viable offspring and is always due to
abnormalities/ defects in the female partner. (True/ False)
(©) Complete lactation could help as a natural method of contraception. (True/ False)
(@) Creating awareness about sex related aspects is an effective method to improve reproductive
health of the people. (True/ False)
Ans. True - Due to internal factors like incompatibility, abortion could happen spontaneously.
(b) False - Infertility may also be caused sue to male partner when sperm count is low or their
mobility is less.
(©) True - Lactational amenorrhea is a method of contraception as ovulation does not occur
during the period of intense lactation following parturition.
(@) True - Creating awareness about sex related aspects removes the myths and misconceptions
about these problems.
() Oral pills are very popular contraceptives among the rural women.
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(B) PREVIOUS YEAR QUESTIONS
1 Given below are four aspects of Reproductie Health in Column A and their related information in
Column B : [CBSE 2023]
Column - A Column - B
S. Terms used in Reproductive | S. | Significant information
No. | Heath No.
(A) MTP (i) | Analysing fetal cells from amniotic
fluid of the foctus
(B) | Amniocentesis (ii) | Legalised in 1971
©) Saheli (iii) | Programme initiated in 1951
(D) Family Planning (iv) | Non - steroidal oral contraceptive
Select the correct match from the following options :
(1) (A) - (iv), B - (ii), (C) - (iii), (D) - (i) (2) (A) - (ii), B - (i), (C) - (iv), (D) - (iii)
(3) (A) - (i), B - (iii), (C) - (ii), (D) - (iv) (4) (A) - (ii), B - (i), (O) - (iii), (D) - (iv)
Ans. (2) (A) - (ii), B - (i), (C) - (iv), (D) - (iii)
>
Given below are Column - A with a list of certain Assisted Reproductive Technologies (ART)
and in Column - B the procedures followed during ART : [CBSE 2023]
Column - A Column - B
S.No. | Names of ART | S.No. Procedures
(A) GIFT (i) Transfer of ovum from a donor into
the fallopian tube of another
female.
(B) ICSI (ii) Transfer of semen from the donor
into the vagina of the female.
(©) ZIFT (iii) Injecting sperms directly into the
ovum.
(D) U1 (iv) Transfer of early embroys into the
fallopian tube.
Choose the option where ART correctly matches with the procedure.
(1) (A) - (i), (B)- (ii), (C) - (iii), (D) - (iv) (2) (A) - (iv), (B) - (i), (C) - (ii). (D)- (iii)
(3) (A) - (iv). (B) - (i), (C) - (i), (D) - (i) (4) (A) - (@), (B) - (iii), (C) - (iv), (D) - (ii)
Ans. @) (A) - (@), (B) - (i), (C) - (iv), (D) - (ii)
>
Assertion (A): Through Reproductive and Child Health (RCH) programmes in India ; we could
bring down the population growth rate.
Reason (R): A rapid increase MMR and IMP were the reasons, along other reasons for this.
[CBSE Term-I 2022]
(1) Both Assertion and Reason are true and Reason is the correct explanation of Assertion.
(2) Both Assertion and Reason are true but Reason is not the correct explanation of Assertion.
(3) Assertion is true but Reason is false.
(4) Both Assertion and Reason are false.
is true but Reason is false.
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4. Assertion (A): Sterilisation methods are generally advised for male/female pa 1
method to prevent any more pregnancies.
Reason (R): These techniques are less effective and have high reversibility. ~ [CBSE Term-I 2022]
(1) Both Assertion and Reason are true and Reason is the correct explanation of Assertion.
(2) Both Assertion and Reason are true but Reason is not the correct explanation of Assertion.
(3) Assertion is true but Reason is false.
(4) Both Assertion and Reason are false.
Ans. (3) Assertion is true but Reason is false.
5. Select the correct option for Human Chorionic Gonadotropin (hCG) released during embryonic
development in humans. [CBSE Term-I 2022]
(i) Helps in maintenance ofpregnancy.
(ii) Leads to rupture of Graafian follicle.
(iii) Cause strong uterine contraction during childbirth.
(iv) Brings metabolic changes in the mother.
(1) (i) and (ii) (2) (i) and (iv) (3) (ii) and (iii) (4) (i) and (iv)
Ans. (2) (i) and (iv)
6. A specialized procedure to form an embryo in the laboratory in which sperm is directly, injected
into the ovum is : [CBSE Term-I 2022]
() IuT (2) U1 (3)I1CSI (4) ZIFT
Ans. (3) ICSI
7. Listed below are all reproductive tract infections except [CBSE Term-I 2022|
(1) Genital herpes (2) Filariasis (3) Trichomoniasis (4) Syphilis
Ans. (2) Filariasis
8. Assertion (A) : Determining the sex of an unborn child followed by MTP is an illegal practice.
Reason (R) : Amniocentesis is a practice to test the presence of genetic disorders also.
[CBSE 2023]
(1) Both Assertion and Reason are true and Reason is the correct explanation of Assertion.
(2) Both Assertion and Reason are true but Reason is not the correct explanation of Assertion.
(3) Assertion is true but Reason is false.
(4) Both Assertion and Reason are false.
An: .(2) Both Assertion and Reason are true but Reason is not the correct explanation of
2
Assertion.
9. Name and explain a surgical contraceptive method that can be adopted by the male partner
of a couple. [CBSE 2023]
Ans. Vasectomy. In vasectomy, a small part of the vas deferens is removed or tied up through a small
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(a) TUDs are said to be effective contraceptives. Name any two common d
write the mode of their actions.
(b) When is sterilisation advised to married couples? How is it carried out in a human male
and a female, respectively? [CBSE 2020]
Ans. (a) Hormone releasing IUDs- It makes the uterus unsuitable for implantation and the cervix
hostile to the sperms.
Copper releasing IUDs — Cu ions released suppress sperm motility and the fertilising capacity
ofsperms.
(b) When a desired family size is attained, and couple don’t need any more child then only
sterilisation methods are advised.
Sterilisation procedure
(i) Male- in male it is called ‘vasectomy’- In vasectomy, a small part of the vas deferens is
removed or tied up through a small incision on the scrotum.
(ii) Female- in female it is called ‘tubectomy’- In tubectomy, a small part of the fallopian tube
is removed or tied up through a small incision in the abdomen or through vagina.
12. Explain one application of each one of the following :
(a) Amniocentesis
(b) Lactational amenorrhea
(¢) ZIFT
(d) Prepare a poster for the school programme depicting the objectives of: “Reproductive
and Child Health Care Programme”. [CBSE 2019]
Ans. (a) To detect chromosomal disorders / sex determination (legally banned) / detect genetic disorder.
(b) To prevent pregnancy / means of natural contraception.
(¢) To assist an infertile couple to have children by tranferring the zygote / early embryo / embryo
at eight blastomere stage into fallopian tube.
(d)A poster made on RCH - Any relevant slogan or sketch made should be awarded like
e.g. - Hum Do Hamare Do,
- Gender selection and detection is punishable, or (Any other relevant theme)
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(C) MULTIPLE CHOICE QUESTIONS
What is the full form of WHO?
(1) Ware House Organization (2) War and Health Organization
(3) World Health Office (4) World Health Organization
Ans. (4) World Health Organization
What are the various aspects of reproduction covered by WHO?
(1) Physical, Emotional, Behavioural (2) Physical, Emotional, Behavioural, Social
(3) Physical, Emotional, Gestational, Social ~ (4) Physical, Emotional, Social
Ans. (2) Physical, Emotional, Behavioural, Social.
Which was the first country in the world to initiate a nationwide programme for reproductive
health?
(1) China (2)UsSA (3) India (4) Russia
Ans. (3) India
The figure indicates which contraceptive device?
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CDRI, Lucknow developed which new female contraceptive?
(1) “Sakhi’ (2) ‘Saheli® (3) “Saloni’ (4) “Smiti”
Ans. (2) ‘Saheli®
12. CDRI stands for
(1) Contraceptive Drug Research Institute (2) Central District Research Institute
(3) Central Drug Research Institute (4) Central Dermatologic Research Institute
Ans. (3) Central Drug Research Institute
13. The world population was 2000 million in the year
(1) 1980 (2) 1970 (3) 1960 (4) 1900
Ans. (4) 1900
14. Which IUD is shown in the given figure?
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,—---_____-________________—____-___--_____-_________--,
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(D) ASSERTION — REASON QUESTIONS
—————————
B\ Directions: In the following questions, a statement of assertion is followed by a statement of]
reason. Mark the correct choice as:
(2) Ifboth Assertion and Reason are true but Reason is not the correct explanation of Assertion.
Ans. 1UDs
Ans. Saheli
Ans. Vasectomy
Ans. 1971
Ans. Uterus
13. Procedure to form an embryo in the laboratory in which a sperm is directly injected into
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(F) SHORT ANSWER QUESTIONS
How does 'Saheli' Work like a contraceptive?
Ans. 'Saheli' is a non-steroid oral contraceptive. It contains hormone. It shows following effects -
1. Alter the quality of cervical mucus to prevent or retard entry of sperms into uterus.
2. It prevents implantation.
Ans. They are barriers. They prevent physical association of sperm and ovum. Example are-
1. Condoms
2. Others - Diaphragm, Vaults, Cervical caps.
‘What is infertility? Suggest the methods used for curing the infertility.
. Infertility - When couples are unable to produce children inspite of un protected sexual co-
habitation for at least two or more years duration.
- ART = Assisted Reproductive Technologies are used to cure infertility.
- These technologies are-
In-vitro fertilisation = IVF
(a) ZIFT (b) IUT
2. In vivo fertilization 3. GIFT 4.1CS1
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(G) LONG ANSWER QUESTIONS
Reproductive and Child Healthcare (RCH) programmes are currently in operation. One of
the major tasks of these programmes is to create awareness amongst people about the wide
range of reproduction related aspects. As this is important and essential for building a
reproductively healthy society.
(a) “Providing sex education in schools is one of the ways to meet this goal.” Give four
points in support of your opinion regarding this statement.
(b) List any two ‘indicators’ that indicate a reproductively healthy society.
Ans. (a) Provide right information to the young so as to discourage children from believing in myths
and misconception about sex related aspects. Proper information about reproductive organs-
Proper information about adolescence and related changes-Safe hygienic practices
STDs/AIDS - Available birth control options — Care of pregnant mothers-Post natal care-
Importance of breast feeding - Equal opportunities for male and female child awareness of
problems due uncontrolled population growth - Sex abuse - Sex related crimes (Any four)
(b) Better awareness about sex related matters / increase number of assisted deliveries/better post
natal care/decrease in IMR (Infant Mortality Rate)/decrease MMR(Maternal Mortality
Rate)/increase number of couples with small families/better detection and cure of STDs/
overall increased medical facilities for sex related problems / total well being in all aspects of
reproduction/physical - behavioural - social / physically and functionally normal reproductive
organs/normal emotional and behavioural interaction among all sex related aspects.
(a) Name and explain the mode ofaction of any two types of TUDs.
(b) List the advantages of using 'Saheli' as a contraceptive.
Ans. (2)
e Non- medicated (e.g. lippes loop), phagocytosis of sperms
e Copper releasing TUDs (CuT, Cu7, Multiload 375), suppress sperm motility/reduces
fertilizing capacity of sperm.
Hormone releasing I1UDs (Progestasert, LNG — 20), makes uterus unsuitable for
implantation/cervix hostile to sperms.
(b) Advantages of Saheli-
(i) Non -steroidal (ii) Once a week (iii) High contraceptive value (iv) Less side effects
Name two hormones that are constituents of contraceptive pills. Why do they have high and
effective contraceptive value? Name a commonly prescribed non-steroidal oral pill.
Ans. Progestogen-estrogen combination, Progestogen or progesterone are present in contraceptive
pills. They inhibit ovulation, implantation and alter quality of cervical mucus to retard entry of
sperm. Saheli is a commonly prescribed oral pill.
(a) Mention the problems that are taken care of by Reproduction and Child Health Care
programme.
(b) What is amniocentesis and why there is a statutory ban on it?
Ans. (a) (i) Uncontrolled population growth (ii) social evil like sex abuse
(iii) sex related crime (iv) STDs.
(b) Foetal sex determination test based on chromosomal pattern in the amniotic fluid/to study
chromosomal abnormalities in the foctus, banned to legally check female foeticide.
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)
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] (H) CASE-STUDY BASED QUESTIONS
)
) Study the following and answer the questions given below:
)
) The following us the illustration of male reproductive system. Observe it and give the answer of
) question that follow:
}
)
) Subject-1 Subject-2
)
)
}
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)
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)
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)
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} [0} In subject-1 a small portion of which duct is removed and tied up?
}
) Ans. Vas deferens
)
) (i) ‘Which subject needs barrier?
)1 Ans. Subject-2
)
)
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‘Which part is removed in a subject-1?
Fallopian tube
Subject-1
Subject-2 Only
Intentional or voluntary termination of pregnancy before full term is called MTP or induced
abortion. Nearly 45 to 50 million MTPs are performed in a year all over the world which
accounts to 1/5th of the total number of conceived pregnancies in a year. Obviously, MTP has a
significant role in decreasing the population though it is not meant for that purpose. Whether to
accept /legalise MTP or not is being debated upon in many countries due to emotional, ethical,
religious and social issues involved in it. Government of India legalised MTP in 1971 with some
strict conditions to avoid its misuse. Such restrictions are all the more important to check
indiscriminate and illegal female focticides which are reported to be high in India.
Expand MTP.
‘When Government of India legalised MTP with some strict conditions to avoid its misuse?
1971
The MTPs are performed illegally by unqualified quacks which are not only unsafe but could
be fatal too.
Amniocentesis for sex determination is banned in our country. Is this ban necessary?
Comment.
Ans. Yes the ban is necessary because amniocentesis is misused for determining the sex of the
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Read the following and answer the questions given below:
India was amongst the first countries in the world to initiate action plans and programmes at a
national level to attain total reproductive health as a social goal. These programmes called ‘family
planning’ were initiated in 1951 and were periodically assessed over the past decades. Improved
programmes covering wider reproduction-related areas are currently in operation under the
popular name RCH programmes’. Creating awareness among people about various reproduction
related aspects and providing facilities and support for building up a reproductively healthy
society are the major tasks under these programmes. With the help of audio-visual and the print-
media governmental and non-governmental agencies have taken various steps to create awareness
@) Expand RCH.
Ans. The uncontrolled population growth, social evil like sex abuse , sex related crime and STDs.
(iif) Prepare a slogan for poster for the school programme depicting the objectives of :
Ans. A poster made on RCH - Any relevant slogan or sketch made should be awarded marks e.g. Hum
(iv) “Providing sex education in schools is one of the ways to meet the goal of RCH ”. Give a
Ans. Provide right information to the young so as to discourage children from believing in myths
Ans. In a socicty if the people are aware of birth control methods to avoid sexually transmitted
diseases and the importance of breast-feeding and post-natal care of the mother and baby, then
the society can have healthy children who are the future citizens of a nation.
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