Match each clinical management action for a grandmultiparous patient with its primary clinical rationale: Management Actions: 1. Detailed obstetric and social history 2. Routine booking investigations 3. Antenatal nutritional counseling 4. Active management of the third stage of labor Clinical Rationales: A. Detect baseline maternal anemia and atypical red cell antibodies early in pregnancy B. Identify previous delivery complications and risks associated with high parity C. Prevent severe postpartum hemorrhage secondary to uterine atony D. Address maternal nutrient depletion resulting from repeated pregnancies

These pairs connect the lecture's recommended care actions with their stated purposes or contexts. A **good history** helps identify the medical and social circumstances associated with high parity. Basic routine screening is to be undertaken at booking. Nutrition is specifically included in antenatal education. The lecture also explicitly recommends **active management of the third stage of labour**. The matching task tests recognition of the management plan rather than implying that any single action addresses every risk associated with grandmultiparity. **Key takeaway:** Grandmultiparity care combines assessment, routine antenatal care, education, and an explicit third-stage management recommendation. **Glossary:** - **Booking**: The initial formal antenatal-care assessment. - **Third stage of labour**: The period from the birth of the baby until delivery of the placenta.