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Decidua and Endometrial Regeneration

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Questions and Answers

What happens to the remaining decidua after delivery?

It becomes thin and smooth

It remains intact and becomes the new endometrium (correct)

It is in$ltrated with blood and undergoes rapid regeneration

It becomes necrotic and is sloughed in the lochia

What is the source of new endometrium during endometrial regeneration?

Proliferation of the interglandular connective tissue

Proliferation of the superficial decidua

Proliferation of the basal layer adjacent to the myometrium (correct)

Proliferation of the spongy layer

When does Sharman identify fully restored endometrium in biopsy specimens?

Within 2 or 3 days after delivery

Within 5-15 days after delivery

Within 16 days onward after delivery (correct)

Within a week or so after delivery

What is characteristic of acute salpingitis according to Andrews (1951)?

Microscopic inflammatory changes seen in almost half of women between 5-15 days after delivery (B) Signup and view all the answers

What tends to happen to the uterus in primiparous women following delivery?

It remains tonically contracted (D) Signup and view all the answers

What is part of the normal reparative process according to the text?

Histological endometritis (C) Signup and view all the answers

What is the term for the vaginal discharge containing erythrocytes, shredded decidua, epithelial cells, and bacteria?

Lochia rubra (B) Signup and view all the answers

What causes the afterpains in multiparas to worsen when the infant suckles?

Oxytocin release (B) Signup and view all the answers

What term is used to describe the process of involution at the placental site?

Exfoliation (D) Signup and view all the answers

What does subinvolution of the uterus refer to?

Hindered uterine involution due to infection or retained placental fragments (B) Signup and view all the answers

What is the main cause of subinvolution of the uterus?

Retained placental fragments or infection (A) Signup and view all the answers

When does the lochia turn progressively pale in color?

$3$ to $4$ days after delivery (B) Signup and view all the answers

What medication is recommended for subinvolution of the uterus, but its efficacy is questionable?

Ergonovine (Ergotrate) (B) Signup and view all the answers

What is the term for the discharge containing leukocytes and reduced fluid content, assuming a white or yellow-white color?

$Lochia alba$ (A) Signup and view all the answers

What is the average duration of lochial discharge in the puerperium?

$24$ to $36$ days (B) Signup and view all the answers

What does placental site involution consist of?

Both extension and downgrowth of endometrium from margins of the placental site and development of endometrial tissue from the glands and stroma deep in the decidua basalis (D) Signup and view all the answers