Postpartum Questions PDF

A midwife is conducting masterlisting of postpartum women in the community. Postpartum  period refers to the: 1. First six weeks of pregnancy                        1. Last six weeks of pregnancy 1. First six weeks after delivery 1. First six months after pregnancy 2. According to Rubin's...

A midwife is conducting masterlisting of postpartum women in the community. Postpartum  period refers to the: 1. First six weeks of pregnancy                        1. Last six weeks of pregnancy 1. First six weeks after delivery 1. First six months after pregnancy 2. According to Rubin's theory of maternal role adaptation, the mother will go through 3 stages during the post partum period. These stages are:  3. Michelle, 32 years old, G1P1, has delivered a baby boy and is now in the ward. She is very excited however afraid she may not do the right thing in caring for the baby. She asks the midwife about the proper breastfeeding? In the situation, Michelle is in which psychological phase? 1. Taking-In  1. Taking-Hold 1. Letting Go 1. Attachment Phase 4. Michelle is very fond on using the internet every night even during pregnancy. Days after delivery, she has changed her daily routine to adjust for her role for the baby. She is in: 1. Taking-In  1. Taking-Hold 1. Letting Go 1. Attachment Phase 5. Which of the following is true about the vital signs of a woman during Postpartum period? 1. Hypotension; Tachycardia; Tachypnea; cold clammy skin: NORMAL 1. 24 hour High Temperature; Hypertension: Normal 1. Decrease of PR to 50-70 bpm after delivery is ABNORMAL 1. There is intermittent increase in temperature that is related to dehydration. 6. What is true about striae gravidarum after pregnancy? 1. It disappears during postpartum period. 1. It does not disappear. It will assume a silvery white appearance. 1. It does not disappear. It will assume a pinkish appearance. 1. It disappears during postpartum. It is the mask of pregnancy. 7. The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?  1. dark red discharge on a 2-day postpartum client 1.  A pink to brownish discharge on a client who is 5 days postpartum 1. Almost colorless to creamy discharge on a client 2 weeks after delivery 1. A bright red discharge 5 days after delivery  8. During the postpartum period, the fundus of the uterus is expected to go down normally about \_\_ cm per day. 9. A woman who delivered normally per vagina is expected to void within \_\_\_ hours after delivery.  D.Midway between umbilicus and symphysis pubis  1. Establish IV access 1. Assess fetal heart rate (FHR) and maternal blood pressure 1. Prepare the client for a cesarean delivery 1. Assess maternal heart rate and respiratory rate 17. A 23-year-old primigravida client has normal vaginal delivery. The next day, the nurse assesses the client's lochia for color, amount and the presence of clots. Which of the following best describes lochia on the first postpartum day? 1. Dark red, large amount, with many clots 1. Pink, moderate amount, no clots 1. White, scant amount, no clots 1. Dark red, moderate amount, with few small clots 18. A client has a boggy uterus during stage IV of her delivery. Four hours postpartum, the nurse is preparing to administer methylergonovine maleate (Methergin) 0.2 mg P.O. as prescribed every 6 hours. The client's vital signs are: temperature. 38C; pulse 60 bpm; RR- 14 cpm; blood pressure 140/90 mmHg. Which is most appropriate intervention? 1. Immediately administer the drug 1. Administer the drug and call the physician 1. Administer the drug and recheck vital signs 1. Don't administer the drug. 19. The midwife is caring for a client on her second postpartum day. The nurse should expect the client's lochia to be: 1. Red and moderate 1. Continuous with red clots 1. Brown and scant 1. Thin and white 20. The midwife assessing a client who gave birth yesterday. Where should the midwife expect to find the top of the client's fundus? 1. One fingerbreadth above the umbilicus 1. One fingerbreadth below the umbilicus 1. At the level of the umbilicus 1. Below the symphysis pubis 21. The nurse is teaching a client how to perform perineal care to reduce the risk of puerperal infection. Which activity indicates that the client understands proper perineal care? 1. Flush perineum with warm water after each voiding 1. Cleaning the perineum from back to front after each voiding 1. Spraying water into the vagina after each voiding 1. Changing perineal pads every 8 hours 22. The midwife is caring for a client during the first postpartum day. The client asks the nurse how to relieve pain from her episiotomy. What should the nurse instruct the woman to do? 1. Apply an ice pack to her perineum. 1. Take a Sitz bath. 1. Perform perineal care after each voiding or a bowel movement 1. Drink plenty of fluids 23. A client delivered a healthy full-term baby girl 2 hours ago by cesarean delivery. When assessing this client, which finding requires immediate action? 1. Tachycardia and hypotension 1. Gush of vaginal blood when she stands up 1. Blood stain in abdominal dressing 1. Complains of abdominal pain 24. A 28-year old woman gave birth 1 hour ago to full-term baby boy. Which finding should the nurse expect when palpating the client's fundus? 1. Soft, at the level of the umbilicus 1. Firm, 1.9 cm below the level of the umbilicus 1. Firm, at the level of the umbilicus 1. Boggy, midway between the umbilicus and syphysis pubis 25. A new mother is discharged 16 hours after delivery. Which of the following symptoms would require the new mother to contact her health care provider? 1. Vaginal tenderness and dryness during sexual activity 1. Uterus that no longer palpable abdominally 1. Bright red lochia with an increase flow rate 1. Fatigue and weight loss 26. The nurse should anticipate which psychological reactions during the second trimester of pregnancy? 1. Self-centeredness and concentration on the behavior and appearance of children 1. Extroversion and emotional lability 1. Ambivalence and uncertainty 1. Dismay over body image and readiness for the edn of pregnancy Situation: Julie, a staff midwife, is monitoring the condition of first time mother Elnora Lorvvy who has just delivered a 7 lb baby boy. Refer to this situation for items 27-28. 27. In view of the effects of labor, Vicky understands that the bladder of her patient is in a condition of: 1. 2. 3. 4. 1. 1,3 1. 2,4 1. 1,4 1. 2,3 28. Lorvy may experience less afterpains because: 1. She is a Primipara 1. She is Breastfeeding 1. She has retained placental fragments 1. She has clots in the uterus 29. According to the DOH, first postpartum visit in home deliveries should be: 1. 1 week after 1. Within 24 hours 1. After 48 hours 1. After 6 weeks 30. After delivery, which of the following)g portions of the deciduas remains to give rise to the new endometrium? 1. Zona Spongiosa (spongy layer) 1. Zona Basalis (Basal Layer) 1. Zona compacta 1. None of these 31. Which of the following is not contained in the lochia? 1. Shreds of deciduas 1. Erythrocyte 1. Amniotic fluid 1. Microorganisms 32. A woman comes to the clinic for her first AP check-up. She said the last day of her 3-day menstruation is June 12, 2013. You calculated her EDC to be on: 1. February 28, 2013 1. March 19, 2012 1. April 2, 2013 1. March 19, 2013 33. Which is not a normal finding in the blood during the first postpartum week? 1. Elevated sedimentation rate 1. Leukocytosis 1. Decreased fibrinogen 1. Relative lymphopenia 34. The following are common discomforts of puerperium except: 1. Breast engorgement 1. Afterpains 1. Regular bowel movement 1. Urinary retention 35. The weight of the uterus immediately after delivery of the placenta is: 1. 1.5 kg c. ½ kg 1. 2 kg d. 1 kg 36. In the immediate postpartum period, Methylergonovine maleate causes: 1. Sustained uterine contraction 1. Relaxation of the uterus 1. Intermittent relaxation and contraction 1. None of these 37. In  puerperium, the uterus has descended into the pelvis by: 1. 1 week c. 3 weeks 1. 2 weeks d. 4 weeks 38. Mrs. Susan complaints of intermittent afterbirth pains. The midwife can best help her if the midwife does all of the following, except: 1. Applies a hot water bag in the abdomen 1. Gives analgesic as ordered PRN 1. Explains to the client that these are normal 1. Applies an ice cap 39. The midwife will be using perineal lamp to a postpartum mother in order to promote perineal healing. Use of peri-light is done: 1. Immediately after delivery 1. Within 24 hours after delivery 1. After 24 hours after delivery 1. After 6 months after delivery 40. The ideal distance of the peri-lamp to the perineum is: 1. 12-18 cm 1. 12-18 dm 1. 6-10 inches 1. 12-18 inches 41. The weight of the uterus returns to non-pregnant state: 1. Right after delivery 1. One week after delivery 1. Two weeks after delivery 1. Six weeks after delivery 42. Which of the following is responsible for LET-DOWN REFLEX? 1. Posterior Pituitary Gland- Prolactin 1. Anterior Pituitary Gland- Oxytocin 1. Posterior Pituitary Gland- Oxtytocin 1. Anterior Pituitary Gland- Prolactin 43. A postpartum mother asks you about the time sexual intercourse can be resumed. The best response should be: 1. Immediately after discharge 1. When perineum is healed and no longer painful 1. 3 days after delivery 1. Before the first week 44. Which of the following is true about afterpains? 1. It is caused by uterine relaxation. 1. It promotes bleeding 1. It seals off torn vessels by contractions. 1. It is indicative of hemorrhage. 45. What is the term to denote the hymen after delivery? 1. Rugae 1. Striae gravidarum 1. Epstein Pearls 1. Myrtiforme caruncles