CHAPTER 28

Question 1

The postpartum period is traditionally defined as the first how many weeks after childbirth?

Answer 1

6 weeks

Question 2

The immediate postpartum period, also known as the puerperium, typically lasts for how many hours after delivery?

Answer 2

6 hours

Question 3

During the immediate postpartum period, the primary focus of care is monitoring for:

Answer 3

Hemorrhage

Question 4

Uterine involution is the process by which the uterus returns to its pre-pregnant size. This process typically takes how long?

Answer 4

4-6 weeks

Question 5

Postpartum vaginal discharge, known as lochia, progresses through different stages. Lochia rubra typically lasts for how many days postpartum?

Answer 5

1-3 days

Question 6

Lochia serosa is characterized by its:

Answer 6

Pink or brownish color

Question 7

Lochia alba typically occurs from approximately day 10-14 postpartum and is characterized by its:

Answer 7

White or yellowish color

Question 8

Perineal pain is common in the postpartum period, especially after vaginal delivery with laceration or episiotomy. Initial management typically includes:

Answer 8

Ice packs
Sitz baths
Pain medication

Question 9

Postpartum constipation is a common complaint. Contributing factors may include:

Answer 9

Decreased bowel motility during pregnancy
Pain medication
Dehydration
Pelvic floor muscle weakness

Question 10

Breast engorgement typically occurs how many days postpartum as milk production increases?

Answer 10

3-5 days

Question 11

Management of breast engorgement for breastfeeding mothers includes:

Answer 11

Frequent breastfeeding
Warm compresses before feeding Cold compresses after feeding Manual expression of milk

Question 12

Management of breast engorgement for non-breastfeeding mothers includes:

Answer 12

Tight-fitting bra
Ice packs
Avoidance of nipple stimulation Pain relievers

Question 13

Postpartum diuresis, an increase in urination, typically occurs within the first how many hours after delivery?

Answer 13

12 hours

Question 14

The first postpartum ovulation typically occurs around how many weeks in non-lactating women?

Answer 14

4-6 weeks

Question 15

The return of menses in non-lactating women typically occurs around how many weeks postpartum?

Answer 15

6-8 weeks

Question 16

Lactational amenorrhea can provide contraception for up to 6 months postpartum if certain criteria are met, including exclusive breastfeeding and amenorrhea. How often should the infant be breastfed?

Answer 16

At least every 2 hours during the day and every 4 hours at night

Question 17

Postpartum blues are mild, transient symptoms of sadness and tearfulness that typically peak around day 3-5 postpartum and resolve within how long?

Answer 17

2 weeks

Question 18

Postpartum depression is a more severe and prolonged mood disorder. Symptoms must be present for at least how long to meet diagnostic criteria?

Answer 18

2 weeks

Question 19

Risk factors for postpartum depression include:

Answer 19

History of depression
Depression or anxiety during pregnancy
Lack of social support Stressful life events

Question 20

Postpartum psychosis is a rare but serious psychiatric emergency. Onset is typically within the first how many weeks postpartum?

Answer 20

2 weeks

Question 21

The ‘baby blues’ typically require medical intervention.

Answer 21

FALSE

Question 22

Early ambulation after delivery is encouraged to reduce the risk of:

Answer 22

Thromboembolism

Question 23

The first postpartum visit is typically recommended at how many weeks after a vaginal delivery?

Answer 23

6 weeks

Question 24

The first postpartum visit after a cesarean delivery is often scheduled earlier, around how many weeks postpartum?

Answer 24

2 weeks

Question 25

Routine episiotomy repair typically requires removal of sutures.

Answer 25

FALSE

Question 26

Resumption of sexual activity postpartum is generally recommended after:

Answer 26

When the woman feels physically and emotionally ready

Question 27

Contraception should be discussed at the postpartum visit, and initiation of contraception can occur:

Answer 27

Before discharge At the postpartum visit Earlier for some methods

Question 28

Breastfeeding has numerous benefits for both the mother and the infant.

Answer 28

TRUE

Question 29

Contraindications to breastfeeding include:

Answer 29

Maternal HIV infection (in developed countries with safe formula) Active untreated tuberculosis Maternal use of certain medications Infant galactosemia

Question 30

The World Health Organization (WHO) recommends exclusive breastfeeding for the first how many months of life?

Answer 30

6 months

Question 31

Infants should be placed on their back to sleep to reduce the risk of sudden infant death syndrome (SIDS).

Answer 31

TRUE

Question 32

Postpartum exercise is generally encouraged, starting with gentle activities and gradually increasing intensity.

Answer 32

TRUE

Question 33

Mothers should be educated about the signs and symptoms of postpartum complications, including:

Answer 33

Heavy vaginal bleeding Fever Severe pelvic pain Calf pain or swelling Chest pain or shortness of breath Severe headache or visual changes