Normal and Abnormal Peurperium

• Which of the following describes lochia serosa?

• Bright red discharge seen for 3–4 weeks

• Yellowish-white discharge with no smell

• Pinkish-brown discharge seen from day 4 to day 10

• Foul-smelling discharge with fever

• The uterus returns to the pelvic cavity by:

• End of 2nd week

• End of 6th week

• End of 1st week

• End of 3rd week

• Which hormone is responsible for milk ejection (let-down reflex)?

• Prolactin

• Estrogen

• Oxytocin

• Progesterone

When does ovulation typically return in a non-lactating woman post-delivery

• 6 weeks

• 10 days

• 3 months

• 6 months

• Which of the following is NOT a normal change in puerperium?

• Uterine involution

• Diuresis

• Persistent bradycardia

• Constantly elevated BP

• A woman presents with foul-smelling lochia and fever 5 days postpartum. The most likely diagnosis is:

• Retained placenta

• Endometritis

• Mastitis

• Normal puerperium

• Which of the following is a risk factor for puerperal sepsis?

• Elective cesarean

• Prolonged labor with PROM

• Breastfeeding

• Early ambulation

• Secondary postpartum hemorrhage usually occurs:

• Within 6 hours of delivery

• Between 24 hours and 6 weeks postpartum

• After 6 weeks postpartum

• Only after cesarean section

breastfeeding woman presents with fever, breast pain, and localized redness. The most likely diagnosis is:

• Breast engorgement

• Mastitis

• Galactocele

• d) Fibroadenoma

• Sheehan’s syndrome results from:

• Retained products of conception

• Excess prolactin secretion

• Postpartum pituitary infarction

• Puerperal psychosis