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Puerperium

Total questions: 15

Worksheet time: 9mins

Name
Class
Date
1.

Puerperium refers to the period from ___________________ to the complete return of the reproductive organs to their normal-pregnant state

a)

delivery of the baby

b)

complete dilatation of the cervix

c)

delivery of the placenta

d)

10 days after the delivery of the placenta

2.

Post partum period cover 6-8 weeks, latest update is up to ____________ month/s.

a)

one

b)

two

c)

three

d)

four

3.

On the 6th day of postpartum, the color of lochia is usually

a)

dark red

b)

yellowish

c)

clear and watery

d)

brownish

4.

Following the birth, the fundus

a)

decreases about 1 cm/day for the first 9–10 days

b)

decreases about 2 cm/day for the first 9–10 days

c)

decreases about 3 cm/day for the first 9–10 days

d)

increases the first two days and then decreases

5.

What type of milk is present in the breasts 1-3 days Post Partum?

a)

mature milk

b)

colostrum

c)

transitional milk

d)

pure milk

6.

Which of the following physiological responses is considered normal in the early postpartum period?

a)

Urinary urgency and dysuria

b)

Decrease in blood pressure

c)

Increase motility of the GI system

d)

diaphoresis and fatigue

7.

Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?

a)

More than 200 ml

b)

More than 300 ml

c)

More than 400 ml

d)

More than 500 ml

8.

Involution of the uterus is brought about by two factors, namely:

a)

rapid contraction of the uterus, thrombosis

b)

autolysis, ischemia

c)

blood clot, hypertrophy of the blood vessels

d)

placental separation, relaxation of the uterus

9.

Pregnant uterus weighs about _____________.

a)

500g

b)

1kg

c)

1200g

d)

1.5kg

10.

At six weeks post partum period, uterus weighs approximately _______________.

a)

1000g

b)

50 g

c)

200g

d)

500g

11.

What temperature indicates the presence of postpartum infection?

a)

37 °C in the first 48 hours

b)

36.8 °C for 2 days postpartum

c)

38 °C on the second and third postpartum days

d)

37.2 °C in the first 24 hours

12.

The midwife is aware that because of excess blood loss during delivery, the woman is at risk for hypovolemic shock. What is one of the earliest signs that shock/ severe bleeding is occurring?

a)

Increase in respirations

b)

Tachycardia

c)

Decrease in urinary output

d)

Woman is anxious and confused

13.

The midwife knows that late postpartum hemorrhage can be prevented by

a)

Administering broad-spectrum antibiotics

b)

Manually removing the placenta

c)

Inspecting the placenta after delivery

d)

Pulling on the umbilical cord to hasten the delivery of the placenta

14.

The midwife is assessing a woman that delivered 1 hour ago. She noted the uterus is boggy/ loose. What should the first interventions be for this woman?

a)

Notify the nurse-midwife.

b)

Massage the uterus until firm.

c)

Administer Pitocin.

d)

Have the woman void.

15.

An elevation of BP above 140 mm Hg systolic or 90 mm Hg diastolic may indicate the development of postpartum ___________________.

a)

eclampsia

b)

pregnancy-induced hypertension

c)

pregnancy-induced diabetes

d)

Myocardial Infarction/ heart attack