WorksheetsPhysiological Changes in Puerperium Quiz
Total questions: 25
Worksheet time: 23mins
The primary mechanism responsible for uterine involution in the puerperium is:
Increased estrogen secretion
Autolysis of hypertrophied muscle fibers
Ischemic necrosis of endometrium
Increased progesterone levels
After delivery, the uterus descends into the pelvis by approximately:
0.5 cm per day
1 cm per day
1.5 cm per day
2 cm per day
The hormone mainly responsible for milk ejection during lactation is:
Prolactin
Estrogen
Oxytocin
Progesterone
Which change in the cardiovascular system predisposes a puerperal woman to thromboembolism?
Increased blood volume
Reduced platelet count
Hypercoagulability
Increased cardiac output
The persistence of lochia rubra beyond 7 days indicates:
Normal involution
Subinvolution
Endometrial regeneration
Cervical healing
Which factor most significantly delays uterine involution?
Early ambulation
Breastfeeding
Overdistended uterus
Oxytocin release
The physiological diuresis seen in the puerperium is mainly due to:
Decreased aldosterone
Mobilization of extracellular fluid
Increased ADH
Renal vasoconstriction
The cervix regains its pre-pregnant firmness approximately by:
24 hours
3–4 days
1 week
2–3 weeks
Which gastrointestinal change commonly occurs in the puerperium?
Hyperperistalsis
Constipation
Diarrhea
Malabsorption
The placental site on the uterus heals by:
Fibrosis
Sloughing
Endometrial regeneration
Scar formation
The foul-smelling lochia suggests the presence of infection.
(a)
The postpartum decrease in estrogen leads to vaginal atrophy and dryness.
(a)
The normal duration of puerperium is approximately 6 weeks.
(a)
After delivery, hemoglobin levels may appear falsely elevated due to hemoconcentration.
The process by which the uterine muscle cells reduce in size is called autolysis.
(a)
Colostrum is rich in IgA antibodies.
(a)
Postpartum chills are primarily caused by vasomotor changes.
(a)
The first return of menstruation in non-lactating women usually occurs by 6–8 weeks.
(a)
The vaginal rugae reappear by the end of the puerperium.
True
False
Lactational amenorrhea occurs due to suppression of ovulation by prolactin.
True
False
The risk of postpartum hemorrhage completely disappears after 24 hours.
True
False
The coagulation factors return to pre-pregnant levels within 48 hours postpartum.
True
False
PPH
LAM
Define : After pains
