Immediate Postpartum Care: A Comprehensive Guide for Medical Students

Question 1

Which of the following is NOT a primary goal of immediate postpartum care?

Accepted Answer

Assess fetal well-being

Answer

Monitor for postpartum hemorrhage

Answer

Promote maternal-infant bonding

Answer

Prevent postpartum infection

Question 2

The recommended frequency of breastfeeding in the first few days postpartum is:

Accepted Answer

Every 2 hours

Answer

Every 3-4 hours

Answer

Every 6 hours

Answer

As needed

Question 3

Which of the following is NOT a component of immediate newborn care?

Accepted Answer

Circumcision for all male infants

Answer

Apgar scoring

Answer

Vitamin K administration

Answer

Eye prophylaxis

Question 4

Why is early ambulation after delivery generally recommended?

Accepted Answer

To promote recovery and prevent complications

Answer

To increase the risk of deep vein thrombosis

Answer

To prevent postpartum hemorrhage

Question 5

Which of the following is the most frequent cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Placental abruption

Answer

Amniotic fluid embolism

Answer

Uterine inversion

Question 6

What is the suggested frequency of newborn feedings within the first week of life?

Accepted Answer

Every 2-3 hours

Answer

Every 4-6 hours

Answer

Every 6-8 hours

Answer

Every 8-12 hours

Question 7

What is the most common cause of neonatal jaundice?

Accepted Answer

Physiological jaundice

Answer

Breast milk jaundice

Answer

Biliary atresia

Answer

Viral hepatitis

Question 8

Which of the following is NOT a key component of the "Golden Hour" for newborn care?

Accepted Answer

Administration of antibiotics

Answer

Drying and warming

Answer

Initiation of breastfeeding

Answer

Skin-to-skin contact

Question 9

Which method is the most reliable way to assess uterine involution immediately after childbirth?

Accepted Answer

Palpation

Answer

Ultrasound

Answer

Blood test

Question 10

Which hormone primarily facilitates uterine involution?

Accepted Answer

Oxytocin

Answer

Estrogen

Answer

Progesterone

Answer

Prolactin

Question 11

The recommended time frame for a complete newborn assessment after delivery is:

Accepted Answer

Within 1 hour

Answer

Within 2 hours

Answer

Within 3 hours

Answer

Within 12 hours

Question 12

A contraindication to immediate postpartum ambulation is:

Accepted Answer

Episiotomy

Answer

Hemodynamic stability

Answer

Absence of pain

Answer

Vaginal delivery

Question 13

Which of the following emotional concerns is commonly experienced by women during the postpartum period?

Accepted Answer

Anxiety

Accepted Answer

Depression

Answer

Mania

Answer

Obsessive-compulsive disorder

Question 14

Which nursing intervention is essential for promoting the maternal-newborn bond immediately after birth?

Accepted Answer

Initiating skin-to-skin contact

Answer

Delaying skin-to-skin contact for several hours

Answer

Providing pain medication to the mother immediately

Answer

Limiting visitors in the postpartum room

Question 15

Which of the following is a typical symptom of postpartum preeclampsia/eclampsia?

Accepted Answer

Oliguria (decreased urine output)

Answer

Bradycardia (slow heart rate)

Answer

Hyperthermia (elevated body temperature)

Question 16

What is the most common cause of postpartum hemorrhage?

Accepted Answer

Uterine Atony

Answer

Placental Abruption

Answer

Retained Placenta

Answer

Cervical Laceration

Question 17

Which of the following indicates uterine atony?

Accepted Answer

Boggy and enlarged uterus

Answer

Firm and contracted uterus

Answer

Minimal vaginal bleeding

Answer

Lochia rubra

Question 18

Which sign is the primary indicator of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Fever

Answer

Oliguria

Answer

Constipation

Question 19

When should the initial comprehensive newborn assessment be performed, as per current guidelines?

Accepted Answer

Within the first hour of life

Answer

Within the first 6 hours of life

Answer

Within the first 24 hours of life

Question 20

Which of the following is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Placental abruption

Answer

Perineal laceration

Answer

Cervical laceration

Question 21

What is the recommended duration of uninterrupted skin-to-skin contact between a newborn and the mother immediately after birth?

Accepted Answer

At least one hour

Answer

Two hours

Answer

15 minutes

Answer

30 minutes

Question 22

Which of the following is an indication of normal uterine involution in the postpartum period?

Accepted Answer

Firm, midline uterus

Answer

Tender fundus

Answer

Increased lochia

Answer

Boggy, asymmetric uterus

Question 23

What is the primary objective of postpartum pain management?

Accepted Answer

To optimize comfort and prevent complications

Answer

To hasten ambulation

Answer

To eliminate all pain

Answer

To reduce the risk of infection

Question 24

What is the recommended position for breastfeeding women?

Accepted Answer

Reclining or sitting up with adequate support

Answer

Sitting up without support

Answer

Lying on their stomach

Answer

Lying on their back

Question 25

What is the most common indication for postpartum blood transfusion?

Accepted Answer

Postpartum hemorrhage

Answer

Anemia

Answer

Infection

Question 26

Which of the following is the primary objective of immediate postpartum care?

Accepted Answer

Promote the mother's well-being, detect and manage any potential complications, and initiate breastfeeding.

Answer

Monitor vital signs frequently

Answer

Perform a thorough physical examination

Question 27

What is the initial management for postpartum hemorrhage?

Accepted Answer

Uterine massage, oxytocin, and intravenous fluids

Answer

Immediate hysterectomy

Answer

Observation

Answer

Blood transfusion

Question 28

When is the optimal time to initiate breastfeeding?

Accepted Answer

Within the first hour after birth

Answer

After the mother has rested for several hours

Answer

Once the newborn's blood sugar is stable

Question 29

Which condition is a contraindication to breastfeeding?

Accepted Answer

Active, untreated tuberculosis

Answer

Cesarean section delivery

Answer

History of pre-eclampsia

Answer

History of gestational diabetes

Question 30

Which is a clinical sign of hypothermia in a newborn?

Accepted Answer

Cool, pale skin

Answer

Increased activity

Answer

Normal heart rate

Question 31

Which is a common postpartum complication?

Accepted Answer

Urinary tract infection

Answer

Placental abruption

Answer

Eclampsia

Answer

Preeclampsia

Question 32

What physiological process is the primary driver of uterine involution?

Accepted Answer

Autolysis combined with phagocytosis

Answer

Myometrial contraction

Answer

Ischemia

Answer

Hormonal stimulation

Question 33

Which of the following signs is most suggestive of breast engorgement?

Accepted Answer

Breast tenderness and firmness

Answer

Nipple discharge

Answer

Fever

Question 34

Which of the following conditions serves as a contraindication to breastfeeding?

Accepted Answer

Maternal HIV infection

Answer

Premature birth

Answer

Maternal smoking

Answer

Mastitis

Question 35

What is the primary reason for assessing the episiotomy site during the immediate postpartum period?

Accepted Answer

To monitor for potential infection and healing progress

Answer

To check for bleeding

Answer

To assess pain

Answer

For suture removal

Question 36

Which of the following signs may indicate postpartum preeclampsia?

Accepted Answer

Persistent hypertension and proteinuria

Answer

Lochia rubra

Answer

Uterine tenderness

Question 37

Which position is recommended for a woman to rest in during the immediate postpartum period?

Accepted Answer

Semi-Fowler's position

Answer

Supine position

Answer

Prone position

Answer

Trendelenburg position

Question 38

Which of the following is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Retained placenta

Answer

Placental abruption

Answer

Trauma

Question 39

What is the main goal of immediate postpartum care?

Accepted Answer

To prevent and manage maternal and neonatal complications

Answer

To promote breastfeeding only

Answer

To facilitate newborn care only

Answer

To provide emotional support only

Question 40

Which of the following is a sign of uterine involution?

Accepted Answer

Fundal height decreasing by approximately 1-2 centimeters per day

Answer

Lochia rubra

Answer

Uterus boggy and enlarged

Question 41

When should breastfeeding be initiated ideally?

Accepted Answer

Within the first hour after birth

Answer

Within 24 hours after birth

Answer

Within 6 hours after birth

Question 42

What is the recommended initial management for suspected postpartum endometritis?

Accepted Answer

Broad-spectrum antibiotics

Answer

Observation with pain medication

Answer

Ergonovine

Answer

Uterine massage

Question 43

What is the most common type of postpartum pain?

Accepted Answer

Afterpains

Answer

Episiotomy pain

Answer

Hemorrhoidal pain

Answer

Breast engorgement pain

Question 44

Which of the following is the most common cause of postpartum hemorrhage? Atony

Accepted Answer

Uterine atony

Answer

Vaginal lacerations

Answer

Uterine inversion

Answer

Retained placenta

Question 45

What is the initial management of severe postpartum hemorrhage?

Accepted Answer

Administer uterotonics and fluids

Answer

Perform an immediate hysterectomy

Answer

Order blood transfusions

Answer

Wait for the bleeding to stop spontaneously

Question 46

Which of the following medications is a first-line uterotonic for postpartum hemorrhage?

Accepted Answer

Oxytocin

Answer

Misoprostol

Answer

Carbetocin

Answer

Ergonovine

Question 47

Which of the following is a sign of successful breastfeeding?

Accepted Answer

The baby has wet and dirty diapers

Answer

The baby is sleepy after nursing

Answer

The baby cries frequently after nursing

Answer

The mother reports breast pain

Question 48

What is the recommended frequency of postpartum follow-up visits?

Accepted Answer

Every 1-2 weeks until 6 weeks postpartum

Answer

Only if the patient has concerns

Answer

Every week for the first month

Answer

Every 3-4 months

Question 49

What is the recommended time frame for initiation of postpartum contraception?

Accepted Answer

Within 3 weeks of delivery

Answer

After 6 weeks of delivery

Answer

Immediately after delivery

Answer

Only if the patient requests it

Question 50

A postpartum patient presents with excessive vaginal bleeding. Which of the following interventions should be prioritized?

Accepted Answer

Fundal massage and assessment of uterine tone.

Answer

Observation and reassessment in 30 minutes.

Answer

Immediate surgical intervention.

Answer

Administration of oxytocin.

Question 51

A postpartum patient is breastfeeding. Which of the following statements regarding breastfeeding is TRUE?

Accepted Answer

Early initiation of breastfeeding within the first hour after birth is encouraged.

Answer

Breastfeeding should be delayed until the mother has recovered from labor.

Answer

Bottle feeding is preferred to breastfeeding for the first few days.

Question 52

What is the most common cause of postpartum uterine atony?

Accepted Answer

Overdistension of the uterus due to multiple gestation or polyhydramnios.

Answer

Infection of the uterus.

Answer

Trauma to the cervix during delivery.

Question 53

A postpartum patient complains of severe perineal pain. Which of the following is the MOST likely cause?

Accepted Answer

Perineal laceration.

Answer

Constipation.

Answer

Urinary tract infection.

Answer

Uterine contraction.

Question 54

Which of the following is the MOST effective method for preventing postpartum hemorrhage?

Accepted Answer

Early and frequent assessment of uterine tone and fundal height.

Answer

Immediate surgical intervention.

Answer

Prophylactic administration of antibiotics.

Question 55

A newborn baby is experiencing respiratory distress. Which of the following signs is MOST suggestive of respiratory distress syndrome?

Accepted Answer

Grunting respirations.

Answer

Yellowing of the skin (jaundice).

Answer

Swollen hands and feet.

Answer

Meconium staining of the amniotic fluid.

Question 56

Which of the following is the MOST appropriate intervention for a newborn with hypoglycemia?

Accepted Answer

Intravenous glucose administration.

Answer

Observation and reassessment in 30 minutes.

Answer

Administration of insulin.

Answer

Oral feeding with formula.

Question 57

What is the primary focus of immediate postpartum care?

Accepted Answer

Monitoring the mother and newborn for complications.

Answer

Providing pain relief to the mother.

Answer

Facilitating bonding between the mother and baby.

Question 58

A postpartum patient is experiencing severe pain and swelling in her left leg. Which of the following conditions should be suspected?

Accepted Answer

Deep vein thrombosis (DVT).

Answer

Urinary tract infection (UTI).

Answer

Mastitis.

Answer

Postpartum depression.

Question 59

Which of the following statements regarding postpartum uterine involution is TRUE?

Accepted Answer

The uterus returns to its non-pregnant size within 6 weeks.

Answer

The uterus remains enlarged for several months after delivery.

Answer

Uterine involution is a rapid process that is complete within a few days.