Module 3 Practice Questions

Question 1

A patient has a 500 mL estimated blood loss with her birth. What would you expect her hemoglobin to drop (how many point(s)) postpartally?

Answer 1

1

Question 2

At 4 days postpartum where should you feel the uterine fundus?

Answer 2

4 below umbilicus

Question 3

Healing at the placental site takes about

Answer 3

6 weeks

Question 4

Swelling and increased vascularity of the vagina will be decreased by

Answer 4

3-4 weeks

Question 5

Lochia that is whitish-yellow and contains leukocytes and decidual cells is called

Answer 5

Alba

Question 6

What is the estimated blood loss (EBL) for a patient with an admission hematocrit of 34% and 30% at 36 hours postpartum?

Answer 6

1000ml

Question 7

Which platelet count is considered abnormal during the postpartum period.
130
187
295
335
410

Answer 7

130

Question 8

Right after birth the maternal cardiovascular system instability is due to what factors?

Answer 8

blood loss
autotranfusion of fluid from losing placenta
extracellular fluid

Question 9

T/F: It is common for women right after giving birth to feel a full bladder and void.

Answer 9

False

Question 10

What might be a causative factor in PP mood disorders?

Answer 10

Endocrine changes in the postpartum period

Question 11

Approximately how much weight do women lose with the birth?

Answer 11

10-12 lb

Question 12

T/F: An elevated WBC count after birth indicates infection in the mom.

Answer 12

False

Question 13

Postpartum blues occur in approximately what percentage of women?

Answer 13

75%

Question 14

A postpartum mom should call with which of the following symptoms?
Temp 100.1
Passing a quarter size clot
No bowel movement for 2 days
Saturating a peripad each hour

Answer 14

Saturating a peripad each hour

Question 15

What are acceptable methods of managing constipation?

Answer 15

docusate sodium
high fiber diet
increasing fluids
increasing fruits/vegetables

Question 16

A 2-week postpartum mom calls complaining of continuing to urinate in large quantities. You reassure her about the normal fluid loss after birth, but reinforce that this should be lessening over the next ____ or she should be evaluated.

Answer 16

Week

Question 17

When can intercourse be resumed postpartally?

Answer 17

When both partners are ready and bleeding has diminished and sutures are healed

Question 18

T/F: Postpartum pain may not be felt as strong as pain felt antenatally due to estrogen and oxytocin secretion.

Answer 18

False

Question 19

Women are better able to cope with pain if they are:

Answer 19

prepared antenatally for possible pain postpartally

given a variety of methods to relieve the pain (pharmacologic as well as non-pharmacologic)

Question 20

Measurement of diastasis recti occurs in

Answer 20

fingerbreadths

Question 21

T/F: The Tdap vaccine should be given postpartally even if it was given antenatally.

Answer 21

False

Question 22

Ideal timing for giving RhoGam is

Answer 22

within 72 hours, up to 14 days

Question 23

T/F: It is important to assess for costovertebral angle tenderness (CVAT) at the postpartum visit as the postpartum woman is at increased risk for UTI.

Answer 23

True

Question 24

Which of the following should be done at the 2 week postpartum visit? (choose all that apply)
vital signs
breast exam on breastfeeding women
perineal exam on everyone
depression screening
diastasis recti

Answer 24

vital signs
breast exam on breastfeeding women
depression screening