Puerperium

Question 1

When do you consider puerperium

Answer 1

Between 4 and 6 weeks

Question 2

What is seen in the 3rd week of puerperium in the reproductive tract

Answer 2

Ruggae begin to reappear

Myrtiform curuncles

Question 3

When does myometrial involution start

Answer 3

2 days after delivery

Question 4

Uterus tends to remain tonically contracted

Answer 4

Primoparas

Question 5

Contracts vigorously at intervals and gives rise to afterpains

Answer 5

Multiparas

Question 6

Discharge First few days after delivery

Answer 6

Lochia rubra

Question 7

Discharge after 3 or 4 days and becomes progressively pale

Answer 7

Lochia serosa

Question 8

10th day of the discharge and admixture of leukocytes and reduced fluid content assumes a white or yellowish white color

Answer 8

Lochia alba

Question 9

What layer involves the separation of the placenta and membrane

Answer 9

Spongy layer

Question 10

What layer is necrotic ans what is the new endometrium

Answer 10

Superficial - necrotic

Basal - new endometrium

Question 11

When is the endometrium fully restored

Answer 11

16th day onwards

Question 12

Seen in almost half of postpartum women between 5 and 15 days

Answer 12

Acute salpingitis

Question 13

When is the complete extrusion of the placental site seen

Answer 13

6 weeks

Question 14

What causes an arrest of retardation of involution

Answer 14

Infection
Retained placental fragments
Incompletely remodeled uteroplacental arteries

Question 15

What is the management of subinvolution

Answer 15

Ergonovine
Methylergonovie
Antiobotics for infection

Question 16

When is late postpartum hemorrhage seen

Answer 16

24hrs to 12 weeks after delivery

Question 17

Most common cause of late postpartum hemorrhage

Answer 17

Placental polyp

Question 18

Treatment of late postpartum hemorrhage for a stable patient; empty cavity

Answer 18

Oxytoxin
Ergonovine
Methylergonovine
Prostaglandins

Question 19

Treatment of late postpartum hemorrhage for large clots

Answer 19

Suction curettage

Question 20

When does the urinary tract change to prepregnant state

Answer 20

2 to 8 weeks

Question 21

What is the reason why the abdominal wall remains soft and flaccid

Answer 21

Rupture of elastic fibers in the skin

Question 22

Marked separation of the rectus abdominis miscles

Answer 22

Diastasis recti

Question 23

Cardiac output changes

Answer 23

elevated for 24 to 48hrs post partum

Declines by 10days

Question 24

Weight loss through diureses

Answer 24

2 to 3kg

Question 25

By what week does the colostrum change to mature

Answer 25

4-6 weeks

Question 26

Amount of mature milk daily

Answer 26

600ml

Question 27

What is a large amount present in whey

Answer 27

Interleukin 6

Question 28

What is administered to prevent hemorrhage

Answer 28

Vitamin K

Question 29

What is given for lactation inhibition

Answer 29

Bromocriptine

Question 30

What do you do when you have an irritated nipple

Answer 30

Nipple shield

Question 31

Breast becomes distended firm and nodular

Answer 31

Breast fever

Question 32

Treatment of breast fever

Answer 32

Pump or expression of milk

Question 33

How many hours after delivery when you give the catheter

Answer 33

4hours

Question 34

When can the postpartum blues last

Answer 34

10 days