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Parturition > Puerperium and breastfeeding > Flashcards

Puerperium and breastfeeding Flashcards

1
Q

The mother has fever, cough and colds. What management is appropriate, considering the baby’s welfare?
A. Isolate the baby
B. Antibiotics
C. Warm bath
D. Continue breastfeeding, cover mother’s mouth

A

D

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2
Q 
Main constituent of breast milk
A.	Fats
B.	Protein
C.	Water
D.	Carbohydrates
A

B

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3
Q

A 2 year old baby was left in a nursing unit due to sepsis. The mother is afraid that her milk will dry up, so she used breast pump to collect milk, as advised by her OB. After the baby was discharged, the mother kept on using breast pump because it is more convenient for her. She then consulted her OB for decreased milk production. What could be causing this?

A. decrease in prolactin
B. lack in stimulation of nipple
C. oxytocin should be administered via IV
D. she just have low milk production

A

B

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4
Q

Endometrial regeneration occurs at which site of the endometrium?
A. Decidua basalis
B. Decidua spongiosum
C. Decidua vera

A

A

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5
Q

Changes in the urinary tract during the postpartum period EXCEPT:

A. Puerperal bladder has decreased capacity and sensitivity to intravesical pressure
B. Edema and hypertension of bladder wall
C. Overdistension, incomplete empyting and excessive residual urine are common
D. Postpartum patients are more prone to develop urinary tract infection.

A

A

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6
Q 
29-year old consulting for symmetric breast tenderness, without warmth, erythematous, cracked nipples. What is the most likely culprit?
A.	 Staphylococcus aureus
B.	Pseudomonas sp.
C.	Klebsiella sp.
D.	Acinobacter sp.
A

A

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7
Q

A 27 year old G2P2 2-0-0-2 mother consulted for scanty milk flow. She started feeding her baby with supplemental milk formula. Her baby is always crying and fussy. What is the best advice for her?

A. Eat a lot of vegetables daily.
B. Drink plenty of milk.
C. Breastfeed more often.
D. Wear a nursing bra.

A

C

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8
Q 
False positive results in the nitrazine test for ruptured membranes is due to the presence of
A.	Blood
B.	Cervical mucus
C.	Candida
D.	Chlamydia
A

A

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9
Q

What is the most important antibody in breast milk?

A. IgE
B. IgA
C. IgG
D. IgM

A

B

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10
Q

What is the expected finding during the internal exam of a patient immediately postpartum?
A. Placental tissue fragments at external os
B. Still open after 2-3 days
C. Still fully dilated

A

B

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11
Q 
What management should you give to a constipated breastfed baby who has had no bowel movement for 2 days?
A.	Rectal laxative
B.	Give water to baby
C.	Advise mother to drink more water
D.	Recommend for further observation
A

C

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12
Q

Component important for the development of muscle mass

a. Fats
b. Water
c. Carbohydrates
d. Proteins

A

D

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13
Q

Component important in development of neurons

a. Fats
b. Water
c. Carbohydrates
d. Proteins

A

A

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14
Q

Main component of milk in terms of quantity

a. Fats
b. Water
c. Carbohydrates
d. Proteins

A

B

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15
Q

This is responsible for suppressing the growth of pathologic bacteria

a. Fats
b. Water
c. Proteins
d. Carbohydrates

A

D

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16
Q

An18 yo G1P1 (1001) patient complained of left breast pain. PE showed cracking of skin in the areola of the left breast.

a. Nipple soreness
b. Mastitis
c. Breast abscess
d. Engorgement

A

A

17
Q

Mrs. Trinidad consulted for breast tenderness. She has been breastfeeding her newborn since one month postpartum. On examination, her breasts are symmetrically enlarged with cracked areolar skin in the nipples. She has no fever and no palpable mass on examination. What will you recommend?

A. discontinue breastfeeding until breast tenderness is resolved
B. supplement with milk formula to lessen breast tenderness
C. gram stain of discharge from the nipple
D. breastfeed first in the least affected area

A

D

18
Q

True statements about breast milk EXCEPT
A. Lipid fraction of human milk provides essential acids and fat-soluble vitamins
B. Phospholipids & cholesterol compose 0.5-0.8% of breast milk
C. High quality of protein in breast milk compensates for its lower quantity
D. Protein in breast milk is not sufficient for the energy needs of a preterm infant

A

D

19
Q 
What causes vaginal atrophy and dryness resulting to decreased vaginal lubrication for breastfeeding women?
A. increased oxytocin release 
B. suppressed estrogen production
C. increased prolactin release
D. suppressed progesterone production
A

B

20
Q

She is asking when could she start sexual contact. What will you advise her?
A. coitus can be resumed based on her desire and comfort
B. she could wait for at least 1 month postpartum
C. she could wait for at least 2 months postpartum
D. she should wait until the vaginal recharge resolves

A

A

21
Q

She is complaining that her old clothes before she got pregnant still did not fit her. You will reassure her that she will return to her prepregnancy weight _____ months.

A. 4
B. 6
C. 8
D. 10

A

B

22
Q

The hymen becomes what postpartum?

A

Myrtiform caruncles

23
Q

What is the vaginal discharge during early puerperium called?

A

Lochia

24
Q

What are the three types of lochia?

A

Lochia rubra, lochia serosa, lochia alba

25
Q

The uterus is back to its prepregnant size how many weeks postpartum?

A

4 weeks

26
Q

Right after delivery, uterine fundus can be palpated at what level?

A

Near the umbilicus

27
Q

What is bleeding 24hours to 12 weeks after delivery called?

A

Late postpartum hemorrhage

28
Q

What is diastasis recti?

A

Marked separation of rectus abdominis mucles which results to atonicity of muscles, thus, an abdomen that remains lax

29
Q

Which immunoglobulin is in colostrum?

A

IgA

30
Q

Two hours after birth, how often should maternal blood pressure be taken?

A

Every 15 minutes or more frequently

31
Q

How often is temperature assessed after birth?

A

Every four hours during the first eight hours, and then every eight hours subsequently

32
Q

After birth, the uterus should be (relaxed/contracted).

A

Contracted

33
Q

How long should the uterus be monitored for postpartum hemorrhage?

A

One hour

34
Q

A woman who underwent normal vaginal delivery can eat after how many hours postpartum?

A

Two hours

35
Q

The level of calories recommended for breastfeeding mother is (lower than/higher than/the same as) the level of calories for non-breastfeeding mothers.

A

Higher

Parturition (6 decks)

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