Puerperium, Family Planning

Question 1

What is the interval following delivery for the uterus to involute completely?

Answer 1

4 weeks

Question 2

Lochia resolves after how many weeks postpartum?

Answer 2

5 weeks

Question 3

The period of time between 4 and 6 weeks post delivery where maternal changes return to its non pregnant state

Answer 3

Puerperium

Question 4

What is the shape of the cervix after delivery?

Answer 4

Fish mouth appearance

Question 5

Contraction of the uterus after delivery of a primigravid woman occurs
A. Tonically
B. Rhythmically
C. Vigorously at intervals
D. None of the above

Answer 5

A

Question 6

Contraction of the uterus after delivery of a multigravid woman occurs
A. Tonically
B. Rhythmically
C. Vigorously at intervals
D. None of the above

Answer 6

C

Question 7

What do you call the lochia during the first few days when it is a bloody discharge?

Answer 7

Lochia rubra

Question 8

Lochia that has become pale in color, occurring 3-4 days after

Answer 8

Lochia serosa

Question 9

Lochia alba appears on what day postpartum?

Answer 9

10th day onwards

Question 10

Which remaining decidua remains intact and becomes the source of the new endometrium?

Answer 10

Decidua basalis

Question 11

The endometrium becomes fully restored after how many days postpartum?

Answer 11

16th day onwards

Question 12

Which organism has been implicated in late postpartum hemorrhage?

Answer 12

Chlamydia trachomatis

Question 13

Secondary postpartum hemorrhage can occur up to how many weeks postpartum?

Answer 13

12 weeks

Question 14

Which 2 vitamins are lacking in breastmilk and requires supplements?

Answer 14

Vitamin D and K

Question 15

High in casein, electrolytes, saturated fats

Low in cholesterol cysteine and taurine

Answer 15

Formula milk

Question 16

In the standard days method of family planning, the window period to avoid intercourse is in which days?

Answer 16

Day 8-19

Question 17

Women who use standard days method must have regular monthly cycles that ranges from:

Answer 17

26-32 days

Question 18

Calendar rhythm method involves subtracting how many days from the shortest and the longest cycle?

Answer 18

First fertile day: shortest cycle -18

Last fertile day: longest cycle -11

Question 19

Temperature rhythm method involves abstaining from intercourse from the 1st day of menses through what day after the increase in temperature?

Answer 19

3rd day

Question 20

Least effective natural family planning method

Answer 20

Cervical mucus method

Question 21

Abstinence in cervical mucus method is done from the beginning of menses until what day?

Answer 21

4 days after slippery mucus is identified

Question 22

Symptothermal method combines which methods

Answer 22

Cervical mucus and temperature rhythm

Question 23

Injectable progestin prevents pregnancy by which mechanism?

Answer 23

Inhibition of ovulation

Question 24

Etonorgestrel implants (Implanon) provide contraception for how many years?

Answer 24

3 years

Question 25

Oral contraceptives prevents ovulation by suppressing

Answer 25

Hypothalamic gonadotrophin releasing hormones and prevents release of FSH and LH

Question 26

Progestins prevent ovulation by suppressing which hormone?

Answer 26

LH

Question 27

Estrogen in OCPs prevents ovulation by suppressing what hormone?

Answer 27

FSH

Question 28

Theoretical action of progestins

Answer 28

Render the endometrium unfavorable for implantation

Question 29

This hormone in OCP also stabilizes the endometrium which prevents intermenstrual bleeding

Answer 29

Estrogen

Question 30

When can you start an emergency contaceptive pill?

Answer 30

ASAP within 5 days after unprotected sex

Question 31

Injectable progestin like Depo-Provera is given every

Answer 31

3 months

Question 32

Initial DMPA (depo-provera) injection should be given within

Answer 32

1st 5 days of menses

Question 33

Intrauterine devices prevents pregnancy by

Answer 33

Sterile inflammation within the endometrium