A woman had a normal vaginal delivery one week prior and presented for her postnatal checkup. On examination, her episiotomy wound was intact, cervix was closed, uterus was soft, tender and enlarged to three months size with blood clots. The next appropriate step in management would be to expect further involution of the uterus without additional intervention.
A woman had a normal vaginal delivery one week prior and presented for her postnatal checkup. On examination, her episiotomy wound was intact, cervix was closed, uterus was soft, tender and enlarged to three months size with blood clots. The next appropriate step in management would be to expect further involution of the uterus without additional intervention.
A woman had a normal vaginal delivery one week prior and presented for her postnatal checkup. On examination, her episiotomy wound was intact, cervix was closed, uterus was soft, tender and enlarged to three months size with blood clots. The next appropriate step in management would be to expect further involution of the uterus without additional intervention.
A woman had a normal vaginal delivery one week prior and presented for her postnatal checkup. On examination, her episiotomy wound was intact, cervix was closed, uterus was soft, tender and enlarged to three months size with blood clots. The next appropriate step in management would be to expect further involution of the uterus without additional intervention.
PUERPERIUM 5. A G2P2 HAD HER POSTNATAL CHECK-UP 1 WEEK
Dra. Castro AFTER AN UNCOMPLICATED VAGINAL DELIVERY. IE: INTACT EPISIOTOMY WOUND; CERVIX IS 1. WHICH OF THE PELVIC STRUCTURAL CHANGES CLOSED; UTERUS SOFT, TENDER & ENLARGED TO OCCUR DURING THE PUERPERIUM? 3 MONTHS SIZE; WITH BLOOD CLOTS. WHAT a. Larger blood vessels are replaced by smaller WOULD BE THE NEXT STEP IN THE ones MANAGEMENT? b. The cervical external os completely resumes a. Give antibiotics? its pre-gravid appearance b. Give ergonovine c. The fundus of the uterus lies below the c. Do curettage umbilicus d. A & B only d. All of the above e. A & C only e. A & C only 6. WHICH OF THE FOLLOWING CHANGES IN THE 2. WHICH OF THE FOLLOWING IS/ARE CHANGE/S URINARY TRACT OF PUERPARA OCCUR? DURING THE PUERPERIUM? a. UTI is a common occurrence a. Striae is lost b. Urinary incontinence is common b. Diastasis recti may result c. Submucosal hemorrhage & edema c. Myriform caruncles result d. All of the above d. All of the above e. A & C only e. B & C only 7. IN MANAGING PATIENT ON HER SECOND 3. WHICH OF THE FOLLOWING IS TRUE OF POSTPARTUM DAY, YOU SHOULD EXPECT THE ENDOMETRIAL REGENERATION DURING THE LOCHIA TO BE: PUERPERIUM? a. Red & moderate a. Superficial & part of the basal layer is b. Brown & scanty sloughed off c. Continuous with blood clots b. Endometritis is pathologic d. Thin & white c. Previous placental implantation site is covered with epithelium 8. A NEW MOTHER COMPLAINS OF “AFTER PAINS” d. All of the above YOUR FIRST ACTION IS TO e. A & B only a. Prescribed analgesic b. Advise her to stop breastfeeding until 4. A PRIMIPARA ON HER 1 WEEK POSTPARTUM “after pains” ceases COMPLAINS OF ON & OFF EPISODES OF c. Encourage relaxation & breathing INCREASED BRIGHT RED VAGINAL DISCHARGE. ON exercise PE, THE UTERUS IS PALPATED TO BE SOFT & d. Assess her bladder filling BOGGY, & THE FUNDUS IS AT THE LEVEL OF THE UMBILICUS. WHAT IS THE DIAGNOSIS? a. Lochia rubra b. Subinvolution of the uterus c. Retained placental fragments d. Genital laceration 1 CJCASTILLO 9. WHICH OF THE FOLLOWING IS/ARE FALSE OF THE 13. WHO AMONG THESE PUERPARA WILL PROBABLY HORMONAL EFFECTS ON LACTATION? EXPERIENCE “POSTPARTUM BLUES”? a. Prolactin stimulates alpha lactalbumin a. Primipara who is excited of this b. Suckling decrease dopamine & increases pregnancy prolactin secretion b. Primipara who has genital pain in the c. Methylergometrine maleate stimulates early puerperium milk let down c. Multipara rested in the hospital d. All of the above d. Multipara who has a “yaya” on hand
10. WHICH OF THE FOLLOWING SHOULD BE 14. A WOMAN WHO IS NOT BREASTFEEDING ASKS ACHIEVED DURING BREASTFEEDING FOR IT TO BE WHEN HER MENSES WILL MOST LIKELY RETURN. USEFUL AS A CONTRACEPTIVE? YOUR ANSWER WILL BE: a. Full breastfeeding a. Within 6-8 weeks b. Breastfeeding episodes lasting for at least b. After 4 months 15 minutes c. After 3 months c. Breastfeeding episodes should be >/7x d. After 6 months per day d. All of the above e. B & C only
11. A PRIMIPARA ON HER 3RD POSTPARTUM DAY
DEVELOPED FEVER & BREAST ENGORGEMENT. PE: T-38°C, BREAST ARE ENGORGED, TENDER & NODULAR. THERE ARE NO OTHER ASSOCIATED SYMPTOMS. WHAT IS THE MANAGEMENT OF THIS CASE? a. Manual expression of milk b. Give narcotic analgesic c. Aspiration of the nodule d. All of the above e. B & C only
12. WHO AMONG THE FOLLOWING MOTHERS ARE
ALLOWED TO BREASTFEED? a. G1P1 with active herpes simplex infection of the cervix b. G8P8 diagnosed & underwent treatment during early pregnancy c. G2P2 seropositive for hepatitis B, immunoglobulin given to neonate d. All of the above e. B & C only
