Normal Midwifery Day 4 Quiz - Midwives Revision

Welcome to your Normal Midwifery Day 4

19 April 2025

Attempt all Questions

1. What is the primary definition of the Puerperium?

a) The first 24 hours immediately following childbirth.

b) The period from the onset of labor until the delivery of the baby.

c) The period following childbirth where the body tissues revert to their pre-pregnant state.

d) The process of establishing successful breastfeeding.

2. The "Remote Puerperium" phase lasts for how long after childbirth?

a) The first 6 hours.

b) Up to 6 days.

c) Up to 6 weeks.

d) Up to 12 weeks.

3. Which physiological process involves the breakdown of hypertrophied uterine muscle fibers after delivery?

a) Phagocytosis

b) Ischemia

c) Lactation

d) Autolysis

4. Approximately how much does the uterus weigh immediately postpartum?

a) 60 grams

b) 500 grams

c) 900 grams

d) 1500 grams

5. Lochia Serosa, the pinkish discharge, typically appears during which timeframe postpartum?

a) Days 1-3

b) Days 4-10

c) Days 10-14

d) Weeks 4-6

6. In non-lactating mothers, menstruation typically returns by which week following delivery in 80% of cases?

a) 4th week

b) 6th week

c) 12th week

d) 16th week

7. Which of the following physiological changes occurs in the urinary system during puerperium?

a) Decreased renal function.

b) Ureters remain dilated as during pregnancy.

c) Postpartum diuresis for 2-3 days.

d) The bladder remains high in the abdomen.

8. Which principle guides the management of puerperium?

a) Encouraging early return to strenuous activity.

b) Providing proper care for the breasts to facilitate breastfeeding.

c) Limiting maternal fluid intake to reduce swelling.

d) Discouraging early ambulation to promote rest.

9. During the first hour after delivery (Fourth Stage), what is a key reason for palpating and massaging the uterine fundus?

a) To assess fetal well-being.

b) To check for cervical dilation.

c) To expel clots and promote uterine involution.

d) To measure the mother's blood pressure.

10. After a normal delivery, when is a mother typically encouraged to ambulate (get out of bed)?

a) Immediately after delivery.

b) After 1 hour.

c) After 6 hours.

d) After 24 hours.

11. What is a primary reason for encouraging regular bladder emptying during the puerperium?

a) To increase milk production.

b) To prevent constipation.

c) To prevent subinvolution and postpartum hemorrhage.

d) To measure fluid balance accurately.

12. What does Homan's sign assess for?

a) Uterine involution.

b) Perineal healing.

c) Deep vein thrombosis (DVT).

d) Breast engorgement.

13. What advice regarding sexual intercourse is typically given to postpartum mothers?

a) Resume immediately if desired.

b) Avoid for the first 2 weeks.

c) Avoid for about 6 weeks.

d) Avoid until menstruation resumes.

14. Afterbirth pains are often more common in which group of women?

a) Primiparous women

b) Women who had a Cesarean section.

c) Women with higher parity and those breastfeeding.

d) Women who are not breastfeeding.

15. What is the recommended management for breast engorgement in a NON-breastfeeding mother?

a) Frequent breast massage and milk expression.

b) Application of heat compresses.

c) Wearing a loose-fitting bra.

d) Firm breast support, ice packs, and analgesics.

16. Sitz baths are often recommended for which postpartum discomfort?

a) Afterbirth pains.

b) Excessive perspiration.

c) Perineal pain haemorrhoids.

d) Constipation.

17. Transferring a patient from a maternity ward to the intensive care unit within the same hospital is an example of:

a) External Transfer

b) Domiciliary Transfer

c) Internal Transfer

d) Emergency Referral

18. Kegel exercises primarily target which group of muscles?

a) Abdominal muscles

b) Gluteal muscles

c) Pelvic floor muscles

d) Lower back muscles

19. Domiciliary care primarily refers to midwifery care provided:

a) Only in a hospital setting.

b) In the mother's home.

c) Exclusively during the antenatal period.

d) Only for high-risk mothers.

20. Which type of domiciliary care involves integrating care between the home and a healthcare facility?

a) Type One: Domiciliary Midwifery Care "Continuity"

b) Type Two: Community, Integrated, or Centralized Care

c) Type Three: High-Risk Specialist Care

d) Employee or Independent Practitioner Care

21. Which group of mothers is generally considered suitable for COMPLETE domiciliary care (including home delivery in some models)?

a) Group 3: High-Risk Mothers

b) Group 1: Low-Risk Women (e.g., Gravida 2-4 with no complications)

c) All Primigravida (first-time mothers)

d) All Grand multipara (more than 4 deliveries)

22. Which drug is commonly used in domiciliary care primarily to prevent postpartum hemorrhage?

a) Panadol

b) Folic acid

c) Ferrous sulphate

d) Ergometrine

23. Which of the following is NOT listed as a specific postnatal exercise in the text?

a) Kegel Exercises

b) Pelvic Tilts

c) Heavy weightlifting

d) Deep Breathing Exercises

24. What is the primary physiological reason for excessive perspiration postpartum?

a) High ambient room temperature.

b) Hormonal shifts and elimination of excess fluids.

c) Side effect of analgesic medication.

d) Underlying infection.

25. Diastasis recti refers to:

a) Healing of the perineum.

b) Separation of the abdominal muscles.

c) Return of the menstrual cycle.

d) Increased urination postpartum.

Fill ins

26. The process by which the uterus returns to its pre-gravid state after childbirth is called __________.

27. The postpartum vaginal discharge, consisting of blood, tissue debris, and mucus, is known as __________.

28. The breakdown of excess uterine muscle protein by enzymes during involution is termed __________.

29. A key hormone stimulated by breastfeeding that promotes uterine contractions and involution is __________.

30. Care provided to a mother in her home during pregnancy, labor, and/or puerperium is called __________ .