MATERNAL HEALTH EXAM 3 QUESTIONS WITH
100% ACCURATE ANSWERS
When does the fundus return to the level of the umbilicus?
A. 2-4 hours after delivery
B. 6-12 hours after delivery
C. 24 hours after delivery
D. 3-5 days after delivery - accurate answer B
Which if the following are expected findings after a woman has given birth? SATA
A. fundus to one side
B. cramping
C. uterine involution
D. infection
E. raised temperature
F. increase in insuling resistance - accurate answer BCE
Describe postpartum fundal movement?
A. ascends 1-2 cm per day
B. descneds 1-2cm per day
C. deviates right
D. deviates left - accurate answer B
WHich of the following would not be considered a road block to fundal involution?
A. Overdistension
B. Infalmmation
C. shrinkage
D. Relaxation - accurate answer C
Relaxations- prolonged labor, anesthesia, full bladder, retained placental fragments
Inflammation- infection
Overdistension - granmultiparity, multiple gestation, hydramnious
WHich of the following is an expected lochia findin at day 7?
A. rubra
B. serosa
C. alba
D. leukorrhea - accurate answer B
0-3 Rubra - dark red with small clots
,3-10 Serosa - pink brown
10-6weeks- Alba- yellow/ehite
Which of the of the following are expected findings after giving birth?
A. Cervical atrophic mucosa until ovarian function returns
B. cervix external os permanently changed to slit
C. edmatous vagina
D. edematous cervix
E. perimeum bruising
F. breastfeeding mothers have ovulation return in 6-10 weeks
G. hemorrhoids on the perineum
H. pelvic tightening
I. cervical bruising - accurate answer BCDEG
Cervix- external os permanently changed (dimple to slit and edematous
Vagina- atrophic mucosa until ovarian functions returns and edematous
Perineum-edematous, bruising, laceration/episiotomy (healing 2-3 weeks, edges well approximated),
hemorrhoids, pelvic relaxation
Ovulation and menstruation
NonBF- 6-10 weeks for return menstruation
BF- delay 3 months for menstruation
Lane gave birth to a healthy baby boy 2 days ago. She asks you when her period will retunr. She plans to
breastfeed her baby.
A. it should retunr in about a month
B. you will not have menstration for 9 months, same as your pregnancy
C. 18 months
D. probably in 3-4 months
E. 6-10 weeks - accurate answer D
Endocrine adaptations: What happens to the followin hormones?
A. Estrogen
B. Progesterone
C. hCG - accurate answer Progesterone drops, Estrogen drops, HCG drops
Both estrogen and progesterone return to pre-prego levels within 24 hours of delivery
Which of the following metabolic changes occurring after pregnancy is false? SATA
A. HpL vs HCs drop after placental delivery
B. insulin sensitivity increases right after giving birth
C. thyroid hormone normalizes
D. BMR back to normal
E. prolactin is released from the posterior pituitary in response to compression of the nipple
F. Oxytocin is released from the anterior pituitary as a response to infant suckling - accurate answer
BEF
prolactin from anterior pituitary as result infant sucking
, Oxytocin from post pituitary as result of nipple compression
Laney is considering breastfeeding her baby but is worried about breast changes? Which of the following
are true?
A. colostrum will begin on day 2
B. Engorgement is common on day 3-5
C. your mature milk will come in during your first week
D. let down will occur within 2 minutes of feedng intitiation
E. you dont want to feed until your breast is empty, you want to pump and store extra
F. Colostrum--> transitional milk--> mature milk
G. Hindmilk has nutrient, fat and promotes weight gain - accurate answer BDFG
Laney decides not to breastfeed what infor should you include in her D/C teaching reagrding her
breasts?
A. lactation will ceases by 1 week
B. engorgement is on day 5-7
C. engorgement will take 1 week to resolve
D. colostrum will not occur - accurate answer A
Engorgement days 3-4
Colostrum still occurs
Engorgement resolves 24-36 hours
Which of the following are expected findings in terms of a postpartum womans pee and poop? SATA
A. constipation is common
B. After delivery anuria is common
C. increased sensation of the bladder filling from swelling and anesthesia
D. increase risk for bleeding, retention and overdistention
E. oxytocin produces and anti diuretic effect that ends in postpartum period - accurate answer ADE
sluggish bowel from progesterone, low fiber, surgery, analgesics
T/F After delivery
A,. Cardiac OUtput is lowest right after surgery
B. After delivery Tachycardia and stable BP
C. clotting factors remain elevated
D. H&H will decrease and WBC elevate
E. diastasis recti- sparation of abdomen occurs - accurate answer A. False it is highest right after
delivery
B. False BRadycardia and stable BP
C. True
D. True
E. True
Laney is a model and wants to know what things about her body might change after pregnancy. What
should you include: SATA
A. her shoe size may permanently change
B. striae will go away within a few years
100% ACCURATE ANSWERS
When does the fundus return to the level of the umbilicus?
A. 2-4 hours after delivery
B. 6-12 hours after delivery
C. 24 hours after delivery
D. 3-5 days after delivery - accurate answer B
Which if the following are expected findings after a woman has given birth? SATA
A. fundus to one side
B. cramping
C. uterine involution
D. infection
E. raised temperature
F. increase in insuling resistance - accurate answer BCE
Describe postpartum fundal movement?
A. ascends 1-2 cm per day
B. descneds 1-2cm per day
C. deviates right
D. deviates left - accurate answer B
WHich of the following would not be considered a road block to fundal involution?
A. Overdistension
B. Infalmmation
C. shrinkage
D. Relaxation - accurate answer C
Relaxations- prolonged labor, anesthesia, full bladder, retained placental fragments
Inflammation- infection
Overdistension - granmultiparity, multiple gestation, hydramnious
WHich of the following is an expected lochia findin at day 7?
A. rubra
B. serosa
C. alba
D. leukorrhea - accurate answer B
0-3 Rubra - dark red with small clots
,3-10 Serosa - pink brown
10-6weeks- Alba- yellow/ehite
Which of the of the following are expected findings after giving birth?
A. Cervical atrophic mucosa until ovarian function returns
B. cervix external os permanently changed to slit
C. edmatous vagina
D. edematous cervix
E. perimeum bruising
F. breastfeeding mothers have ovulation return in 6-10 weeks
G. hemorrhoids on the perineum
H. pelvic tightening
I. cervical bruising - accurate answer BCDEG
Cervix- external os permanently changed (dimple to slit and edematous
Vagina- atrophic mucosa until ovarian functions returns and edematous
Perineum-edematous, bruising, laceration/episiotomy (healing 2-3 weeks, edges well approximated),
hemorrhoids, pelvic relaxation
Ovulation and menstruation
NonBF- 6-10 weeks for return menstruation
BF- delay 3 months for menstruation
Lane gave birth to a healthy baby boy 2 days ago. She asks you when her period will retunr. She plans to
breastfeed her baby.
A. it should retunr in about a month
B. you will not have menstration for 9 months, same as your pregnancy
C. 18 months
D. probably in 3-4 months
E. 6-10 weeks - accurate answer D
Endocrine adaptations: What happens to the followin hormones?
A. Estrogen
B. Progesterone
C. hCG - accurate answer Progesterone drops, Estrogen drops, HCG drops
Both estrogen and progesterone return to pre-prego levels within 24 hours of delivery
Which of the following metabolic changes occurring after pregnancy is false? SATA
A. HpL vs HCs drop after placental delivery
B. insulin sensitivity increases right after giving birth
C. thyroid hormone normalizes
D. BMR back to normal
E. prolactin is released from the posterior pituitary in response to compression of the nipple
F. Oxytocin is released from the anterior pituitary as a response to infant suckling - accurate answer
BEF
prolactin from anterior pituitary as result infant sucking
, Oxytocin from post pituitary as result of nipple compression
Laney is considering breastfeeding her baby but is worried about breast changes? Which of the following
are true?
A. colostrum will begin on day 2
B. Engorgement is common on day 3-5
C. your mature milk will come in during your first week
D. let down will occur within 2 minutes of feedng intitiation
E. you dont want to feed until your breast is empty, you want to pump and store extra
F. Colostrum--> transitional milk--> mature milk
G. Hindmilk has nutrient, fat and promotes weight gain - accurate answer BDFG
Laney decides not to breastfeed what infor should you include in her D/C teaching reagrding her
breasts?
A. lactation will ceases by 1 week
B. engorgement is on day 5-7
C. engorgement will take 1 week to resolve
D. colostrum will not occur - accurate answer A
Engorgement days 3-4
Colostrum still occurs
Engorgement resolves 24-36 hours
Which of the following are expected findings in terms of a postpartum womans pee and poop? SATA
A. constipation is common
B. After delivery anuria is common
C. increased sensation of the bladder filling from swelling and anesthesia
D. increase risk for bleeding, retention and overdistention
E. oxytocin produces and anti diuretic effect that ends in postpartum period - accurate answer ADE
sluggish bowel from progesterone, low fiber, surgery, analgesics
T/F After delivery
A,. Cardiac OUtput is lowest right after surgery
B. After delivery Tachycardia and stable BP
C. clotting factors remain elevated
D. H&H will decrease and WBC elevate
E. diastasis recti- sparation of abdomen occurs - accurate answer A. False it is highest right after
delivery
B. False BRadycardia and stable BP
C. True
D. True
E. True
Laney is a model and wants to know what things about her body might change after pregnancy. What
should you include: SATA
A. her shoe size may permanently change
B. striae will go away within a few years
