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Exam 6: The Postpartum-Period

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Question 41

Multiple Choice

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Contracted pelvis is considered when the essential diameters of one or more planes are shortened by 0.5 cm. Which of the following is a maternal complication of contracted pelvis? (Choose all that apply)

A) Trauma
B) Umbilical cord prolapse
C) Obstructed labor
D) Perinatal mortality in the first trimester

E) A) and B)
F) All of the above

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Question 42

Multiple Choice

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A pregnant woman is in labor. If the umbilical cord is placed by the side of the presenting fetal part (and is not felt by the fingers on internal examination) , this complication is called______.

A) Cord presentation
B) Occult prolapse
C) Cord prolapse
D) Placenta previa

E) C) and D)
F) A) and D)

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Question 43

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A 30 year old female delivered a baby a few days ago, and has developed malaise, fever and breast pain. Of the following, which is the probable management?

Preeclampsia is a systemic disorder of unknown etiology. Which of the following statements is not true about preeclampsia?

A woman came in her sixth day of puerperium complains of foul-smelling vaginal discharge and a rise in temperature above normal. How will you manage her?

A midwife is managing the care of a postpartum client who has a history of thrombophlebitis. On assessment, the midwife suspects pulmonary embolus. Which of the following symptoms would not support this diagnosis?

A client develops fever of 102.2 ºF on the third day postpartum. Assessment findings include abdominal tenderness and dark brown lochia. Endometritis is suspected. Which of the following interventions is the most appropriate for the client?

A client gave birth to a baby girl 24 hours ago at 39 weeks' gestation. The child was delivered through cesarean section, and no complications were noted during labor. The client has three older kids, including a set of twins. The twins were born at 38 weeks' gestation, and the youngest child was born at 35 weeks' gestation. The client was pregnant 11 years ago but had a miscarriage on the 18th week of her pregnancy. About 5 years ago, she got pregnant, but the pregnancy was terminated at 25 weeks' gestation. Based on the client's history, she is accurately classified as:

A 30 year-old, postpartum female had a home delivery seven days ago. Since delivery, she has developed not only a high fever and foul-smelling vaginal discharge, but also a rapid pulse, low blood pressure, and generalized abdominal pain. Which of the following is the probable diagnosis?

Which of the following is a breast complication that commonly occurs during puerperium in an otherwise healthy mother? (Choose all that apply)

A 26 years old female in the third trimester has developed a condition in which the placenta and its blood vessels are attached too deeply to the uterine wall. Of the following, which is the term for this condition?

A mother who gave birth a week ago comes to the facility complaining of a cracked and fissured nipple on her right breast. The mother is diagnosed with mastitis. Which of the following teachings is the most effective when managing a client with mastitis?

The disparity in the relation between the head and the pelvis is called cephalopelvic disproportion (CPD) . Which of the following is the recommended management of CPD? (Choose all that apply)

Lochia is the vaginal discharge that occurs after giving birth, and this discharge can continue for 4-6 weeks following delivery.Which of the following statements is false about lochia?

The cord lying inside the vagina (or outside the vulva) following rupture of the placental membranes is called______.

A pregnant woman is in labor. When the cord is slipped down below the presenting fetal part (and is felt lying in the intact bag of membranes) , this complication is called______.

A 20 year old woman with amenorrhea for 10 weeks presents with excessive nausea and vomiting in the morning. What is your probable diagnosis?

Postnatal care includes systemic examination of the mother and baby, and appropriate advice given to the mother during the postpartum period. Which of the following is a recommendation to the mother regarding her infant?

A midwife is teaching a group of pregnant women about the characteristics of the different types of lochia. Which of the following statements made by one of the women indicates that further teaching is necessary?

A female client visits the clinic to learn more about her contraceptive options. The client has a new partner and is a practicing Catholic. Which of the following contraceptive method is least likely to be appropriate for the client?