Postpartum Care & Newborn Assessment Flashcards
6 cards from real Certified Midwife Exam Prep practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Postpartum Care & Newborn Assessment flashcards as text
Which lochia characteristic between days 4–10 postpartum is considered normal?
Answer: Lochia serosa (pink-brown, serous)
Lochia serosa, a pink to brownish serous discharge, is normal from approximately days 4–10 postpartum as the uterus continues to involute.
What is the expected uterine fundal position at 24 hours postpartum?
Answer: At the level of the umbilicus
The uterine fundus is typically at the level of the umbilicus in the first 24 hours after delivery, then descends approximately 1 cm per day.
Which newborn reflex should be elicited by stroking the sole of the foot from heel to toe?
Answer: Babinski reflex
The Babinski reflex is elicited by stroking the plantar surface; the normal newborn response is dorsiflexion of the great toe and fanning of the other toes.
A newborn at 36 hours of life has a total serum bilirubin of 12 mg/dL. Which factor most influences whether phototherapy is initiated?
Answer: Gestational age and presence of risk factors for hemolysis
Phototherapy thresholds are based on gestational age, postnatal age in hours, and risk factors such as isoimmune hemolytic disease using Bhutani nomogram guidelines.
Which contraceptive method is safe to initiate immediately postpartum in a breastfeeding patient?
Answer: Progestin-only pills (mini-pill)
Progestin-only methods are safe for breastfeeding patients immediately postpartum as they do not suppress lactation unlike combined estrogen-progestin methods.
What is the recommended timing for the routine postpartum visit, per ACOG's updated guidelines?
Answer: Within 3 weeks, with a comprehensive visit by 12 weeks
ACOG recommends an initial contact within 3 weeks postpartum and a comprehensive postpartum visit no later than 12 weeks after birth.
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