Clinical Assessment Methods Flashcards
7 cards from real CMS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Assessment Methods flashcards as text
Twelve hours after birth, where is the uterine fundus typically palpated?
Answer: About 1 cm above or at the level of the umbilicus
The fundus rises to about the umbilicus within 12 hours postpartum and then descends about 1 cm per day.
A postpartum person's fundus is boggy and displaced to the right of midline. What is the most likely cause?
Answer: Distended bladder
A full bladder pushes the uterus upward and to the side, which interferes with contraction and increases bleeding.
Which method is most accurate for assessing postpartum blood loss?
Answer: Quantitative blood loss by weighing and measuring
Quantitative blood loss (1 g ≈ 1 mL) is more accurate than visual estimation, which often underestimates hemorrhage.
Lochia that is pinkish-brown and appears around days 4-10 postpartum is called what?
Answer: Lochia serosa
Lochia serosa follows rubra and is pinkish-brown, serous, and contains leukocytes and wound exudate.
Which acronym guides a systematic postpartum perineal assessment?
Answer: REEDA
REEDA stands for Redness, Edema, Ecchymosis, Discharge, and Approximation of perineal wound edges.
Which screening tool is validated for postpartum depression and has 10 self-report items?
Answer: Edinburgh Postnatal Depression Scale
The EPDS is a 10-item validated postpartum depression screen, and item 10 assesses self-harm thoughts.
When should Group B Streptococcus screening by rectovaginal culture be performed according to current ACOG guidance?
Answer: 36 0/7 to 37 6/7 weeks
ACOG (2020) recommends universal GBS culture at 36 0/7 to 37 6/7 weeks so results stay valid for 5 weeks through most term births.