CMS Clinical Assessment Methods 5

Question 1

Twelve hours after birth, where is the uterine fundus typically palpated?

Accepted Answer

About 1 cm above or at the level of the umbilicus

Answer

The fundus rises to about the umbilicus within 12 hours postpartum and then descends about 1 cm per day.

Question 2

A postpartum person's fundus is boggy and displaced to the right of midline. What is the most likely cause?

Accepted Answer

Distended bladder

Answer

A full bladder pushes the uterus upward and to the side, which interferes with contraction and increases bleeding.

Question 3

Which method is most accurate for assessing postpartum blood loss?

Accepted Answer

Quantitative blood loss by weighing and measuring

Answer

Quantitative blood loss (1 g ≈ 1 mL) is more accurate than visual estimation, which often underestimates hemorrhage.

Question 4

Lochia that is pinkish-brown and appears around days 4-10 postpartum is called what?

Accepted Answer

Lochia serosa

Answer

Lochia serosa follows rubra and is pinkish-brown, serous, and contains leukocytes and wound exudate.

Question 5

Which acronym guides a systematic postpartum perineal assessment?

Accepted Answer

REEDA

Answer

REEDA stands for Redness, Edema, Ecchymosis, Discharge, and Approximation of perineal wound edges.

CMS - Clinical Midwife Specialist Practice Test