CPC Maternal and Child Health 2

Question 1

A community paramedic is conducting a postpartum home visit for a patient 3 days after delivery. The patient reports fever of 38.8°C (101.8°F), uterine tenderness on palpation, and foul-smelling lochia. These findings are MOST consistent with:

Accepted Answer

Postpartum endometritis requiring immediate medical evaluation

Answer

Fever >38°C (100.4°F) after 24 hours postpartum combined with uterine tenderness and malodorous lochia are the classic findings of postpartum endometritis — a uterine infection requiring antibiotics and urgent medical evaluation.

Question 2

During a home visit for a newborn, a community paramedic notes the infant is exclusively breastfed and the mother reports yellow stools, 6–8 wet diapers per day, and the infant has regained birth weight at 12 days. These findings indicate:

Accepted Answer

Normal breastfeeding progress — adequate feeding and hydration are demonstrated

Answer

Yellow seedy stools, 6–8 wet diapers per day, and weight regain to birth weight by 10–14 days are classic indicators of adequate breastfeeding and normal neonatal hydration. Supplementation is not indicated.

Question 3

Which vaccine is recommended for all newborns within 24 hours of birth, before hospital discharge?

Accepted Answer

Hepatitis B vaccine (HepB)

Answer

ACIP recommends the first dose of Hepatitis B vaccine for all newborns within 24 hours of birth, before hospital discharge. Infants born to HBsAg-positive mothers also receive HBIG (Hepatitis B immune globulin) simultaneously.

Question 4

The 'Pause-Prompt-Praise' (3P) strategy used in maternal and child health community paramedicine visits is a technique for:

Accepted Answer

Supporting caregiver-child language development and literacy

Answer

Pause-Prompt-Praise is an evidence-based dialogic reading strategy for caregivers to support language development in young children during shared book reading — used by community paramedics in early childhood home visiting programs.

Question 5

A community paramedic documents a home environment assessment for a family with a 2-year-old child. Which finding MOST warrants referral to a lead screening program?

Accepted Answer

The family lives in a pre-1978 home with peeling or deteriorating paint

Answer

Lead paint was banned in residential use in 1978. Pre-1978 housing with peeling or deteriorating paint is the primary risk factor for childhood lead poisoning. All children in such homes should be screened with blood lead levels.

(CPC) Community Paramedic Certification Practice Test

(CPC) Community Paramedic Certification Practice Test

CPC Maternal and Child Health 2