CPM CPM Postpartum Care and Recovery 2

Question 1

Which hormone is primarily responsible for triggering milk ejection (let-down) during breastfeeding?

Accepted Answer

Oxytocin

Answer

Oxytocin, released from the posterior pituitary in response to nipple stimulation, causes myoepithelial cells around alveoli to contract and eject milk.

Question 2

A postpartum client at 6 weeks has not resumed menses. She is fully breastfeeding and has no signs of pregnancy. What is the most likely explanation?

Accepted Answer

Lactational amenorrhea

Answer

Lactational amenorrhea results from elevated prolactin suppressing GnRH and LH, which inhibits ovulation and menstruation in fully breastfeeding women.

Question 3

When counseling a postpartum client about the Edinburgh Postnatal Depression Scale (EPDS), a midwife should explain that a score of 10 or above indicates what?

Accepted Answer

Possible postpartum depression requiring follow-up

Answer

An EPDS score of 10 or above is a positive screen that warrants further evaluation but is not itself a diagnosis; the midwife should conduct additional assessment and arrange follow-up.

Question 4

Which postpartum complication is most associated with a history of operative vaginal delivery or prolonged second stage?

Accepted Answer

Perineal hematoma

Answer

Perineal hematomas result from trauma to blood vessels in the vulvar or vaginal area and are more common after operative delivery or prolonged pushing.

Question 5

What is the recommended minimum duration of exclusive breastfeeding according to the American Academy of Pediatrics?

Accepted Answer

6 months

Answer

The AAP recommends exclusive breastfeeding for approximately 6 months, followed by continued breastfeeding alongside complementary foods for at least 1 year.

CPM - Certified Professional Midwife Practice Test

CPM - Certified Professional Midwife Practice Test

CPM CPM Postpartum Care and Recovery 2