CPM CPM Postpartum Care and Recovery

Question 1

What is the normal uterine position 24 hours after a vaginal birth?

Accepted Answer

At the level of the umbilicus

Answer

Two fingerbreadths above the umbilicus

Answer

Below the umbilicus

Answer

At the symphysis pubis

Question 2

A postpartum client presents with a firm, midline uterus but reports saturating a pad in 15 minutes. What is the most likely cause?

Accepted Answer

Cervical or vaginal laceration

Answer

Uterine atony

Answer

Retained placental fragments

Answer

Coagulopathy

Question 3

Which finding in the first 24 hours postpartum warrants immediate evaluation for postpartum hemorrhage?

Accepted Answer

Saturating more than one pad per hour for two consecutive hours

Answer

Pulse of 60 bpm

Answer

Blood pressure of 110/70 mmHg

Answer

Lochia rubra with small clots

Question 4

When assessing a breastfeeding client on day 3 postpartum who reports engorged, firm breasts and a temperature of 38.0°C, what is the most appropriate first intervention?

Accepted Answer

Encourage frequent feeding and breast emptying

Answer

Prescribe antibiotics immediately

Answer

Recommend immediate weaning

Answer

Apply ice packs and restrict fluids

Question 5

How long after birth should a midwife perform a routine postpartum home visit if the client gave birth at a freestanding birth center?

Accepted Answer

Within 48–72 hours

Answer

Within 24 hours

Answer

At 1 week only

Answer

At 2 weeks only

Question 6

A client at 4 days postpartum reports perineal pain, dysuria, and a foul-smelling lochia. Which condition do these findings most suggest?

Accepted Answer

Endometritis

Answer

Normal lochia serosa transition

Answer

Urinary tract infection only

Answer

Perineal hematoma