Practice Test Geeks(NARM) North American Registry of Midwives Practice Test
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Postpartum Care Flashcards

7 cards from real NARM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Postpartum Care flashcards as text

  1. After a normal birth, by approximately when should the uterus no longer be palpable abdominally?

    Answer: 10 to 14 days postpartum

    The fundus descends about 1 cm per day and normally drops below the symphysis pubis by about 10 to 14 days.

  2. On postpartum day 6, a client describes her lochia as pinkish-brown and watery with no clots. How should the midwife interpret this?

    Answer: Normal lochia serosa

    Lochia serosa is pinkish-brown and typically lasts from about day 4 to day 10.

  3. A client has a sudden heavy bleed on postpartum day 10 with a uterus larger and softer than expected. What is the most likely cause?

    Answer: Subinvolution or retained placental fragments

    Late (secondary) postpartum hemorrhage is most often caused by subinvolution of the placental site or retained products of conception.

  4. An Rh-negative, unsensitized client gives birth to an Rh-positive baby. Within what time frame should Rh immune globulin be given?

    Answer: Within 72 hours

    Rh immune globulin should be given within 72 hours of birth to prevent maternal alloimmunization.

  5. On postpartum day 5, a client who was normotensive in pregnancy reports a severe headache and has a BP of 162/108. What is the best action?

    Answer: Arrange urgent medical evaluation for postpartum preeclampsia

    Preeclampsia can first appear up to 6 weeks postpartum, and severe-range BP with headache requires urgent transfer of care.

  6. A client 2 months postpartum reports palpitations, anxiety, and weight loss, followed months later by fatigue and weight gain. Which condition best fits this pattern?

    Answer: Postpartum thyroiditis

    Postpartum thyroiditis often shows a transient hyperthyroid phase at 1 to 4 months followed by a hypothyroid phase.

  7. A breastfeeding client has a red, hot, wedge-shaped area on one breast, fever, and flu-like aches. Besides referral for possible antibiotics, what should the midwife advise?

    Answer: Continue breastfeeding or emptying the affected breast frequently

    Continued milk removal is key to treating mastitis, and breastfeeding is safe for the infant.

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Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. info.narm.org — Exam information · verified Oct 2026
  2. narm.org — Exam format, retake policy, time limit, test delivery, score release, eligibility, exam information · verified Oct 2026