NARM Postpartum Care 2

Question 1

Which finding indicates an infant has achieved an adequate breastfeeding latch?

Accepted Answer

The infant's mouth covers most of the areola with lips flanged outward

Answer

A proper latch is characterized by the infant's mouth covering most of the areola with lips flanged outward, ensuring effective milk transfer and preventing nipple trauma.

Question 2

A postpartum client on day 3 reports increased bleeding after ambulating. What is the most appropriate initial action?

Accepted Answer

Assess fundal tone, quantify blood loss, and evaluate vital signs

Answer

Assessment of uterine tone, quantification of blood loss, and vital sign evaluation must precede any intervention to differentiate normal lochia variation from early postpartum hemorrhage.

Question 3

A postpartum woman on day 5 is found to have a blood pressure of 154/98 mmHg with a headache. What condition should the midwife most suspect?

Accepted Answer

Postpartum preeclampsia requiring immediate evaluation and management

Answer

Postpartum preeclampsia can develop up to 6 weeks after delivery; a BP ≥140/90 mmHg with symptoms such as headache requires urgent evaluation and treatment.

Question 4

Which finding in a postpartum perineal wound is most indicative of infection requiring treatment?

Accepted Answer

Purulent discharge, worsening pain, and separation of wound edges

Answer

Purulent discharge, escalating pain (rather than improving), and wound dehiscence are hallmark signs of perineal wound infection requiring antibiotic treatment and possible wound management.

Question 5

Which contraceptive method is considered safe to initiate immediately postpartum in a breastfeeding woman?

Accepted Answer

Progestin-only pills (mini-pill)

Answer

Progestin-only methods do not suppress lactation and are safe to start immediately postpartum, whereas estrogen-containing contraceptives can reduce milk supply and are contraindicated in breastfeeding women until at least 6 weeks.

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Postpartum Care 2