NARM Postpartum Care

Question 1

What is the expected rate of uterine fundal descent during normal postpartum involution?

Accepted Answer

Descends approximately 1 cm (one fingerbreadth) per day

Answer

The uterine fundus descends approximately 1 cm (one fingerbreadth) per day, returning to the pelvic cavity by approximately 10–14 days postpartum.

Question 2

Which description best characterizes normal lochia rubra?

Accepted Answer

Dark red discharge containing decidual tissue that may include small clots, lasting 1–4 days

Answer

Lochia rubra is dark red, may contain small clots and decidual tissue, and is normal for the first 1–4 days postpartum; large clots or foul odor would be abnormal findings.

Question 3

Which intervention is most effective in preventing postpartum hemorrhage?

Accepted Answer

Active management of the third stage of labor including uterotonics and controlled cord traction

Answer

Active management of the third stage of labor — encompassing uterotonic administration, controlled cord traction, and uterine massage — is the evidence-based standard for significantly reducing postpartum hemorrhage.

Question 4

After repair of a second-degree perineal laceration, which perineal care instruction is most appropriate?

Accepted Answer

Use warm sitz baths, keep the perineum clean, and pat dry after voiding

Answer

Warm sitz baths, front-to-back wiping, and gentle drying after voiding promote healing and comfort while reducing infection risk following perineal laceration repair.

Question 5

During the first hour after an uncomplicated vaginal birth, how frequently should the midwife assess maternal vital signs?

Accepted Answer

Every 15 minutes

Answer

Vital signs should be assessed every 15 minutes during the first postpartum hour to detect early signs of hemorrhage, hemodynamic instability, or other complications.

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Postpartum Care