Master Postnatal Care: A Comprehensive Guide to Common Complications

Question 1

In the case of retained placental fragments, what is the advised management approach?

Accepted Answer

Manual removal

Answer

Observation

Answer

Hysterectomy

Answer

Expectant management

Question 2

According to NICE guidelines, what is the stance on episiotomy?

Accepted Answer

Restrict to specific indications

Answer

Routine use

Answer

Avoidance

Answer

Liberal use

Question 3

The primary goal of treatment for perineal pain is to:

Accepted Answer

Relieve pain and discomfort

Answer

Reduce inflammation

Answer

Promote wound healing

Answer

Prevent infection

Question 4

The recommended duration of antibiotic therapy for mastitis is:

Accepted Answer

14 days

Answer

5 days

Answer

10 days

Answer

21 days

Question 5

What is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Retained placenta

Answer

Vaginal lacerations

Answer

Disseminated intravascular coagulation

Question 6

For a woman diagnosed with mastitis, which management approach is recommended?

Accepted Answer

Prescribe antibiotics and advise the mother to continue breastfeeding

Answer

Prescribe antibiotics and advise the mother to stop breastfeeding

Answer

Provide pain medication and recommend weaning the baby

Answer

Refer the mother to a specialist for surgical drainage

Question 7

In managing postnatal complications, which ethical principle is of utmost importance?

Accepted Answer

Respecting patient autonomy

Answer

Ensuring patient confidentiality

Answer

Prioritizing cost-effectiveness

Answer

Demonstrating cultural sensitivity

Question 8

What is the appropriate immediate intervention for third-degree perineal tears?

Accepted Answer

Immediate surgical repair

Answer

Observation and antibiotics

Answer

Sitz baths and pain relief

Answer

Non-steroidal anti-inflammatory drugs

Question 9

What is the initial treatment for postpartum hemorrhage?

Accepted Answer

Uterotonic medications

Answer

Blood transfusion

Answer

Hysterectomy

Answer

Embolization

Question 10

Identify a characteristic symptom of postpartum mastitis:

Accepted Answer

Breast enlargement and tenderness

Answer

Vaginal bleeding

Answer

Headache and tiredness

Answer

Constipation

Question 11

Which sign indicates the occurrence of postpartum hemorrhage?

Accepted Answer

Excessive vaginal bleeding requiring multiple pad changes within an hour

Answer

Minimal vaginal bleeding lasting for several weeks

Answer

Painful uterine contractions

Answer

Fever

Question 12

Which of the following is a risk factor associated with the development of mastitis?

Accepted Answer

Incomplete breast emptying during feedings

Answer

Initiation of breastfeeding immediately after birth

Answer

Tenderness of the breasts

Answer

Fever

Question 13

Postnatal urinary incontinence is most commonly caused by:

Accepted Answer

Stress incontinence

Answer

Overactive bladder syndrome

Answer

Pelvic organ prolapse

Answer

Urinary tract infection

Question 14

Which of the following is a known protective factor against postpartum depression?

Accepted Answer

Availability of social support

Answer

History of mental health disorders

Answer

Young maternal age

Answer

Low socioeconomic status

Question 15

What is the most prevalent causative agent of mastitis?

Accepted Answer

Staphylococcus aureus

Answer

Streptococcus agalactiae

Answer

Escherichia coli

Answer

Pseudomonas aeruginosa

Question 16

Initial management of perineal pain generally involves:

Accepted Answer

Paracetamol and ice packs

Answer

Antibiotics and Sitz baths

Answer

NSAIDs and warm compresses

Answer

Codeine and perineal exercises

Question 17

The purpose of the Edinburgh Postnatal Depression Scale (EPDS) is to:

Accepted Answer

Screen for postpartum depression

Answer

Gauge the severity of postpartum depression

Answer

Monitor treatment progress for postpartum depression

Answer

Predict the likelihood of developing postpartum depression

Question 18

A client experiences breast engorgement and tenderness due to difficulty initiating breastfeeding. Which intervention is most effective in relieving the engorgement?

Accepted Answer

Apply cold compresses and encourage frequent breastfeeding.

Answer

Administer oxytocin to stimulate milk ejection.

Answer

Use a breast pump to express milk and discard it.

Question 19

A client reports tearfulness, irritability, difficulty sleeping, and struggles to bond with their newborn in the postpartum period. Which assessment is most appropriate to screen for postpartum depression?

Accepted Answer

Assess the client's mood, sleep patterns, and ability to care for themselves and their baby.

Answer

Measure the client's vital signs and check for any postpartum complications.

Answer

Refer the client immediately for psychiatric consultation.

Question 20

A client who had a cesarean section experiences excessive vaginal bleeding. Which nursing intervention is most appropriate?

Accepted Answer

Massage the fundus, monitor vital signs, and notify the healthcare provider.

Answer

Administer oxytocin to stimulate uterine contractions.

Answer

Apply ice packs to the perineal area and elevate the client's legs.

Question 21

To promote bowel regularity in the postpartum period, which food group should be emphasized?

Accepted Answer

Whole grains

Answer

Dairy products

Answer

Processed foods

Answer

Sugary drinks