Postpartum Complications: A Comprehensive Guide for Nursing Students

Question 1

Which nursing intervention is crucial for managing postpartum hemorrhage?

Accepted Answer

Administering prescribed IV fluids and blood transfusions

Answer

Promoting breastfeeding

Answer

Applying ice packs to the perineum

Question 2

The primary symptom of mastitis is:

Accepted Answer

Painful, swollen breast tissue

Answer

Fever

Answer

Chills

Answer

Fatigue

Question 3

During a breast exam, a tender, erythematous area is a characteristic finding of:

Accepted Answer

Mastitis

Answer

Painless lump

Answer

Nipple discharge

Answer

Inverted nipple

Question 4

Which of the following symptoms is most strongly associated with postpartum depression?

Accepted Answer

Persistent feelings of sadness or emptiness

Answer

Difficulty falling asleep or staying asleep

Answer

Changes in appetite or eating habits

Answer

Loss of interest or pleasure in once-enjoyable activities

Question 5

Which of the following non-pharmacological interventions is recommended as a first-line treatment option for postpartum depression?

Accepted Answer

Cognitive-behavioral therapy

Answer

Massage therapy

Answer

Antidepressant medication

Answer

Electroconvulsive therapy

Question 6

What is the first-choice antibiotic typically used to treat mastitis?

Accepted Answer

Amoxicillin-clavulanate

Answer

Erythromycin

Answer

Vancomycin

Answer

Cephazolin

Question 7

Which of the following is a potentially life-threatening complication that may occur during the postpartum period?

Accepted Answer

Postpartum hemorrhage

Answer

Mastitis

Answer

Endometritis

Answer

Depression

Question 8

Which of the following microorganisms is most frequently implicated in cases of postpartum endometritis?

Accepted Answer

Enterococcus faecalis

Answer

Streptococcus pyogenes

Answer

Escherichia coli

Answer

Staphylococcus aureus

Question 9

The most prevalent symptom of mastitis is:

Accepted Answer

Breast pain

Answer

Fever

Answer

Swelling

Answer

Redness

Question 10

The most common type of thromboembolism that occurs during the postpartum period is:

Accepted Answer

Deep vein thrombosis

Answer

Pulmonary embolism

Answer

Arterial thrombosis

Answer

Cerebral venous sinus thrombosis

Question 11

The laboratory test primarily used to diagnose mastitis is:

Accepted Answer

Breast culture

Answer

Blood culture

Answer

Urinalysis

Answer

Complete blood count

Question 12

In the immediate management of postpartum hemorrhage, which intervention is considered the most effective?

Accepted Answer

Administering oxytocin

Answer

Applying ice packs to the perineum

Answer

Inserting a Foley catheter

Answer

Monitoring vital signs

Question 13

Which of the following is a common symptom of preeclampsia?

Accepted Answer

Swelling in the hands, feet, and face

Answer

Slow heart rate

Answer

Bluish skin color

Answer

High blood sugar

Question 14

Which of the following interventions is not recommended for prevention of postpartum hemorrhage?

Accepted Answer

Avoiding excessive hydration

Answer

Uterine massage

Answer

Administration of oxytocin

Answer

Early ambulation

Question 15

What is the most common cause of postpartum infection?

Accepted Answer

Endometritis

Answer

Urinary tract infection

Answer

Mastitis

Answer

Wound infection

Question 16

What is the primary cause of postpartum hemorrhage?

Accepted Answer

Uterine atony (inability of the uterus to contract)

Answer

Retained placenta

Answer

Lacerations of the cervix or vagina

Answer

Infection

Question 17

Which of the following is the recommended duration of postpartum follow-up for women with uncomplicated deliveries?

Accepted Answer

6 weeks

Answer

4 weeks

Answer

10 weeks

Answer

8 weeks

Question 18

Which of the following is a well-established risk factor for postpartum depression (PPD)?

Accepted Answer

History of depression or anxiety disorders

Answer

Excessive blood loss during delivery

Answer

Multiple gestation

Answer

Prolonged labor

Question 19

Mastitis is an inflammation of the:

Accepted Answer

Breast tissue

Answer

Vagina

Answer

Ovaries

Answer

Uterus

Question 20

A common symptom of mastitis includes:

Accepted Answer

Redness and swelling of the breast

Answer

Urinary incontinence

Answer

Vaginal bleeding

Question 21

The recommended treatment plan for mastitis typically includes:

Accepted Answer

Antibiotics and pain relievers

Answer

Warm compresses and massage

Answer

Herbal teas and supplements

Answer

Bed rest and fluids only

Question 22

Thromboembolism refers to the formation of a blood clot within the:

Accepted Answer

Blood vessels

Answer

Brain

Answer

Lungs

Answer

Heart

Question 23

Symptoms of thromboembolism may include:

Accepted Answer

Shortness of breath and chest pain

Answer

Urinary incontinence

Answer

Vaginal bleeding

Question 24

The most prevalent type of thromboembolism occurring in the postpartum period is:

Accepted Answer

Deep vein thrombosis (DVT)

Answer

Arterial embolism

Answer

Pulmonary embolism (PE)

Answer

Cerebral embolism

Question 25

Which of the following is an effective preventive measure for thromboembolism in the postpartum period?

Accepted Answer

Early mobilization and administration of anticoagulants

Answer

Intake of herbal teas and dietary supplements

Answer

Application of warm compresses and gentle massage

Answer

Prolonged bed rest and use of compression stockings

Question 26

Identify the most significant risk factor for developing postpartum depression:

Accepted Answer

Preexisting history of depression

Answer

Having multiple previous pregnancies (multiparity)

Answer

Undergoing a cesarean delivery

Answer

Experiencing an episiotomy during childbirth

Question 27

Which symptom is most commonly associated with mastitis in breastfeeding women?

Accepted Answer

Breast pain accompanied by redness and swelling

Answer

Elevated body temperature (fever)

Answer

Presence of nipple discharge

Answer

Persistent fatigue and lack of energy

Question 28

Recognize the primary clinical manifestation of deep vein thrombosis (DVT) that can occur during the postpartum period:

Accepted Answer

Unilateral leg swelling and tenderness

Answer

Sharp, stabbing chest pain

Answer

Sudden onset of shortness of breath

Answer

Severe abdominal pain and cramping

Question 29

Identify a key preventive measure that can help reduce the risk of developing mastitis in breastfeeding individuals:

Accepted Answer

Frequent and effective breastfeeding practices

Answer

Regularly pumping and discarding breast milk

Answer

Wearing a tight and constricting bra

Question 30

What is the standard recommended duration for postpartum follow-up care after childbirth?

Accepted Answer

Six weeks (approximately 42 days)

Answer

Three months (approximately 12 weeks)

Answer

Two weeks (approximately 14 days)

Answer

One year (approximately 52 weeks)

Question 31

Which of the following is a telltale sign of postpartum hemorrhage that requires immediate medical attention?

Accepted Answer

Unusually heavy vaginal bleeding

Answer

Frequent episodes of watery diarrhea

Answer

Intermittent abdominal cramping

Answer

Elevated body temperature (fever)

Question 32

What is the primary treatment strategy for managing postpartum preeclampsia, a condition characterized by elevated blood pressure after delivery?

Accepted Answer

Administration of antihypertensive medications

Answer

Use of diuretic medications to promote fluid loss

Answer

Strict adherence to complete bed rest

Question 33

Identify the most common underlying cause of postpartum fever in women who have recently given birth:

Accepted Answer

Infection of the uterus (endometritis)

Answer

Formation of a blood clot in a leg vein (thrombophlebitis)

Answer

Infection of the urinary tract (urinary tract infection)

Answer

Inflammation of the breast tissue (mastitis)

Question 34

Which of the following is a common risk factor for postpartum depression?

Accepted Answer

A history of depression or anxiety

Answer

Advanced maternal age

Answer

Primiparity

Answer

Vaginal delivery

Question 35

Which symptom is typically an early indicator of mastitis?

Accepted Answer

Redness and swelling of the breast

Answer

Chills and fever

Answer

Painful urination

Answer

Increased lochia flow

Question 36

What is the primary management strategy for postpartum thromboembolism?

Accepted Answer

Anticoagulation therapy

Answer

Antibiotic therapy

Answer

Bed rest

Answer

Elevation of legs

Question 37

Which of the following is a primary sign of postpartum hemorrhage?

Accepted Answer

Excessive vaginal bleeding

Answer

Abdominal pain

Answer

Elevated blood pressure

Answer

Uterine atony

Question 38

What is the primary nursing intervention for monitoring a postpartum woman who has experienced preeclampsia?

Accepted Answer

Monitoring blood pressure and proteinuria

Answer

Providing emotional support

Answer

Encouraging rest

Answer

Administering antihypertensive medications

Question 39

Which of the following is a recognized risk factor for postpartum infection?

Accepted Answer

Prolonged labor or premature rupture of membranes

Answer

Adequate prenatal care

Answer

Breastfeeding

Answer

Early ambulation

Question 40

What is the primary purpose of administering oxytocin in the immediate postpartum period?

Accepted Answer

To promote uterine contraction and reduce excessive bleeding

Answer

To prevent postpartum depression

Answer

To relieve pain

Answer

To enhance breastfeeding

Question 41

Which of the following is a common symptom of postpartum thyroiditis?

Accepted Answer

Fatigue and muscle weakness

Answer

Frequent urination

Answer

Excessive thirst

Answer

Weight gain and edema

Question 42

Which of the following is an appropriate nursing intervention for a postpartum woman experiencing postpartum blues?

Accepted Answer

Providing emotional support and reassurance

Answer

Restricting visitors

Answer

Administering antidepressants

Answer

Monitoring vital signs

Question 43

Which of the following is the most common cause of postpartum hemorrhage?

Accepted Answer

Uterine atony

Answer

Cervical lacerations

Answer

Retained placenta

Answer

Placental abruption

Question 44

What is the most common symptom triad of postpartum depression?

Accepted Answer

Sadness, fatigue, and difficulty concentrating

Answer

Pelvic discomfort, pain, and urinary urgency

Answer

Breast tenderness, nausea, and vomiting

Answer

Headaches, constipation, and leg cramps

Question 45

Which of the following is a characteristic sign of mastitis?

Accepted Answer

Unilateral breast pain, warmth, and redness

Answer

Bilateral breast pain, chills, and fever

Answer

Breast tenderness, nausea, and vomiting

Answer

Nipple discharge, fatigue, and body aches

Question 46

What is the first-line treatment for mild to moderate postpartum hemorrhage?

Accepted Answer

Bimanual uterine massage

Answer

Hysterectomy

Answer

Ergometrine injection

Answer

Blood transfusion

Question 47

Which of the following is a modifiable risk factor for thromboembolism in the postpartum period?

Accepted Answer

Prolonged immobilization

Answer

High parity

Answer

Advanced maternal age

Answer

History of family thrombosis

Question 48

What is the cornerstone of managing postpartum depression?

Accepted Answer

Early recognition, support, and referral

Answer

Hospitalization in all cases

Answer

Counseling alone

Answer

Medication alone

Question 49

Which of the following is a recommended nursing intervention to promote breastfeeding and prevent mastitis?

Accepted Answer

Frequent and effective breast emptying

Answer

Discontinuing breastfeeding if the mother has mastitis

Answer

Using a nipple shield for all feedings

Answer

Maintaining a strict feeding schedule

Question 50

What is the primary goal of managing postpartum hemorrhage?

Accepted Answer

Control bleeding and restore hemodynamic stability

Answer

Promote uterine involution

Answer

Maintain a sterile environment

Answer

Prevent infection

Question 51

Which of the following is a warning sign of thromboembolism in the postpartum period?

Accepted Answer

Sudden onset of severe calf pain unilateral leg swelling

Answer

Episiotomy pain

Answer

Abdominal discomfort

Answer

Tender breast

Question 52

What is an effective preventive measure for postpartum depression?

Accepted Answer

Universal screening and early intervention

Answer

Routine prenatal vitamin supplementation

Answer

Reducing stress during pregnancy

Answer

Pelvic floor exercises