Great — I see your file covers Unit 1 (physiological changes and normal postpartum care)
and Unit 2 (postpartum maternal and newborn assessment & care). Based on those, I’ll
prepare:
5 True/False
10 Matching
25 Multiple Choice Questions (MCQs)
✅ True or False (5)
1. The postpartum period, also known as puerperium, generally lasts 6 weeks. (True)
2. Lochia rubra usually persists for up to 10–14 days after delivery. (False)
3. The uterus weighs about 1000 grams immediately after delivery and involutes to 50–100
grams within 6 weeks. (True)
4. Breast engorgement usually occurs because of lack of milk production. (False)
5. Emotional lability is common in the early postpartum period. (True)
🔗 Matching (10)
Column A (Terms) Column B (Descriptions)
1. Lochia rubra a. Pinkish discharge lasting 5–9 days
2. Lochia serosa b. White/yellowish discharge after 10 days
3. Lochia alba c. Red discharge during first 1–4 days
4. Involution d. Return of uterus to pre-pregnant size
5. BUBBLE-HE e. Acronym for postpartum assessment
6. REEDA f. Tool for perineal wound assessment
7. Homan’s sign g. Test for deep vein thrombosis
8. Colostrum h. Yellowish breast secretion rich in antibodies
9. Immediate puerperium i. First 24 hours after delivery
10. Remote puerperium j. Up to 6 weeks after delivery
📝 Multiple Choice Questions (25)
Unit 1 – Postpartum Physiology (13 MCQs)
1. The postpartum period is defined as the time from delivery of the placenta until:
a) 28 days
b) 42 days
c) 3 months
d) 6 months
Answer: b
2. Which maternal complication accounts for most postpartum deaths?
a) Hypertension
b) Hemorrhage
c) Diabetes
d) UTI
Answer: b
3. Which is NOT a division of the puerperium?
a) Immediate
b) Early
c) Late
d) Remote
Answer: c
4. Involution is the process by which:
a) Cervix dilates after labor
b) Uterus returns to pre-pregnant size
c) Lochia changes color
d) Ovaries restart ovulation
Answer: b
5. The uterus after placental delivery is usually:
a) At level of xiphoid
b) At level of symphysis pubis
c) Slightly below umbilicus
d) Midway between umbilicus and pubis
Answer: c
6. Average time for menstruation to return in non-breastfeeding women:
a) 2 weeks
b) 6 weeks
c) 12 weeks
d) 6 months
Answer: c
7. Which hormone primarily stimulates lactation?
a) Estrogen
b) Progesterone
c) Prolactin
d) Oxytocin
Answer: c
8. Breast engorgement occurs mainly due to:
a) Infection
b) Milk stasis and vascular congestion
c) Low prolactin
d) Poor appetite
Answer: b
9. The most common cause of constipation in puerperium is:
a) Fear of evacuation due to pain
b) Increased intestinal motility
c) Excess fluids
d) Infection
Answer: a
10. Which cardiac change is true in immediate postpartum?
a) Cardiac output decreases abruptly
b) Peripheral resistance increases
c) Stroke volume falls
d) Blood volume remains unchanged
Answer: b
11. Normal cervix after delivery regains firmness in:
a) 6 hours
b) 2–3 days
c) 2 weeks
d) 6 weeks
Answer: b
12. The main psychological state seen in early puerperium is:
a) Mania
b) Euphoria and emotional lability
c) Severe depression
d) Hallucination
Answer: b
13. Which is a neonatal adaptation immediately after birth?
a) Closure of ductus arteriosus
b) Reopening of ductus venosus
c) Increased pulmonary resistance
d) Decreased pulmonary blood flow
Answer: a
Unit 2 – Postpartum Assessment & Care (12 MCQs)
14. BUBBLE-HE includes all EXCEPT:
a) Breasts
b) Uterine fundus
c) Bladder
d) Hemoglobin
Answer: d
15. Which is the correct order of lochia progression?
a) Rubra → Alba → Serosa
b) Serosa → Rubra → Alba
c) Rubra → Serosa → Alba
d) Alba → Rubra → Serosa
Answer: c
16. The fundus normally descends at a rate of:
a) 0.5 cm/day
b) 1 cm/day
c) 2 cm/day
d) No fixed rate
Answer: b
17. By the 10th day postpartum, the uterine fundus is:
a) At the umbilicus
b) Not palpable abdominally
c) 4 cm below symphysis pubis
d) At xiphoid process
Answer: b
18. Positive Homan’s sign indicates:
a) Pulmonary embolism
b) Uterine infection
c) Deep vein thrombosis
d) Cystitis
Answer: c
19. A normal perineal wound assessed with REEDA should show:
a) Redness and discharge
b) Ecchymosis and edema
c) Approximation without infection
d) Open wound edges
Answer: c
20. Abnormal finding in lochia is:
a) Foul odor
b) Gradual reduction in amount
c) Scant on day 10
d) Pinkish by day 5
Answer: a
21. Which advice is appropriate for bowel care postpartum?
a) Avoid hydration
b) Eat high fiber foods
c) Use laxatives regularly
d) Avoid mobility
Answer: b
22. For breastfeeding mothers, prolactin levels return to baseline in:
a) 2–3 weeks
b) 1 week
c) 6 weeks
d) Remain high during lactation
Answer: d
23. Which counseling is NOT routine postpartum?
a) Family planning
b) Nutrition
c) Danger signs
d) Heavy exercise in first week
Answer: d
24. The first postpartum bowel movement may be delayed because of:
a) Hemorrhoids
b) Perineal pain
c) Fear of pain
d) All of the above
Answer: d
25. The best practice to assess postpartum hemorrhage in the first hour is:
a) Measure lochia color
b) Monitor vital signs every 15 min
c) Check breast engorgement
d) Record urine output
Answer: b
📌 Would you like me to export this into a Word document for exam use (with answer key at
the end), or keep it in plain text?
