1.

During a postnatal visit, a woman says she no longer feels pain around her episiotomy,
and the site looks clean.
A. Discontinue perineal hygiene
B. Stop sitz baths
C. Continue exercises and hygiene practices
D. Begin douching
Answer: C. Continue exercises and hygiene practices

2. A baby is born via cesarean section and starts breastfeeding 4 hours after birth.
A. This delay is acceptable if baby is stable
B. Delay causes breast cancer
C. This confirms insufficient colostrum
D. Baby now needs IV nutrition
Answer: A. This delay is acceptable if baby is stable

3. A mother on her second day postpartum says her sanitary pad is soaked within 15
minutes.
A. This reflects a normal lochia pattern
B. She should wait and observe for another 24 hours
C. She should increase fluid intake
D. She needs urgent medical attention
Answer: D. She needs urgent medical attention.

4. A woman returns 14 days after delivery. On palpation, the uterus is no longer felt
abdominally.
A. She may have retained placental tissue
B. This is a sign of normal uterine involution
C. This confirms uterine rupture
D. This means she has resumed ovulation
Answer: B. This is a sign of normal uterine involution

5. A nurse visits a breastfeeding mother who reports foul-smelling vaginal discharge.

A. This can be managed with hygiene education
B. This suggests puerperal sepsis and needs review
C. This is a sign of delayed menstruation
D. This confirms complete uterine recovery
Answer: B. This suggests puerperal sepsis and needs review

6. A first-time mother notices her nipples are cracked and painful during breastfeeding.
A. She needs antibiotics
B. She is likely feeding too often
C. Poor baby attachment is likely
D. Lactation has been suppressed
Answer: C. Poor baby attachment is likely
7. During a postnatal check, a mother asks if it’s okay to resume intimacy two weeks after
delivery. She has no bleeding and feels ready.
A. She should wait for menstruation
B. She may proceed if physically and emotionally comfortable
C. She needs to finish 6-week clinic visit first
D. She should wait until lochia stops completely
Answer: B. She may proceed if physically and emotionally comfortable

8. A woman complains of constant abdominal pain one week after cesarean section. The
wound is swollen and warm to touch.
A. She requires stronger pain medication
B. This could be wound infection
C. This is normal healing
D. She has uterine atony
Answer: B. This could be wound infection

9. A mother at her 6-week check-up reports no menstrual period but is not breastfeeding.
A. This is due to delayed ovulation
B. She is likely pregnant
C. She may need hormonal therapy
D. This is a medical emergency
Answer: A. This is due to delayed ovulation

10. On day 2 postpartum, a nurse notes a soft, flabby uterus and bright red lochia in a mother.
A. A sitz bath should be prescribed
B. This suggests effective breastfeeding
C. The uterus may not be contracting well
D. She may have resumed menstruation
Answer: C. The uterus may not be contracting well

11. A woman who gave birth 3 weeks ago reports feeling sad, crying frequently, and lacking
energy.
A. These are signs of taking-in phase
B. She should be monitored for maternal blues
C. This shows she’s bonding with the baby
D. She needs immediate psychiatric admission
Answer: B. She should be monitored for maternal blues

12. A lactating mother asks whether she can use family planning during breastfeeding.
A. It is discouraged
B. Lactation is 100% effective
C. Family planning can be started with appropriate counseling
D. She should wait until weaning
Answer: C. Family planning can be started with appropriate counseling
13. A 19-year-old new mother has a baby weighing 1.6 kg. The nurse encourages skin-to-
skin contact for an hour daily.
A. This will improve baby’s appetite only
B. The practice supports Kangaroo Mother Care
C. This replaces all hospital care
D. The mother should avoid touching the baby
Answer: B. The practice supports Kangaroo Mother Care

14. A mother is unsure whether her 4-day-old baby is getting enough milk. The nurse notes
strong suckling and frequent urination.
A. She may need supplements
B. Feeding intervals must be reduced
C. Milk supply appears sufficient
D. She should stop breastfeeding
Answer: C. Milk supply appears sufficient

15. After returning home from the hospital, a mother experiences painful urination and a
strong urge to void frequently.
A. These are signs of dehydration
B. This reflects normal kidney function
C. A urinary tract infection may be developing
D. She should stop drinking fluids
Answer: C. A urinary tract infection may be developing

16. A new mother reports she hasn’t had a bowel movement in 3 days and feels bloated.
A. She should be started on IV fluids
B. Encourage high fiber diet and water intake
C. This confirms internal bleeding
D. Prescribe bed rest
Answer: B. Encourage high fiber diet and water intake

17. A mother expresses concern that her baby hasn’t started breastfeeding two hours after
birth. The baby is sleepy and not latching.
A. This is typical in the first 24 hours
B. Wait until next day
C. This indicates congenital deformity
D. Initiate artificial feeding
Answer: A. This is typical in the first 24 hours

18. A 28-year-old asks if cabbage can increase her breastmilk.

A. Cabbage is only used for breast engorgement relief
B. It significantly increases milk supply
C. Cabbage is not safe for nursing mothers
D. Use cabbage as a primary food source
Answer: A. Cabbage is only used for breast engorgement relief
19. A nurse notices a new mother avoiding eye contact and showing little interest in the baby
by day 7 postpartum.
A. She should be educated on weaning
B. Assess for postnatal depression
C. Tell her to resume sexual activity
D. Start contraceptives immediately
Answer: B. Assess for postnatal depression

20. A 3-day postpartum mother’s legs appear swollen, red, and tender to touch.
A. Normal postpartum fluid retention
B. Immediate evaluation for deep vein thrombosis
C. This confirms iron deficiency
D. Recommend bed rest for 2 more days
Answer: B. Immediate evaluation for deep vein thrombosis