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Exam (elaborations)

NCC POSTPARTUM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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NCC POSTPARTUM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • September 3, 2024
  • 3
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCC
  • NCC
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NCC POSTPARTUM QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Perineal care - ANSWER Warm water/peri bottle to clean when voiding

Gentle wipe or pat dry

1st 24 hrs, ice or cold packs to reduce swelling

Witch hazel on sanitary pads

If 3rd/4th degree lac, assess 1 wk PP; REEDA (red, edema, ecchymosis, discharge, approximation)



Two hour glucose tolerance test - ANSWER 4-12 wks PP

1+ abnormal for dx:

Fasting >/= 92

One hour >/= 180

Two hour >/= 153



Fundal height - ANSWER At umbilicus about one hour after delivery

Height decreases by 1 cm every 24 hours

Should be non-palpable after 2 wks



Blood levels - ANSWER Hgb decreases immediately PP; > 1 g decrease should be addressed in hospital

Slowly increases to normal by day 14

WBC elevated immediately PP, normal by 1 wk



Lochia - ANSWER Rubra days 1-4

Serosa (brown/pink) days 5-14

Alba (white/yellow) day 14 to up to 6 wks



Return of ovulation - ANSWER If exclusively BF, around 6 mos, but is affected by amount of BF, intervals,
and introduction of solid food

If no BF, average of 70-75 days, by 12 wks for 70% of pts

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