Practice Quiz

CPM Certified Professional Midwife

Category - The Postpartum Period

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When the involution of the uterus is impaired, it is called uterine subinvolution. Which of the following is a possible management of subinvolution?
  1. Improved nutrition
  2. Treatment of anemia
  3. Antibiotics (in endometritis)
  4. All of the above
Explanation
Answer: D - All of the above

When the involution of the uterus is impaired, it is called subinvolution of the uterus. Care providers may kneed the uterus to stimulate it back into the desired "grapefruit" position.

Management of subinvolution can include:
1. Improved nutrition
2. Treatment of anemia
3. Antibiotics (in endometritus)
4. Exploration of cause

Causes of subinvolution include:
1. Grand multiparity
2. Overdistension of uterus
3. Maternal ill health
4. Cesarean section
5. Uterine prolapse
6. Uterine sepsis
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