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The Puerperium

What duration of time is encompassed in the puerperium?

a. 2–4 weeks

b. 4–6 weeks

c. 6–8 weeks

d. 10–12 weeks

What are myrtiform caruncles?

a. Vaginal rugae

b. Scarred tags of hymenal tissue

c. A sexually transmitted infection

d. Microscopic tears in the vaginal epithelium

At what point in the puerperium does the endocervical canal reform?

a. 1 week postpartum

b. 2 weeks postpartum

c. 3 weeks postpartum

d. 4 weeks postpartum

What percentage of women experience regression of high-grade dysplasia following delivery?

a. 10%

b. 33%

c. 35%

d. 50%

How long does complete uterine involution take following delivery?

a. 1 week

b. 2 weeks

c. 3 weeks

d. 4 weeks

A 26-year-old G3P3 is postpartum day 1 following an uncomplicated vaginal delivery. She reports sharp, intermittent lower abdominal pain, which is more severe than in her prior deliveries. Her heart rate is 84 beats per minute, blood pressure 110/60 mmHg, and her temperature 99.3 °F. Her abdomen is soft on exam and there is no uterine tenderness. A scant amount of lochia is appreciated on bimanual exam. What is the most likely diagnosis?

a. Afterpains

b. Endometritis

c. Bladder flap hematoma

d. Septic pelvic thrombophlebitis

A 20-year-old G1P1 presents to the emergency room 10 days after an uncomplicated vaginal delivery complaining of fever, nausea/vomiting, abdominal pain, and ...

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