Free Postnatal Care and Breastfeeding MCQs with Answers
50 Postnatal Care and Breastfeeding MCQs from Midwifery and Obstetric Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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50 questions · page 3 of 3
- A. Give hepatitis B vaccine and immunoglobulin promptly, then support breastfeeding
- B. Avoid breastfeeding until the mother completes antiviral treatment
- C. Give oral antibiotics to the newborn before starting breastfeeding
- D. Delay all newborn vaccines until the mother has a negative test
Explanation: A newborn exposed to hepatitis B should receive hepatitis B vaccine and hepatitis B immunoglobulin promptly according to local protocol.
Correct answer: Give hepatitis B vaccine and immunoglobulin promptly, then support breastfeeding- A. Amenorrhoea, exclusive or nearly exclusive breastfeeding, and an infant younger than six months
- B. Regular menstruation, mixed feeding, and an infant younger than twelve months
- C. Amenorrhoea, formula feeding, and an infant younger than nine months
- D. Irregular menstruation, night feeds only, and an infant younger than six months
Explanation: The lactational amenorrhea method requires all three conditions: amenorrhoea, exclusive or nearly exclusive breastfeeding, and a baby…
Correct answer: Amenorrhoea, exclusive or nearly exclusive breastfeeding, and an infant younger than six months- A. The infant receives breast milk only, except for prescribed medicines or supplements
- B. The infant receives breast milk and water between feeds during hot weather
- C. The infant receives breast milk with one formula feed every night
- D. The infant receives breast milk with honey after each daytime feed
Explanation: Exclusive breastfeeding means no other food or drink, including water, is given apart from prescribed medicines, vitamins or medically…
Correct answer: The infant receives breast milk only, except for prescribed medicines or supplements- A. Help the newborn achieve a deep latch with as much areola as possible in the mouth
- B. Tell the mother to scrub the nipples firmly before every feed
- C. Advise routine separation of the newborn until the nipples protrude
- D. Recommend stopping breastfeeding and giving formula until healing occurs
Explanation: Most newborns can breastfeed with flat or inverted nipples when the mouth takes in a deep portion of the areola.
Correct answer: Help the newborn achieve a deep latch with as much areola as possible in the mouth- A. Arrange prompt medical assessment for a possible breast abscess
- B. Apply a tight breast binder and stop emptying the affected breast
- C. Massage the lump forcefully until all pain and swelling disappear
- D. Wait one week because localized breast lumps are always normal
Explanation: A fluctuant painful lump with fever suggests a breast abscess and requires prompt medical assessment for antibiotics and possible…
Correct answer: Arrange prompt medical assessment for a possible breast abscess- A. Place the fingers behind the areola, press inward, and release rhythmically
- B. Pull the nipple forward repeatedly until milk drips into the container
- C. Squeeze the nipple tip continuously with the thumb and index finger
- D. Rub the breast surface rapidly without touching the areola
Explanation: Hand expression uses a gentle inward and compressing motion behind the areola, repeated rhythmically around the breast.
Correct answer: Place the fingers behind the areola, press inward, and release rhythmically- A. Help her lie back safely and assess vital signs
- B. Tell her to stand quickly so the dizziness passes
- C. Leave her sitting while obtaining a routine discharge form
- D. Encourage her to walk farther to improve circulation
Explanation: The immediate priority is safety because dizziness creates a fall risk and may indicate hypotension or blood loss.
Correct answer: Help her lie back safely and assess vital signs- A. Codeine
- B. Paracetamol
- C. Ibuprofen
- D. Lidocaine gel
Explanation: Codeine is generally avoided during breastfeeding because maternal metabolism can produce high levels of morphine, causing infant sedation…
Correct answer: Codeine- A. Reassure her that these symptoms are normal postpartum blues
- B. Arrange prompt mental health assessment and ask about self-harm
- C. Advise her to stop breastfeeding until her mood improves
- D. Encourage her to remain alone and avoid visitors for several days
Explanation: Persistent symptoms that impair daily functioning beyond the early postpartum period suggest postpartum depression rather than transient…
Correct answer: Arrange prompt mental health assessment and ask about self-harm- A. Stop breastfeeding until the cough and fever have completely resolved
- B. Continue breastfeeding with hand hygiene and a mask if coughing
- C. Express the milk and discard it during the entire illness
- D. Give the newborn water temporarily to prevent transmission
Explanation: A common cold is not usually transmitted through breast milk, and breastfeeding can continue.
Correct answer: Continue breastfeeding with hand hygiene and a mask if coughing