Postpartum care: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Postpartum care

Sample item

Which clinical finding most strongly supports retained placental tissue after delivery?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Persistent bleeding with an incomplete placenta on inspection

Retained placental tissue can prevent effective uterine contraction and cause persistent postpartum bleeding; careful inspection of the delivered placenta helps identify missing cotyledons.

Option by option

  • A. A firm contracted uterus with no bleeding

    A firm uterus without bleeding argues against this cause.

  • B. Progressive milk production on day three

    Milk production is a normal postpartum physiological change.

  • C. A transient rise in heart rate during pushing

    Heart-rate change during exertion does not diagnose retained tissue.

  • D. Persistent bleeding with an incomplete placenta on inspection (correct)

    Correct: missing placental tissue with ongoing bleeding suggests retention.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Persistent bleeding with an incomplete placenta on inspection. Retained placental tissue can prevent effective uterine contraction and cause persistent postpartum bleeding; careful inspection of the delivered placenta helps identify missing cotyledons.

Why is "A firm contracted uterus with no bleeding" not the answer?

A firm uterus without bleeding argues against this cause.

Why is "Progressive milk production on day three" not the answer?

Milk production is a normal postpartum physiological change.

Why is "A transient rise in heart rate during pushing" not the answer?

Heart-rate change during exertion does not diagnose retained tissue.

What concept does this question test?

It tests Postpartum care in OBG. The correct option holds because: Correct: missing placental tissue with ongoing bleeding suggests retention.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Postpartum care?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.