C-Section Quiz: Can You Prep And Recover Safely?

1. A patient requesting VBAC has a history of one prior low-transverse cesarean. What is the success rate for VBAC?

40–50%

60–80%

90–95%

Less than 30%

2. What is the recommended interval between a cesarean delivery and the next pregnancy?

6 months minimum

12–18 months minimum

2–3 years minimum

No interval required

3. Which pain management approach is safest for breastfeeding post-cesarean mothers?

Avoid all pain medication

NSAIDs and acetaminophen as first-line

Only opioids for severe pain

Regional anesthesia indefinitely

4. A patient post-cesarean develops fever and tachycardia on day 3. What is the most likely diagnosis?

Normal postoperative response

Endometritis

Dehydration

Anxiety disorder

5. What is the most common reason for unplanned repeat cesarean in a VBAC trial?

Maternal exhaustion

Failed labor progression

Fetal distress

Excessive lochia

6. Post-cesarean, when is it safe to resume normal activities like driving and lifting?

1–2 weeks postpartum

4–6 weeks postpartum with clearance

Immediately upon discharge

8–12 weeks postpartum

7. Which maternal factor increases the risk of uterine rupture during a VBAC trial?

Maternal age over 35

Use of oxytocin for labor augmentation

Adequate nutrition

Previous vaginal delivery

8. A patient post-cesarean reports chest pain and shortness of breath. What is the priority action?

Administer oxygen and assess for pulmonary embolism

Assume anxiety and provide reassurance

Increase pain medication

Wait for physician rounds

9. What is the primary goal of immediate postoperative assessment after cesarean delivery?

Confirm adequate anesthesia recovery

Monitor vital signs, lochia, and fundal firmness

Initiate breastfeeding

Assess pain control only

10. Which intervention is most important for preventing thromboembolic complications post-cesarean?

Strict immobilization

Sequential compression devices and early mobilization

High-dose anticoagulation

Bed rest with leg elevation

11. Which antibiotic is typically administered prophylactically before a cesarean section?

Cephalosporin

Fluoroquinolone

Macrolide

Aminoglycoside

12. How long should prophylactic antibiotics typically be continued post-cesarean?

24–48 hours

1 week

Until discharge

2 weeks

13. Which sign indicates potential wound infection post-cesarean?

Slight redness at incision edges

Purulent drainage, warmth, and fever

Minimal serosanguinous drainage

Incision approximation with slight edema

14. What is the recommended timing for skin closure in a cesarean section?

Immediately after delivery of placenta

After hemostasis is confirmed

After irrigating the incision

Within 10 minutes of delivery

15. A VBAC (vaginal birth after cesarean) is contraindicated if the previous incision was:

Low transverse

Classical (vertical)

Low oblique

Pfannenstiel

16. Which complication is most commonly associated with cesarean delivery?

Uterine rupture

Surgical site infection

Amniotic fluid embolism

Placental abruption

17. Epidural anesthesia is preferred for cesarean delivery because it allows:

Complete muscle relaxation

Maternal consciousness and reduced aspiration risk

Faster recovery than spinal anesthesia

Prevention of postoperative pain entirely

18. What is the normal lochia pattern in the first 24 hours post-cesarean?

Scant, clear fluid

Heavy, bright red discharge

Minimal lochia due to uterine closure

Brown, foul-smelling discharge

19. A patient is recovering from a cesarean section. Which position best promotes drainage and reduces thromboembolic risk?

Supine only

Early ambulation and side-lying

Trendelenburg position

Strict bed rest for 48 hours

20. What is the primary reason for NPO (nothing by mouth) status before cesarean delivery?

To reduce nausea

To prevent aspiration during anesthesia

To lower blood glucose

To improve uterine contractions

C-Section Quiz: Can You Prep and Recover Safely?