Obstetrics & postpartum care in the Kenntnisprüfung

Fundus, lochia, breasts, bladder, sutures and mood: here you learn to observe a postpartum woman (Wöchnerin) systematically, to recognise bleeding, lochial retention (Lochialstau), thrombosis, mastitis and pre-eclampsia early, to guide breastfeeding and recovery after a caesarean section (Sectio), to assess a newborn safely – and to know where the midwife’s (Hebamme) responsibility begins.

Content created with AI assistance from public clinical sources (RKI, AWMF) – may contain mistakes; if in doubt, your textbook is right

Translated from the German original, which is authoritative. The exam itself is in German.

Sample questions from exam preparation

Roughly how long does the postpartum period (Wochenbett) last?

About 6 to 8 weeks after the birth
Exactly 10 days, until the suture has healed
About 6 months, until breastfeeding ends
Until the milk has come in (Milcheinschuss)

Explanation: The postpartum period begins with the delivery of the placenta and lasts about 6–8 weeks. The first days are called the early postpartum period (Frühwochenbett). It does not end with breastfeeding or wound healing, but with the largely complete regression of the changes of pregnancy.

How does the fundal height (Fundusstand) normally change after an uncomplicated birth?

It rises by one finger’s breadth a day until it reaches the costal arch
After the first days it falls by about one finger’s breadth per day
It stays unchanged at the level of the navel for the whole first week
On the first day it can already no longer be felt above the symphysis

Explanation: In the first days the fundus is roughly at the level of the navel or just below it and then falls by about one finger’s breadth per day; after around ten days it can hardly be felt above the symphysis any more. A high, soft uterus is a warning sign.

20 exam questions on Obstetrics & postpartum care, plus case simulations with an AI examiner and graded feedback – practise until you feel confident.

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