What attackers do. Attackers who already have a password trigger repeated MFA push notifications, calls or prompts until the user approves one by mistake or from fatigue. This serves the Credential Access tactic and is often called MFA fatigue or push bombing.
How to defend. Move to phishing-resistant MFA, or at least use number matching and show location and application context in prompts. Limit the number of MFA requests allowed in a period and alert on excess. Teach users to report unexpected prompts and to deny them, and treat such reports as a sign the password is compromised.
Signs to look for. Look for many MFA requests to one user in a short period, an approval following a burst of denials, and sign-ins from unusual locations right after approval. A common gap is not alerting on denied prompts at all.