OB NURS 306 WEEK 3 EXAM
QUESTIONS AND ANSWERS GRADED A+
2025/2026
What does BUBBLE-LE stand for? - ANS Breasts, Uterus, Bladder, Bowel, Lochia,
Episiotomy/Perineum, Lower extremities, Emotional status
When does milk usually come in? - ANS Around day 3 postpartum
Describe engorgement. - ANS Breasts firm, swollen, painful from increased milk + vascular
congestion
What is the treatment for engorgement in breastfeeding moms? - ANS Warm compress
before feeding, feed often, cold compress after
What is the treatment for engorgement in non-breastfeeding moms? - ANS Tight bra, ice,
avoid heat and stimulation
What is mastitis and how is it treated? - ANS Breast infection; unilateral; needs antibiotics;
keep breastfeeding
Where should the fundus be immediately after delivery? - ANS Between symphysis pubis &
umbilicus
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What is the fundal height 12 hours postpartum? - ANS At the umbilicus (U)
What is the normal fundal descent rate? - ANS 1 cm (1 fingerbreadth) per day
What does a boggy uterus mean? - ANS Uterine atony → needs fundal massage and oxytocin
What is a danger sign related to the bladder postpartum? - ANS Full bladder → shifts uterus
right → causes hemorrhage
When should postpartum patients void? - ANS Within 2-4 hours after delivery
What is the normal lochia progression? - ANS Rubra (1-3 days) → Serosa (4-10 days) → Alba
(10+ days)
When is lochia considered abnormal? - ANS Foul odor, large clots, saturating pad < 1 hr
What is the perineal care for episiotomy? - ANS Ice first 24 hrs → warm sitz baths after
What are the signs of DVT postpartum? - ANS Unilateral swelling, warmth, redness, pain
How often is ambulation encouraged postpartum? - ANS As soon as safe—prevents DVT,
constipation
What is the duration of baby blues? - ANS < 2 weeks, mild mood swings
What is the duration of postpartum depression? - ANS > 2 weeks with significant symptoms
What cardiovascular change occurs postpartum? - ANS Diuresis begins 12 hrs PP; WBC
elevated up to 30k
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What are the safe postpartum vaccines? - ANS MMR, Tdap, Flu, Varicella
When do non-breastfeeding moms get their menses back? - ANS 6-12 weeks
When do breastfeeding moms ovulate again? - ANS Delayed, unpredictable — NOT reliable
birth control
What are the breastfeeding calorie needs? - ANS +450 to +500 calories/day
What are the characteristics of colostrum? - ANS Thick, yellow, full of antibodies
When does transitional milk occur? - ANS Days 3-10
When does mature milk occur? - ANS After day 10
What are the signs of a good latch? - ANS Chin touching breast, wide mouth, audible
swallowing, tugging not pain
What does LATCH stand for? - ANS Latch, Audible swallow, Type of nipple, Comfort, Hold
When is formula feeding preferred? - ANS Maternal infection (HIV), medications unsafe for
BF, preference
What are the safe formula feeding teachings? - ANS Never dilute, don't microwave, discard
after 1 hour after feeding starts
What are the maternal adjustment phases according to Rubin? - ANS Taking-In → Taking-
Hold → Letting-Go
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
QUESTIONS AND ANSWERS GRADED A+
2025/2026
What does BUBBLE-LE stand for? - ANS Breasts, Uterus, Bladder, Bowel, Lochia,
Episiotomy/Perineum, Lower extremities, Emotional status
When does milk usually come in? - ANS Around day 3 postpartum
Describe engorgement. - ANS Breasts firm, swollen, painful from increased milk + vascular
congestion
What is the treatment for engorgement in breastfeeding moms? - ANS Warm compress
before feeding, feed often, cold compress after
What is the treatment for engorgement in non-breastfeeding moms? - ANS Tight bra, ice,
avoid heat and stimulation
What is mastitis and how is it treated? - ANS Breast infection; unilateral; needs antibiotics;
keep breastfeeding
Where should the fundus be immediately after delivery? - ANS Between symphysis pubis &
umbilicus
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What is the fundal height 12 hours postpartum? - ANS At the umbilicus (U)
What is the normal fundal descent rate? - ANS 1 cm (1 fingerbreadth) per day
What does a boggy uterus mean? - ANS Uterine atony → needs fundal massage and oxytocin
What is a danger sign related to the bladder postpartum? - ANS Full bladder → shifts uterus
right → causes hemorrhage
When should postpartum patients void? - ANS Within 2-4 hours after delivery
What is the normal lochia progression? - ANS Rubra (1-3 days) → Serosa (4-10 days) → Alba
(10+ days)
When is lochia considered abnormal? - ANS Foul odor, large clots, saturating pad < 1 hr
What is the perineal care for episiotomy? - ANS Ice first 24 hrs → warm sitz baths after
What are the signs of DVT postpartum? - ANS Unilateral swelling, warmth, redness, pain
How often is ambulation encouraged postpartum? - ANS As soon as safe—prevents DVT,
constipation
What is the duration of baby blues? - ANS < 2 weeks, mild mood swings
What is the duration of postpartum depression? - ANS > 2 weeks with significant symptoms
What cardiovascular change occurs postpartum? - ANS Diuresis begins 12 hrs PP; WBC
elevated up to 30k
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What are the safe postpartum vaccines? - ANS MMR, Tdap, Flu, Varicella
When do non-breastfeeding moms get their menses back? - ANS 6-12 weeks
When do breastfeeding moms ovulate again? - ANS Delayed, unpredictable — NOT reliable
birth control
What are the breastfeeding calorie needs? - ANS +450 to +500 calories/day
What are the characteristics of colostrum? - ANS Thick, yellow, full of antibodies
When does transitional milk occur? - ANS Days 3-10
When does mature milk occur? - ANS After day 10
What are the signs of a good latch? - ANS Chin touching breast, wide mouth, audible
swallowing, tugging not pain
What does LATCH stand for? - ANS Latch, Audible swallow, Type of nipple, Comfort, Hold
When is formula feeding preferred? - ANS Maternal infection (HIV), medications unsafe for
BF, preference
What are the safe formula feeding teachings? - ANS Never dilute, don't microwave, discard
after 1 hour after feeding starts
What are the maternal adjustment phases according to Rubin? - ANS Taking-In → Taking-
Hold → Letting-Go
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
