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