TESTED QUESTIONS WITH FULL ANSWERS
◉ What helps prevent sore nipples? Answer: Correct latch more
than anything
◉ What is the best indicator that breastfeeding is effective? Answer:
Adequate number of wet diapers & weight gain
◉ How many wet diapers should newborns have by day 5? Answer:
At least 6-8 per day
◉ How often should newborns breastfeed? Answer: Every 2-3 hours
or on demand
◉ What is cluster feeding? Answer: Baby nurses frequently in a
short period — normal
◉ What are signs of mastitis? Answer: Red, warm, painful breast +
fever
◉ Should moms continue breastfeeding with mastitis? Answer: Yes
— helps drain breast
,◉ What is the definition of diuresis postpartum? Answer: Large
urine output within 12 hrs after birth to remove extra fluid
◉ What causes night sweats postpartum? Answer: Hormonal shifts
and fluid loss
◉ What immunity does baby get through breast milk? Answer: IgA
◉ When can moms start exercise postpartum? Answer: Light
exercise when ready; avoid strenuous activity until cleared
◉ What is the first sign of postpartum infection? Answer: Fever >
100.4°F after 24 hrs
◉ What does a firm but shifted uterus indicate? Answer: Overfilled
bladder
◉ When is RhoGAM given postpartum? Answer: Within 72 hours if
mom Rh- & baby Rh+
◉ When is MMR given postpartum? Answer: If the mother is non-
immune to rubella
,◉ When is Tdap given postpartum? Answer: If not up to date —
protects newborn from pertussis
◉ What postpartum contraception is recommended for
breastfeeding moms? Answer: Progestin-only methods (no
estrogen)
◉ What hormones inhibit ovulation while breastfeeding? Answer:
High prolactin levels
◉ When should postpartum patients avoid intercourse? Answer:
Until lochia stops & perineum healed (~6 weeks)
◉ What is the Taking-In phase? Answer: Mother relies on others,
focused on her own needs
◉ What is the Taking-Hold phase? Answer: Mother takes control of
care, eager to learn
◉ What is the Letting-Go phase? Answer: Accepts new role and
lifestyle changes
◉ What is engrossment? Answer: Partner's fascination & bonding
with newborn
, ◉ What is a sign of poor parent-infant attachment? Answer: Not
responding to baby cues
◉ What is the top cause of postpartum urinary retention? Answer:
Epidural anesthesia + perineal swelling
◉ When should a postpartum patient be evaluated for DVT? Answer:
Unilateral leg warmth, redness, swelling, or pain
◉ What does a fever within the first 24 hours postpartum usually
indicate? Answer: Dehydration or normal inflammatory response
◉ What does a saturated pad in < 15 minutes indicate? Answer:
Postpartum hemorrhage
◉ What is the best initial intervention for heavy postpartum
bleeding? Answer: Fundal massage
◉ What does 'involution' mean? Answer: Uterus returning to pre-
pregnancy size
◉ How long does complete uterine involution take? Answer: 6-8
weeks