PNR 308 POSTPARTUM CARE EXAM
2025/2026 QUESTIONS AND ANSWERS
100% PASS.
What is lochia? - ANS Vaginal discharge after delivery composed of endometrial tissue, blood,
and lymph.
What is the puerperium period? - ANS The timeframe from birth until the involution of the
uterus is complete, generally 6 weeks.
What does BUBBLLEE stand for in postpartum assessment? - ANS Breasts, Uterus, Bladder,
Bowel, Lochia, Lower Extremities, Episiotomy, Emotions.
What are the emotional needs of postpartum women? - ANS Support for hormonal changes,
fatigue, and potential mood disorders like postpartum depression.
What is the initial assessment frequency for a postpartum client? - ANS Every 15 minutes for
the first hour, then once in the second hour, and every four hours thereafter.
What is the goal for the uterus during postpartum recovery? - ANS To be midline, firm, and to
ensure the bladder is emptied frequently.
What are the types of lochia and their characteristics? - ANS Lochia Rubra (red, lasts 3 days),
Lochia Serosa (pinkish, lasts from day 3-10), Lochia Alba (clear, lasts up to 21 days).
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What is an episiotomy? - ANS A surgical incision made in the perineum during childbirth to
facilitate delivery.
What are the signs of potential complications in postpartum clients? - ANS Heavy bleeding,
signs of infection, severe pain, or emotional distress.
What nursing interventions support breastfeeding mothers? - ANS Teach hand expression,
assess nipples for issues, and encourage skin-to-skin contact.
What should be assessed regarding the bladder postpartum? - ANS Monitor for urinary
retention, discomfort, and use a bladder scanner if necessary.
What is the importance of assessing the fundus postpartum? - ANS To ensure it is firm and to
monitor for potential hemorrhage.
What factors can influence postpartum care? - ANS Cultural differences, financial strains, and
the presence of multiple births.
What is the typical weight of the uterus at term? - ANS Approximately 600 grams, which is 11
times its pre-pregnancy weight.
What is the recommended care for engorgement in nursing mothers? - ANS Manual
expression, cold compresses, and proper breastfeeding techniques.
What are the potential contraindications to breastfeeding? - ANS Certain medications,
untreated active TB, HIV, and substance abuse.
What is the significance of vital signs in the postpartum period? - ANS Vital signs are
monitored every 4 hours to detect any abnormalities after delivery.
What is the role of doulas in maternity care? - ANS Doulas provide emotional and physical
support during labor and postpartum.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
2025/2026 QUESTIONS AND ANSWERS
100% PASS.
What is lochia? - ANS Vaginal discharge after delivery composed of endometrial tissue, blood,
and lymph.
What is the puerperium period? - ANS The timeframe from birth until the involution of the
uterus is complete, generally 6 weeks.
What does BUBBLLEE stand for in postpartum assessment? - ANS Breasts, Uterus, Bladder,
Bowel, Lochia, Lower Extremities, Episiotomy, Emotions.
What are the emotional needs of postpartum women? - ANS Support for hormonal changes,
fatigue, and potential mood disorders like postpartum depression.
What is the initial assessment frequency for a postpartum client? - ANS Every 15 minutes for
the first hour, then once in the second hour, and every four hours thereafter.
What is the goal for the uterus during postpartum recovery? - ANS To be midline, firm, and to
ensure the bladder is emptied frequently.
What are the types of lochia and their characteristics? - ANS Lochia Rubra (red, lasts 3 days),
Lochia Serosa (pinkish, lasts from day 3-10), Lochia Alba (clear, lasts up to 21 days).
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What is an episiotomy? - ANS A surgical incision made in the perineum during childbirth to
facilitate delivery.
What are the signs of potential complications in postpartum clients? - ANS Heavy bleeding,
signs of infection, severe pain, or emotional distress.
What nursing interventions support breastfeeding mothers? - ANS Teach hand expression,
assess nipples for issues, and encourage skin-to-skin contact.
What should be assessed regarding the bladder postpartum? - ANS Monitor for urinary
retention, discomfort, and use a bladder scanner if necessary.
What is the importance of assessing the fundus postpartum? - ANS To ensure it is firm and to
monitor for potential hemorrhage.
What factors can influence postpartum care? - ANS Cultural differences, financial strains, and
the presence of multiple births.
What is the typical weight of the uterus at term? - ANS Approximately 600 grams, which is 11
times its pre-pregnancy weight.
What is the recommended care for engorgement in nursing mothers? - ANS Manual
expression, cold compresses, and proper breastfeeding techniques.
What are the potential contraindications to breastfeeding? - ANS Certain medications,
untreated active TB, HIV, and substance abuse.
What is the significance of vital signs in the postpartum period? - ANS Vital signs are
monitored every 4 hours to detect any abnormalities after delivery.
What is the role of doulas in maternity care? - ANS Doulas provide emotional and physical
support during labor and postpartum.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
