POSTPARTUM CARE AND
COMPLICATIONS OVERVIEW 2025
UPDATED QUESTIONS WITH
VERIFIED ANSWERS
Colostrum - CORRECT ANSWER>>>Liquid gold - Yellowish in color, secreted after delivery -
first milk
Mature milk - CORRECT ANSWER>>>Comes in 3-5 days after the baby. Think milk bar opens
for business.
Mastitis - CORRECT ANSWER>>>Breast infection with inflammation/Pain and clogged milk
duct.
Symptoms of Mastitis - CORRECT ANSWER>>>Pain or burning sensation/ Redness Fatigue=
MALAISE/FEVER
Treatment for Mastitis - CORRECT ANSWER>>>Antibiotics + Pain meds. Can still breastfeed
unless oozing pus.
Engorgement - CORRECT ANSWER>>>1st sign of mature milk, Normal, precede milk
production (comes before the milk comes in)
Signs of Engorgement - CORRECT ANSWER>>>Breasts tissue become large, firm, warm,
throbbing, tender, not extremely painful
Treatment for Engorgement - CORRECT ANSWER>>>Hand express before feed to get baby
latch or pump excess milk if continuing to breastfeed.
Breastfeeding calorie requirement - CORRECT ANSWER>>>500-1000 EXTRA Calories for
breastfeeding
Normal involution of the uterus - CORRECT ANSWER>>>Normal shrinking takes between 6-8
weeks post delivery.
Fundal assessment - CORRECT ANSWER>>>Only we Boggy.
Afterpains - CORRECT ANSWER>>>Feels like bad period cramps, worse with breastfeeding.
Comfort measures for after pain - CORRECT ANSWER>>>Encourage to breast feed, Void
frequently, Heat/Cold Therapy / Tylenol & Ibuprofen / IV Fluids.
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, How is uterine involution measured? - CORRECT ANSWER>>>Measured w/ one finger breath
(1cm) per day up until 14: belly button is zero station.
What can initiate afterpains? - CORRECT ANSWER>>>Breast feeding, Medications - That
cause contraction of the uterus, Full bladder - Causes Pressure.
Nursing interventions for a deviated uterus - CORRECT ANSWER>>>Offer a bed pan, Tell
patient to void or Straight Cath & Foley.
Vital Signs check frequency - CORRECT ANSWER>>>1st hour =Q15 min x4, 2nd hour = Q30
min x2, 22 Hours = Q4HR or longer.
Self massage teaching points - CORRECT ANSWER>>>DO NOT MASSAGE WHEN FIRM /
ONLY WHEN BOGGY = OK TO MASSAGE.
What to do if the uterus is deviated? - CORRECT ANSWER>>>Full Bladder is likely the cause.
Educational points regarding comfort care for Mastitis - CORRECT ANSWER>>>Increase
fluids/ Encourage feeds.
Concerning findings for breastfeeding - CORRECT ANSWER>>>Nipple cracked, blisters,
Inverted nipples, puss, pain, HERPE lesion= NO FEED.
Educational points regarding medical treatment for Mastitis - CORRECT ANSWER>>>Finish
ANTIBIOTICS / OK to Take Pain meds = Tylenol/Ibuprofen.
Discharge education for preventing infection - CORRECT ANSWER>>>Do not insert anything
in the vagina for 6 weeks; no tampons, sex, or anything else.
Peri bottle usage - CORRECT ANSWER>>>Use a peri bottle and pat dry after using the
bathroom.
Changing pads - CORRECT ANSWER>>>Change pad frequently, especially when it feels hot,
as this may indicate serosa returning to rubella or foul smell in urine.
Constipation - CORRECT ANSWER>>>Common condition after delivery; manage with fluids,
fiber, and stool softeners.
Bowel mnemonic - CORRECT ANSWER>>>If mama ain't poopin', she's bloated and moody —
like a sad veggie burrito.
Bladder importance - CORRECT ANSWER>>>Inability to pee is a danger zone for bleeding.
Voiding encouragement - CORRECT ANSWER>>>Encourage voiding every 3-4 hours; straight
catheterization if unable to void.
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COMPLICATIONS OVERVIEW 2025
UPDATED QUESTIONS WITH
VERIFIED ANSWERS
Colostrum - CORRECT ANSWER>>>Liquid gold - Yellowish in color, secreted after delivery -
first milk
Mature milk - CORRECT ANSWER>>>Comes in 3-5 days after the baby. Think milk bar opens
for business.
Mastitis - CORRECT ANSWER>>>Breast infection with inflammation/Pain and clogged milk
duct.
Symptoms of Mastitis - CORRECT ANSWER>>>Pain or burning sensation/ Redness Fatigue=
MALAISE/FEVER
Treatment for Mastitis - CORRECT ANSWER>>>Antibiotics + Pain meds. Can still breastfeed
unless oozing pus.
Engorgement - CORRECT ANSWER>>>1st sign of mature milk, Normal, precede milk
production (comes before the milk comes in)
Signs of Engorgement - CORRECT ANSWER>>>Breasts tissue become large, firm, warm,
throbbing, tender, not extremely painful
Treatment for Engorgement - CORRECT ANSWER>>>Hand express before feed to get baby
latch or pump excess milk if continuing to breastfeed.
Breastfeeding calorie requirement - CORRECT ANSWER>>>500-1000 EXTRA Calories for
breastfeeding
Normal involution of the uterus - CORRECT ANSWER>>>Normal shrinking takes between 6-8
weeks post delivery.
Fundal assessment - CORRECT ANSWER>>>Only we Boggy.
Afterpains - CORRECT ANSWER>>>Feels like bad period cramps, worse with breastfeeding.
Comfort measures for after pain - CORRECT ANSWER>>>Encourage to breast feed, Void
frequently, Heat/Cold Therapy / Tylenol & Ibuprofen / IV Fluids.
1
, How is uterine involution measured? - CORRECT ANSWER>>>Measured w/ one finger breath
(1cm) per day up until 14: belly button is zero station.
What can initiate afterpains? - CORRECT ANSWER>>>Breast feeding, Medications - That
cause contraction of the uterus, Full bladder - Causes Pressure.
Nursing interventions for a deviated uterus - CORRECT ANSWER>>>Offer a bed pan, Tell
patient to void or Straight Cath & Foley.
Vital Signs check frequency - CORRECT ANSWER>>>1st hour =Q15 min x4, 2nd hour = Q30
min x2, 22 Hours = Q4HR or longer.
Self massage teaching points - CORRECT ANSWER>>>DO NOT MASSAGE WHEN FIRM /
ONLY WHEN BOGGY = OK TO MASSAGE.
What to do if the uterus is deviated? - CORRECT ANSWER>>>Full Bladder is likely the cause.
Educational points regarding comfort care for Mastitis - CORRECT ANSWER>>>Increase
fluids/ Encourage feeds.
Concerning findings for breastfeeding - CORRECT ANSWER>>>Nipple cracked, blisters,
Inverted nipples, puss, pain, HERPE lesion= NO FEED.
Educational points regarding medical treatment for Mastitis - CORRECT ANSWER>>>Finish
ANTIBIOTICS / OK to Take Pain meds = Tylenol/Ibuprofen.
Discharge education for preventing infection - CORRECT ANSWER>>>Do not insert anything
in the vagina for 6 weeks; no tampons, sex, or anything else.
Peri bottle usage - CORRECT ANSWER>>>Use a peri bottle and pat dry after using the
bathroom.
Changing pads - CORRECT ANSWER>>>Change pad frequently, especially when it feels hot,
as this may indicate serosa returning to rubella or foul smell in urine.
Constipation - CORRECT ANSWER>>>Common condition after delivery; manage with fluids,
fiber, and stool softeners.
Bowel mnemonic - CORRECT ANSWER>>>If mama ain't poopin', she's bloated and moody —
like a sad veggie burrito.
Bladder importance - CORRECT ANSWER>>>Inability to pee is a danger zone for bleeding.
Voiding encouragement - CORRECT ANSWER>>>Encourage voiding every 3-4 hours; straight
catheterization if unable to void.
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