Post Partum Assessment
The mnemonic BUBBLE: Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy.
What are the 5 components of the nurse Postpartum Assessment?
The secretion of milk by the breasts, which typically appears within 4-5 days after delivery.
What is lactation?
Uterine atony, prolonged labor retained placenta, placenta previa, high parity.
What are risk factors of Post Partum Hemorrhage?
450/500 calories a day
What is the daily amount of calories a lactating clients' diet should increase?
This is done immediately following birth to rule out abnormalities.
What is the APGAR scoring?
A uterus palpated 2 fingerbreadths above the umbilicus is a sign of a condition.
What is bladder distension?
The gradual return of the uterus to its pre-pregnant size.
What is Involution?
Decreased interaction with others, lack of bonding with infant, decreased appetite, difficulty sleeping, mood swings.
What are manifestations of portpartum blues or depression.
This is initiated at admission.
What is discharge planning?
Moro, Stepping, Plantar grasp, Sucking and Rooting,
What are Newborn reflexes?
Post birth uterine discharge that contains blood, mucus and uterine tissue.
What is lochia?
Lochia rubra, Lochia serosa, Lochia alba.
What are the three stages of lochia?
The leading cause of maternal morbidity and mortality.
What is Post Partum hemorrhage?
Regain pelvic floor muscle control by performing this.
What are Kegel exercises?
Small raised pearly or white spots on the nose, chin and forehead of the newborn.
What are Milia?
300-500 mL.
What is the average amount of blood loss in a vaginal delivery?
The breasts appear tight, tender, warm and full.
What is engorgement?
Obesity, multiparity, immobility, age greater than 35, c-section, smoking, Pulmonary Emboli.
What are risk factors of Postpartum DVTs?
Chills and fever greater than 38 (100.4) after 24 hours, excessive bleeding, passing large clots, LE pain, unrelieved abd pain, difficulty voiding.
What are symptoms to report to provider after discharge?
This should be passed within 24 to 48 hours after birth.
What is Meconium?
A medication administered after the placenta is delivered to promote uterine contractions and prevent hemorrhage.
What is oxytocin?
Distraction, heating pads, position changes, cold packs and imagery.
What are non-pharmalogical comfort promotion measures?
Mastitis, UTI, Endometritis. wound infection.
What are common postpartum infections?
In nonlactating clients, this can occur as early as 1 month after delivery.
What is ovulation?
DAILY DOUBLE!
CRIES scale, SUN, NIPS
What are assessment tools used to measure newborn pain?