BUBBLE - HE
During a perineal assessment, redness, edema, ecchymosis, discharge, and approximation are evaluated using this tool.
What is REEDA?
After birth, the fundus is typically located at this landmark
What is at the level of the umbilicus?
The most common cause of early postpartum hemorrhage is this
What is uterine atony?
All postpartum women are at increased risk for clot formation because they are in this physiologic state.
What is a hypercoagulable state?
This maternal role adaptation phase is characterized by the mother focusing on her own birth experience and physical recovery.
What is the taking-in phase?
A fundus that is soft and poorly contracted is described as this
What is boggy?
This type of lochia is bright red and typically seen in the first few days postpartum.
What is lochia rubra?
This first-line medication is commonly administered IV to prevent or treat uterine atony.
What is oxytocin?
Unilateral calf pain, warmth, and edema suggest this condition.
What is deep vein thrombosis?
A postpartum patient reports persistent sadness, loss of interest in activities, and difficulty bonding with her infant for several weeks. This condition is suspected.
What is postpartum depression?
If the fundus is deviated to the right on postpartum day 1, the nurse should assess for this likely cause.
What is a distended bladder?
Lochia that is pink or brown and occurs after rubra is called this.
What is lochia serosa?
Tachycardia, restlessness, pallor, and cool clammy skin suggest this complication of severe hemorrhage.
What is hypovolemic shock?
Sudden chest pain and shortness of breath in a postpartum patient indicate this emergency.
What is a pulmonary embolism?
A postpartum patient states, “I’m just not bonding like I thought I would.” The nurse recognizes difficulty with this early maternal process.
What is attachment or bonding?
A postpartum patient has a firm fundus at the umbilicus but is saturating a peripad every 30 minutes with bright red bleeding. This finding suggests bleeding due to this cause rather than uterine atony.
What is a laceration (trauma)?
After the first postpartum day, the fundus should descend approximately this amount each day.
What is 1 centimeter (one fingerbreadth)?
Medications such as Methergine, Hemabate, and Cytotec are administered postpartum to achieve this uterine effect.
What is uterine contraction (increase uterine tone)?
A postpartum temperature greater than 100.4°F for two days may indicate this uterine infection
What is endometritis?
A postpartum patient reports severe headache, visual changes, and epigastric pain after discharge. These symptoms require immediate evaluation for this complication.
What is postpartum preeclampsia?
A patient reports severe rectal pressure and unrelieved perineal pain with minimal visible bleeding. This complication is suspected.
What is a postpartum hematoma?
Late postpartum hemorrhage occurring more than 24 hours after birth is commonly caused by this condition.
What is retained placental fragments (subinvolution)?
This uterotonic medication is avoided in patients with asthma due to risk of bronchospasm.
What is carboprost (Hemabate)?
A red, painful breast with flu-like symptoms in a breastfeeding patient suggests this infection.
What is mastitis?
When teaching about postpartum warning signs, the nurse instructs the patient to seek immediate care if bleeding saturates a pad in this amount of time.
What is one hour (or less)?