Breasts
BUBBLE- HE stands for
Breast, Uterus, Bladder, bowel, lochia, episiotomy, hemorrhoids, emotional status
What would you do if the uterus is not firm?
Massage
What is the best way to assess the condition of the perineum?
Have patient lie on their side
What can be done for gas buildup?
Ambulate, warm liquids, simethicone, avoid straws
For what temperature should the patient contact the doctor?
Greater than or equal to 100.4
Name the 3 breast nipple shapes
Everted/Flat/Inverted
What does it mean if the uterus is deviated to the left?
Full Bladder
How often should you encourage the patient to void post-delivery?
Every 2hrs
T or F: Moms are unable to do skin to skin immediately after delivery in a c/s
False
2 types of PPH
Primary and secondary (late)
Primary PPH occurs w/i the first 24 hrs after del
Secondary PPH occurs 24 hrs to 6 weeks post del
Name 3 signs of an incorrect latch
Cracked/bleeding/nipple flat when baby comes off
You expect to find the uterus on admission from L&D?
Midline at the umbilicus for term
How long does the patient have to void post-delivery?
6hrs
What do you do if the dressing has drainage on it?
Circle it and write the date and time. Change the dressing if it is >50% saturated.
What are some symptoms of a DVT?
Redness, warmth, swelling
Name 2 circumstances that require a lactation consult.
Prematurity/Inverted nipple, twins, previous breast surgery, first time mother, etc....
3 meds used during a PPH to increase uterine tone?
Pitocin, methergine, hemabate, misoprostol
What are you assessing when checking the perineum?
REEDA (Redness, Ecchymosis, Edema, Drainage, Approximation), hematoma, hemorrhoids
When should a patient get up out of bed after a c-section?
6-12hrs
What type of thoughts or feelings should the doctor be notified about?
Thoughts of harming self or baby
A way to assess for positive transfer of milk when breastfeeding
Able to express milk after feeding, swallowing heard
What are some risk factors for uterine atony? (Risks for PPH)
Multiple gestation, macrosomia, multiple previous births, previous history of PPH, chorio, etc...
Non-pharmacologic interventions offered for vaginal delivery?
Ice Packs, aromatherapy, family presence, active listening, music, patient positioning etc.
What are you assessing on the incision after the dressing has been removed?
REEDA (Redness, Ecchymosis, Erythema, Drainage, Approximation)
Some signs of Pre-Eclampsia?
Headache, visual changes, RUQ pain, shortness of breath, swelling of hands/face.