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Questions and Answers
What does the BUBBLE-HE assessment stand for?
What is the normal appearance of the breast in a BUBBLE-HE assessment?
Soft or filling, no cracking or bleeding, nipples erect with stimulation, colostrum present.
What are the normal findings for the uterus in a BUBBLE-HE assessment?
Firm fundus, midline, should be at or below the umbilicus.
What does normal bowel assessment look like in a BUBBLE-HE assessment?
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What are the indicators of a normal bladder assessment?
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What are the normal characteristics of lochia?
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What is a normal finding for an episiotomy evaluation?
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What indicates a normal condition regarding hemorrhoids after childbirth?
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What signifies a normal emotional status in postpartum care?
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Study Notes
BUBBLE-HE Assessment Overview
- BUBBLE-HE mnemonic includes: Breasts, Uterus, Bowels, Bladder, Lochia, Episiotomy, Hemorrhoids, Emotional status.
Breast Assessment
- Normal findings: soft or filling, no cracking or bleeding, erect nipples with stimulation, colostrum present.
- Interventions:
- Use a supportive bra.
- Employ breast shells for flat or inverted nipples.
- Address bleeding related to incorrect feeding positioning.
- Notify healthcare provider immediately for signs of infection.
Uterus Assessment
- Normal findings: firm fundus, midline position, located at or below the umbilicus.
- Interventions:
- Educate on monitoring for firmness.
- Advise frequent urination to aid recovery.
- Provide ibuprofen for afterbirth discomfort.
Bowel Assessment
- Normal findings: soft, nondistended abdomen, normal bowel sounds, passing flatus, easy bowel movements.
- Interventions:
- Encourage ambulation, adequate fluid intake, and fiber.
- Recommend stool softeners and possibly an enema for recovery.
- Special care for 3rd or 4th-degree laceration patients regarding stool softeners.
Bladder Assessment
- Normal findings: nondistended, nonpalpable, clear yellow urine, adequate voiding.
- Interventions:
- Encourage frequent voidings post-delivery.
- Measure first three voids after birth to assess bladder emptying.
Lochia Assessment
- Normal findings:
- Rubra (dark red) for up to 4 days,
- Serosa (pinkish-brown) from days 4-10,
- Alba (whitish-yellow) from days 10-28.
- Normal characteristics: scant to moderate amount, earthy smell.
- Abnormal signs: clotting, foul odor, prolonged Rubra.
- Interventions:
- Encourage frequent voiding and proper hygiene (front to back).
- Use a peri-bottle, provide sitz baths if ordered.
Episiotomy Assessment
- Normal findings: mild edema is acceptable.
- Abnormal signs: bruising, excessive edema, discharge.
- Interventions:
- Apply ice packs (20 mins on, 20 mins off).
- Use local perineal medications.
- Administer sitz baths after the first 24 hours.
Hemorrhoids Assessment
- Normal findings: rectum intact with no complications.
- Abnormal signs: full, tender, inflamed hemorrhoids.
- Interventions:
- Apply witch hazel pads.
- Consider manual replacement of hemorrhoids.
- Increase dietary fiber and fluid intake, recommend sitz baths.
- Encourage side-lying position for comfort.
Emotional Status Assessment
- Normal findings: adequate bonding between mother and newborn, verbalization of care knowledge, some anxiety is expected.
- Interventions:
- Provide education on infant care and postpartum requirements.
- Explore and strengthen support systems.
- Suggest participation in support groups and emphasize the importance of frequent rest.
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Description
Test your knowledge on the BUBBLE-HE assessment mnemonic and related interventions with these flashcards. This quiz covers key terms and definitions relevant to postpartum care and maternal health. Perfect for nursing students or healthcare professionals looking to reinforce their understanding of these essential concepts.
