Podcast
Podcast
Podcast
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Questions and Answers
Questions and Answers
What does BUBBLE stand for in the postpartum assessment?
What does BUBBLE stand for in the postpartum assessment?
- Uterus (correct)
- Lochia (correct)
- Breast (correct)
- Bowel (correct)
- Bladder (correct)
- Episiotomy (correct)
What should be assessed regarding the breasts?
What should be assessed regarding the breasts?
4 quadrants & tail of Spence, size/shape, temperature, areola, nipple condition.
Why must you ask if mom is breastfeeding?
Why must you ask if mom is breastfeeding?
It changes breast assessment and feeding instructions.
What is engorgement?
What is engorgement?
What should you assess when breastfeeding?
What should you assess when breastfeeding?
What are key assessment points for the uterus?
What are key assessment points for the uterus?
What common reason might cause the uterus to be not midline?
What common reason might cause the uterus to be not midline?
What should you do for a boggy uterus?
What should you do for a boggy uterus?
What does a boggy uterus indicate?
What does a boggy uterus indicate?
What is the normal descent rate of the fundus postpartum?
What is the normal descent rate of the fundus postpartum?
What does Pitocin dilution refer to?
What does Pitocin dilution refer to?
What should be assessed in a C-section patient?
What should be assessed in a C-section patient?
What does the REEDA scale assess?
What does the REEDA scale assess?
What action should be taken if you see loose dressing or drainage?
What action should be taken if you see loose dressing or drainage?
What factors should be monitored when assessing fundal height in C-section patients?
What factors should be monitored when assessing fundal height in C-section patients?
What is the positioning and timing for uterine assessment?
What is the positioning and timing for uterine assessment?
What is key when assessing fundal height?
What is key when assessing fundal height?
How do you assess the uterus and lochia?
How do you assess the uterus and lochia?
What does lochia assessment include?
What does lochia assessment include?
What should be assessed regarding bowel function?
What should be assessed regarding bowel function?
What to assess regarding the bladder?
What to assess regarding the bladder?
What is the importance of the first void after delivery?
What is the importance of the first void after delivery?
What is considered a normal fluid loss postpartum?
What is considered a normal fluid loss postpartum?
What is the proper positioning for episiotomy assessment?
What is the proper positioning for episiotomy assessment?
What should be assessed following an episiotomy?
What should be assessed following an episiotomy?
What should you assess if there is no episiotomy?
What should you assess if there is no episiotomy?
What is a sits bath?
What is a sits bath?
What are tucks pads used for?
What are tucks pads used for?
What does the acronym HEB stand for?
What does the acronym HEB stand for?
What indicates a positive Homan's sign?
What indicates a positive Homan's sign?
What does emotional assessment include in postpartum care?
What does emotional assessment include in postpartum care?
How can bonding be assessed postpartum?
How can bonding be assessed postpartum?
What should be documented regarding bonding?
What should be documented regarding bonding?
What additional considerations might influence bonding assessment?
What additional considerations might influence bonding assessment?
Questions and Answers
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Flashcards
Flashcards
BUBBLE acronym
BUBBLE acronym
A tool for postpartum assessment; stands for Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy.
Breast assessment
Breast assessment
Checking breast size, shape, temperature, areola, nipples, and Montgomery's tubercles.
Engorgement
Engorgement
Painfully overfull breasts with too much milk.
Breastfeeding evaluation
Breastfeeding evaluation
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Uterine assessment
Uterine assessment
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Fundal height
Fundal height
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Boggy uterus
Boggy uterus
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C-section assessment
C-section assessment
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Lochia assessment
Lochia assessment
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Bowel assessment
Bowel assessment
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Bladder assessment
Bladder assessment
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First void
First void
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Fluid loss postpartum
Fluid loss postpartum
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Episiotomy assessment
Episiotomy assessment
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Comfort measures
Comfort measures
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HEB assessment
HEB assessment
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Homan's sign
Homan's sign
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Postpartum depression (PPD)
Postpartum depression (PPD)
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Charting and documentation
Charting and documentation
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Flashcards
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Study Notes
Study Notes
Postpartum Assessment Overview
- BUBBLE acronym stands for: Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy.
Breast Assessment
- Evaluate the four quadrants and tail of Spence for size, shape, and temperature.
- Examine areola and nipples, ensuring no sores, cracks, and check for Montgomery's tubercles.
- Determine if the mother is breastfeeding, impacting breast assessment and education regarding engorgement if bottle feeding.
Engorgement
- Occurs when breasts are painfully overfull with milk, often when milk production exceeds the baby's intake.
Breastfeeding Evaluation
- Assess maternal positioning, latching if breastfeeding, and feeding techniques and patterns.
Uterine Assessment
- Check fundal height, midline position, and firmness; avoid bogginess which may indicate poor contraction.
- Post-delivery pain assessed on a scale from 0 to 10; treat as ordered.
- Normal descent of the uterus is approximately 1 cm per day postpartum.
Managing Uterine Concerns
- A full bladder is a common reason the uterus may not be centered.
- For a boggy uterus, massage to encourage contraction and stabilize before applying pressure.
C-Section Specifics
- Examine Pfannenstiel incision, type of closure, and dressing conditions.
- Assess fundal height based on incisional pain and overall vitals and bleeding.
Lochia Assessment
- Monitor vaginal bleeding categorized as Rubra, Serosa, or Alba based on color, amount, and odor; nothing should remain in the vagina until Alba stops.
Bowel and Bladder Assessment
- Check bowel sounds in all quadrants and adjust dietary plans accordingly.
- Bladder assessment includes position, quality, input and output, foley size and patency, and reasons for straight catheterization.
First Void
- The initial void after childbirth should be done with assistance; normal volume is 150-200 ml.
Fluid Loss Postpartum
- High urine output and diuresis are normal, often due to edema and IV fluids administered during labor and delivery.
Episiotomy Assessment
- Assess episiotomies for location, suture approximation, and signs of infection or hematomas.
- For those without episiotomies, assess for lacerations and pain management strategies.
Comfort Measures
- Sits baths promote circulation and healing through warmth.
- Tucks pads, soaked in witch hazel, help with healing and provide astringent properties.
HEB Assessment
- Homan's Sign checks for thrombophlebitis through leg extension and dorsiflexion of the foot; pain indicates a positive sign.
- Emotional assessment focuses on postpartum depression (PPD) symptoms and relational dynamics.
- Bonding assessment observes interaction style, infant attachment, and adaptation to new parenting roles.
Charting and Documentation
- Document observable behaviors for bonding clearly, avoiding evaluative statements; e.g., "mom holds baby close" instead of "mom bonding well."
- Consider cultural, religious, and educational backgrounds during bonding assessments.
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Study Notes
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