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Questions and Answers
True or false: BUBBLE-HE is a mnemonic used to guide postpartum nursing practice.
True or false: BUBBLE-HE is a mnemonic used to guide postpartum nursing practice.
True (A)
True or false: Abdominal palpation postpartum is to assess for respiratory complications.
True or false: Abdominal palpation postpartum is to assess for respiratory complications.
False (B)
True or false: One of the objectives of postnatal abdominal examination is to evaluate the involution process.
True or false: One of the objectives of postnatal abdominal examination is to evaluate the involution process.
True (A)
True or false: Immediately after labor, the uterine fundus is expected to be above the umbilicus.
True or false: Immediately after labor, the uterine fundus is expected to be above the umbilicus.
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True or false: The descent of the uterine fundus should be well contracted and off to one side.
True or false: The descent of the uterine fundus should be well contracted and off to one side.
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Study Notes
Post-Natal Abdominal Examination
- A comprehensive head-to-toe assessment is essential for postpartum patients due to their unique needs.
- The BUBBLE-HE method is a common framework guiding the postpartum nursing assessment.
Objectives of Post-Natal Abdominal Examination
- Evaluate uterine involution to ensure recovery after childbirth.
- Prevent the uterus from becoming boggy, soft, or relaxed.
- Assess the position and consistency of the uterus during the post-natal period.
- Minimize risks of complications such as hemorrhage and shock.
Uterine Fundus Assessment
- The uterus should be firm, well-contracted, and positioned in the midline.
- Immediately post-delivery, the fundal height should be at or below the umbilicus.
- The fundus descends gradually at a rate of approximately one finger breadth per day.
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