BUBBLE HER

Question 1

BUBBLE HER

Answer 1

Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Hemorrhoids
Emotional status
Rest

Question 2

breasts (BUBBLEHER)

Answer 2

soft, full, nipples intact

Question 3

uterus (BUBBLEHER)

Answer 3

fundus should be firm and settle around umbilicus
- should lower each day after by 1 cm
- mother must void before exam

Question 4

bladder (BUBBLEHER)

Answer 4

ask about pain w/urination
- full bladder prevents uterus from contracting and can increase risk of atony, infection, and PPH

Question 5

bowels (BUBBLEHER)

Answer 5

last BM
- first BM may not be until 3-4 days PP
- will be sluggish d/t progesterone and dehydration

Question 6

lochia (BUBBLEHER)

Answer 6

note the amount (should be scant-moderate), presence of clots and if they are breakable
- alert if soaking pad in 1 hour

Question 7

lochia rubra

Answer 7

dark red blood from days 0-3 of PP

Question 8

lochia serosa

Answer 8

pink/clear discharge from days 3-10 PP

Question 9

lochia alba

Answer 9

brown/yellow creamy discharge from day 10-week 6 PP

Question 10

episiotomy (BUBBLEHER)

Answer 10

assess redness, edema, ecchymosis, drainage, approximation

Question 11

hemorrhoids (BUBBLEHER)

Answer 11

size and discomfort