bubbllee

Question 1

focused health hx

Answer 1

hh, name, role, id pt, primary concern, pqrstiua

Question 2

breast inspection

Answer 2

size, shape, colour, masses, colostrum, nipple inversion, cracks, visible veins

Question 3

breast palpation

Answer 3

ask about tenderness before, feel for masses, warmth, tenderness

Question 4

breast palpation ptn

Answer 4

circular w fingertips, outward from nipple to axilla

Question 5

what to we do after breast inspection?

Answer 5

LOWER THE FUCKING BED.

Question 6

uterus

Answer 6

BED IS FLAT. position: midline, note firm or boggy, expected position or value. ask about voiding

Question 7

uterus reason for displacement/boggy

Answer 7

bladder distension

Question 8

uterus expected position

Answer 8

1/u 24h, u/1 24-48, u/2 48+, -1cm per day at least and nonpalp by 14 days

Question 9

bowel

Answer 9

passing gas, bowel sounds/mvt, elimination routine, constipation, diarrhea, laxatives (which, dose, frq), last bm

Question 10

ausc pattern bowel

Answer 10

start in rlq, clockwise, stay 10sec in each quad or longer if abnormal frq

Question 11

normal bowel sounds

Answer 11

5-30 sounds/min per quad, stay 10sec or 1min if abn

Question 12

bladder

Answer 12

able to void fully, when, frq, pain, colour, odour, distension, vag or csec birth (consider epidural)

Question 13

when to void after delivery

Answer 13

6-8h

Question 14

why to consider epidural

Answer 14

can cause retention

Question 15

lochia what to check for

Answer 15

colour (benchmarks), frq of change, clots and ed, odour, amount in pad

Question 16

rubra when

Answer 16

24-48h

Question 17

serosa when

Answer 17

4-10day

Question 18

alba when

Answer 18

10+ days

Question 19

normal pad chg frq

Answer 19

sat/change q2h

Question 20

abnormal pad change

Answer 20

q1h or more often

Question 21

legs

Answer 21

dvt assess > swelling, pain, temp bilat w back of hands, pitting edema, holman test

Question 22

episiotomy

Answer 22

tear degree, signs of bleeding, infection, pain, sutures intact, redness, swelling, hemorrhoids

Question 23

1st deg tear

Answer 23

vag mucosa

Question 24

2nd deg tear

Answer 24

perineal musc

Question 25

3rd deg tear

Answer 25

anal sphincter

Question 26

4th deg tear

Answer 26

rectum

Question 27

hemorrhoids what to note

Answer 27

colour, number, size

Question 28

position for hemorrhoid and episiot check

Answer 28

lateral/sims

Question 29

emotion

Answer 29

bb blues vs ppd, education, home safety, gen mood and adjustment, fatigue, rel w child

Question 30

education bb blues

Answer 30

1-2wk, can still experience joy, some emotional times

Question 31

education ppd

Answer 31

more intense, 2wk+, affects hygiene and motivation

Question 32

nursing impression

Answer 32

findings, resources, one intervention, no strength or wkness