bubbllee Flashcards
focused health hx
hh, name, role, id pt, primary concern, pqrstiua
breast inspection
size, shape, colour, masses, colostrum, nipple inversion, cracks, visible veins
breast palpation
ask about tenderness before, feel for masses, warmth, tenderness
breast palpation ptn
circular w fingertips, outward from nipple to axilla
what to we do after breast inspection?
LOWER THE FUCKING BED.
uterus
BED IS FLAT. position: midline, note firm or boggy, expected position or value. ask about voiding
uterus reason for displacement/boggy
bladder distension
uterus expected position
1/u 24h, u/1 24-48, u/2 48+, -1cm per day at least and nonpalp by 14 days
bowel
passing gas, bowel sounds/mvt, elimination routine, constipation, diarrhea, laxatives (which, dose, frq), last bm
ausc pattern bowel
start in rlq, clockwise, stay 10sec in each quad or longer if abnormal frq
normal bowel sounds
5-30 sounds/min per quad, stay 10sec or 1min if abn
bladder
able to void fully, when, frq, pain, colour, odour, distension, vag or csec birth (consider epidural)
when to void after delivery
6-8h
why to consider epidural
can cause retention
lochia what to check for
colour (benchmarks), frq of change, clots and ed, odour, amount in pad
rubra when
24-48h
serosa when
4-10day
alba when
10+ days
normal pad chg frq
sat/change q2h
abnormal pad change
q1h or more often
legs
dvt assess > swelling, pain, temp bilat w back of hands, pitting edema, holman test
episiotomy
tear degree, signs of bleeding, infection, pain, sutures intact, redness, swelling, hemorrhoids
1st deg tear
vag mucosa
2nd deg tear
perineal musc
