Maternal Newborn Lab

Question 1

What is true of the breasts of the bubbleheat assessment

Answer 1

Breast are usually soft during the 1st two days after delivery.
They become substantially larger and firmer about the 3rd postpartum day. This congestion of fluid is known as engorgement caused by sudden hormones changes after delivery

Question 2

What is true of the uterus in the bubble heat assessment

Answer 2

In the first 24 hours after birth, the uterus should be midline and near the umbilicus and feel firm. Expect the uterus to be large in woman who has several pregnancies or large babies.
The umbilicus descends below the umbilicus about a cm each day after delivery. ( so of the 3rd postpartum day it should be 2 cm below the umbilicus.)

Question 3

How should the uterus feel on a postpartum woman during assessment

Answer 3

The top of the uterus also called the fundus should remain very firm. If it becomes soft, the uterine muscles aren’t contracting properly or the uterus has retained placental fragments. This sign can indicate hemmorhage. If the uterus is soft, immediate fundal massage is indicated.

Question 4

When will the uterus no longer be felt?

Answer 4

Approx 10 days to 2 weeks the uterus will tuck behind the bone at the symphysis pubis and can no longer be felt

Question 5

What is lochia in the bubble heat assessment

Answer 5

The first 3 days a woman gives birth, her lochia ( vaginal discharge) is dark red, and may contain a few small clots. This is called lochia rubra.
Fro the 4th through the 10th day, she has lochia serous, which is thinner and pink to brown. Fro the 10th day to the 3rd week after birth lochia alba, a yellowish white discharge is present; this discharge may continue for up to 6 weeks.

Question 6

Primigravida

Answer 6

First time mom

Question 7

BSE

Answer 7

Breast self exam

Question 8

What helps relieve engorgement

Answer 8

Cabbage leaves

Question 9

What type of cream should be used for breast tenderness

Answer 9

Lanolin

Question 10

What should you assess for when palpating the uterus

Answer 10

Look for firm vs. boggy
Involution
Midline

Question 11

How can you correct a boggy uterus

Answer 11

Massage the uterus

Question 12

What 2 hormones are released during breastfeeding

Answer 12

Pitocin

Serotonin

Question 13

In which patient would you see more involution in?

Answer 13

A multiparity mother

Question 14

For a pt that is cramping, what should be administered

Answer 14

Advil, aleve, ibuprofen, (NSAID’s)

Question 15

What is a way to tell if a baby has jaundice

Answer 15

Touch the tip of there nose

Question 16

When should a pt receive the sitz bath

Answer 16

At 12-24 hours

Question 17

LTCS

Answer 17

Low transverse c section ( bikini line)

Question 18

VBAC

Answer 18

vaginal birth after c section

Question 19

In which type of birth is respiratory distress prevalent in?

Answer 19

C sections

Question 20

In what quadrant will you begin to hear bowel sounds on with a c section patient

Answer 20

RLQ

Question 21

Leopold maneuvers

Answer 21

Assesses position of baby

Question 22

Frank breech

Answer 22

Butt comes out first

Question 23

Breech

Answer 23

Legs come out first

Question 24

What does the acronym bubbleheat stand for?

Answer 24

Breast 
Uterus
Bladder
Bowel/ hemmoriods
Lochia
Episiotomy/ incision
Homans sign
Emotional state
Attachment 
Teaching