Mod D obj 9-14

Question 1

After birth, what acronym is used to assess patients?

Answer 1

BUBBLEHE

Question 2

What does BUBBLEHE stand for?

Answer 2

Breast, Uterus, Bowel, Bladder, Lochia, Epistiotomy, Homan’s, Emotional Status

Question 3

Is a temperature of 100.4 normal IN THE first 24h of birth?

Answer 3

Yes.

Question 4

Is a temperature of 100.4 normal AFTER the first 24h of birth?

Answer 4

No.

Question 5

Is Bradychardia normal after childbirth?

Answer 5

Yes.

Question 6

Is a “normal” HR after childbirth bad?

Answer 6

Yes. Shortly after childbirth the hr should be lower than normal. If it’s “Normal” it could indicate infection or hypovolemia.

Question 7

What is the landmark for assessing the fundus?

Answer 7

Umbilicus

Question 8

What does an elevated fundus misplaced to the side indicate?

Answer 8

A full bladder

Question 9

What does a flacid (boggy) fundus indicate?

Answer 9

Uterine Atony

Question 10

What do you do if the fundus is flacid (boggy)?

Answer 10

Massage Fundus

Question 11

What does persistent lochia rubra in early post partum indicate?

Answer 11

Retention of fragments of the placenta.

Question 12

1st degree laceration?

Answer 12

Through the skin

Question 13

2nd degree laceration?

Answer 13

through the muscle

Question 14

3rd degree laceration?

Answer 14

through anterior rectal wall

Question 15

What acronym is used to assess an epistiotomy?

Answer 15

READA- Redness, Edema, Echymosis, Drainage, Approximation

Question 16

What kind of catheter is used if patient cannot void?

Answer 16

Foley Catheter

Question 17

If a patient has a firm fundus but is still bleeding, what would you suspect?

Answer 17

A cervical or vaginal laceration

Question 18

What are some nursing interventions for an epistiotomy?

Answer 18

First 24h, ice. After 24h dry heat. Sitz bath, analgesics and portable basin.

Question 19

Should you encourage early ambulation?

Answer 19

YES