Postpartal assessment - Chapter 16 Flashcards
What does postpartum assessment of mother usually include
Vital signs, pain level, epidural site inspection for infection, and a systematic head to toe review of body systems
When does nursing assessment begin for mother who just had a baby
About an hour after birth and continues through discharge
BUBBLE-EEE
Breasts Uterus Bladder Bowels Lochia Episiotomy/perineum/epidural site Extremities Emotional status
What is a dangerous postpartum temperature
Fever more than 100.4
What is the fundus
Top portion of the uterus
Why do you assess the fundus
To determine the degree of uterine involution
What should you have woman do before assessing fundus if possible
Empty bladder and ascultate bowel sounds prior to uterine palpation
What position should woman be in when palpitating fundus
Supine position with knees flexed slightly and the bed in flat position
Where should fundus be and what should it feel like
Should be midline and should feel firm
What kind of bra should a mother wear?
Snug bra 24 hours a day to support enlarged breast and promote comfort
How long should a woman ego is breast feeding wear a supportive bra?
Through the lactation period
How long should a woman who is not nursing wear a supportive bra
Until engorgement ceases and then they can wear a less restrictive one
When does breast engorgement usually occur
First week of postpartum
What should you tell a mother about breast engorgement
That it is temporary and usually resolves within 72 hours
