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Obs > Postpartum Assessment > Flashcards

Postpartum Assessment Flashcards

1
Q

what does BUBLEEE stand for

A

Breast
Uterus
Bladder
Bowel
Lochia
Episiotomy / perineum / epidural site
Extremities
Emotional Status

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2
Q

when assessing the nipples look for

A
  • cracks, redness, fissures, or bleeding
  • erect, flat, inverted
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3
Q

nipples on a mom that are cracked, blistered, fissured, bruised or bleeding is usually an indication that

A

baby is not positioned properly on breast while feeding

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4
Q

flat or inverted nipples can make breastfeeding more

A

difficult

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5
Q

when assessing the breasts in postpartum inspect

A
  • any lumps
  • milk coming in
  • size, contour, asymmetry, fullness, or erythema
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6
Q

during uterus assessment if it is pushed to the right it means

A

the bladder is full

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7
Q

uterus after birth should be

A

firm

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8
Q

a firm uterus means it is __________ which helps to

A

contracted which helps to decrease mom bleeding

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9
Q

when the fundus is not firm it is a

A

boggy fundus

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10
Q

a boggy fundus means a loss of

A

muscle tone in the uterus

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11
Q

boggy fundus can be a result of

A

bladder distention or retained placental fragments

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12
Q

a boggy fundus predisposes mom to

A

hemorrhage

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13
Q

if uterus is boggy we can

A

massage fundus/uterus to get it to firm up and contract

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14
Q

what position should mom be in when palpating uterus

A

supine position and knees flexed slightly, palpate gently

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15
Q

while palpating abdomen/uterus you should feel

A
  • top of uterus while other hand is placed on low segment of uterus to stabilize it
  • fundus should be midline and firm
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16
Q

once fundus is located you place your index finger on the fundus and

A

count number of fingerbreadths between fundus and umbilicus

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17
Q

1-2 hours after birth the fundus is typically between the

A

umbilicus and symphysis pubis

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18
Q

approx. 6-12 hours after birth the fundus is usually at

A

level of umbilicus

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19
Q

when documenting location of fundus include

A

F for firm
B for boggy
describe location
how many fingerbreadths from umbilicus

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20
Q

in documentation of fundus location “B1fb↓” would mean

A

boggy fundus 1 fingerbreadth below umbilicus

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21
Q

in documentation of fundus location “F@U” would mean

A

fundus firm at umbilicus

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22
Q

uterus weighs approx. _______ g after birth

A

1000g (2.2lb)

23
Q

normally fundus progresses downward at rate of _______________ after childbirth

A

1 fingerbreadth (or 1cm) per day after childbirth

24
Q

fundus should be non palpable by postpartum days

A

10-14

25
Q

when assessing bladder need to note

A
  • ability to void
  • amount
  • frequency
  • retention
26
Q

bladder will not be palpable if it is

A

empty

27
Q

moms are encouraged to take _______ for first little while to help with bowel movements

A

stool softener

28
Q

vagina bleeding/discharge after birth is called

A

lochia

29
Q

3 types of lochia

A

rubra
serosa
alba

30
Q

rubra is the first _______ days after birth

A

1-3 days

31
Q

serosa is the first _______ days after birth

A

3-10 days

32
Q

alba lasts up to _____ weeks after birth

A

6 weeks

33
Q

assess lochia and note

A
  • amount
  • colour
  • odour
  • change with activity over time
34
Q

too much bleeding is considered when mom goes through more than

A

1 pad in one hour

35
Q

we want to assess clots that are the size of a loonie or bigger because they could be

A

part of the placenta

36
Q

to tell if a clot is just a clot or part of the placenta the difference is

A

clot will break apart fairly easily
placenta pieces will be stringy and hard to pull apart

37
Q

foul smelling lochia suggests an

A

infection

38
Q

lochia will increase when

A
  • mom is up and moving / activity
  • breastfeeding can also cause increase
  • getting up after laying down for a long period of time
39
Q

breastfeeding increases lochia because

A

release of oxytocin makes uterus contract and expel more

40
Q

frequent changes of pads is important because lochia is an ideal environment for

A

bacterial growth

41
Q

assess episotomy/perinuem and epidural sites using acronym

A

REEDA

42
Q

during post partum tissue surrounding the episiotomy is typically

A

edematous and slightly bruised

43
Q

perineum care should include

A

soaking in tub 2-3 times a day to help heal and ice helps in first 24 hours

44
Q

hematoma are _________ postpartum
A) common
B) uncommon

A

common

45
Q

small hematomas and large hematomas usually cause lots of

A

pain

46
Q

small hematomas may ______________ where large hematomas may need ____________

A

small hematomas may go away on their own where large hematomas may need to be drained

47
Q

when assessing emotional status it is important to note

A
  • bonding and attachment with baby
  • baby blues
48
Q

baby blues are normal the first few days but becomes abnormal when

A

mom is not coping or is unable to take care of herself and her baby and/or when it lasts longer than a few weeks

49
Q

diastasis of rectus muscle

A

abdominal muscle separate from weight and pressure of growing abdomen during pregnancy

50
Q

to assess diastasis recti

A

mom lay flat hand on abdomen where muscles would be and ask her to do a mini crunch
- will feel them separate if they are separated

51
Q

if you feel that these is diastasis recti you should note

A
  • how many cm of separation there is
52
Q

risks/complications of having diastasis recti

A
  • hernia
  • bowel might come through
53
Q

if mom has diastasis recti it is important to provide her with resources to

A

strengthen muscles

Obs (8 decks)

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