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Gloria Hernandez Shadow Health | Focused Exam | Postpartum Care Results | Turned In

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Gloria Hernandez Shadow Health | Focused Exam | Postpartum Care Results | Turned In

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Focused Exam: Postpartum Care Results | Turned In
Humanistic Nursing Practice - Childbearing Families - Maternal Health - Summer 2023, NUR 3590

Return to Assignment (/assignments/811802/)




Your Results Reopen (/assignment_attempts/14611825/reope

Lab Pass (/assignment_attempts/14611825/lab_pass.




Overview
Transcript
Transcript
Started: Jun 07, 2023 | Total Time: 108 min
Subjective Data Collection
All Lines (84) Interview Questions (43) Statements (8) Exam Actions (33)
Objective Data Collection

Education & Empathy Good morning Ms. Hernandez. My name is Lindsey and I will be your nurse
today. 06/07/23 7:14 AM
Documentation

Status Report
Hello!
Care Plan
Que
Program Competency Progress How are you feeling today?
06/07/23 7:15 AM

I'm . . . actually really tired. Sleepy. A little dizzy, too. And there's some pain
in my abdomen.

Que
How bad is the pain on a scale of 1-10 where 10 is the worst?
06/07/23 7:16 AM

It's not a lot of pain, really . . . it's more uncomfortable. I'd say my pain is a 2
or 3 out of 10.

Que
have you started breastfeeding yet?
06/07/23 7:18 AM


Beatriz hasn't . . . started nursing yet. We tried earlier, but she isn't latching.


Que
Have you felt your uterus contract since giving birth to Beatriz?
06/07/23 7:19 AM

, No, I don't think I've felt it contract ......... But it's hard to be sure, with the epidural.




I haven't felt any wetness, but I can't feel much down there yet.


Assessed vitals


Assessed lab results


Assessed lab results


Assessed IV site


Inspected abdomen


Inspected appearance


Inspect legs



Auscultated breath sounds: Breath sounds clear in all areas, with no adventitious sounds



Auscultated heart sounds: S1 and S2 audible, with regular rate and rhythm, and no extra sounds



Assessed Lochia: Red colored with large, irregular clots. Peripad is completely saturated



Assessed Lochia: Red colored with large, irregular clots. Peripad is completely saturated



Assessed fundus: Located midline, boggy, and with no bladder distension


Performed fundal massage: Duration of 2 minutes, bleeding has stopped. No additional clots
expelled, and uterus has contracted


Measured blood loss


Notified charge nurse


Applied oxygen


Increased oxytocin

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