NUR 4445 The Newborn
1. What are the 9 different parts of the post partum assessment?
Answer
BUBBLE- HEB
Breasts Uterus Bowel Bladder Lochia Episiotomy
Homan's Sign/Hemorrhoid's Emotional status
Bonding
2. Normal (3) vs abnormal findings in the breasts post partum
Answer
· Normal findings
- Soft, symmetrical everted nipples
- Colostrum present
- No cracking or bleeding
· Abnormal findings
- Inverted nipples
3. Normal vs abnormal findings in the uterus post partum
Answer
· Normal findings
- Fundus is firm at the umbilicus
· Abnormal findings
- Fundus is boggy
4. What must the patient do before an examination of the uterus?
Answer
void
5. Normal findings in the bowels post partum (2)
,Answer
- Abdomen is soft and non-dis- tended
- Bowel sounds present in all four quadrants (sluggish/hypoactive)
6. Normal (2) vs abnormal findings in the bladder post partum
Answer
· Normal findings
- Non-distended and non-palpable
- Voiding without difficulty
· Abnormal findings
- Urine retention
7. Normal lochia post partum (3)
Answer
- Moderate amount of lochia rubra (dark red)
- Small clots
- No more than 500 mL (moderate)
8. Normal (3) vs abnormal findings in an episiotomy
Answer
· Normal findings
- Mild edema
- Tears or episiotomy are intact and well-approximated
- REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation)
· Abnormal findings
- infection
9. What do we educate the mother about regarding an episiotomy? What do we avoid doing?
Answer
Educate about calf pain but do not do homan's sign
10. What are normal findings regarding hemorrhoids post partum? What posi- tion do we put
, patient in to assess?
Answer
- Rectum intact with small hemorrhoids that are non-tender
- Put patient in Sim's position to assess
11. What should emotional status look like post partum?
Answer
Tired, still taking it all in
12. Normal (2) vs abnormal (2) findings regarding bonding post partum
Answer
· Normal findings
- Good attachment and bonding
- Admiring the baby
· Abnormal findings
- Anything that leads to mal-parenting can lead to bad attachment
- Ex
Answer
really long labor could cause bonding issues
13. What are common post partum maternal concerns/tasks (5)?
Answer
1. Restoring physical condition
2. Developing competence in caring/meeting needs of baby
3. Establishing a relationship with baby
4. Adapting to altered lifestyle and family structure
5. Some new mothers have little to no experience and feel overwhelmed
14. What education do we give to the mother while assessing her (7)?
Answer
o Breast care
1. What are the 9 different parts of the post partum assessment?
Answer
BUBBLE- HEB
Breasts Uterus Bowel Bladder Lochia Episiotomy
Homan's Sign/Hemorrhoid's Emotional status
Bonding
2. Normal (3) vs abnormal findings in the breasts post partum
Answer
· Normal findings
- Soft, symmetrical everted nipples
- Colostrum present
- No cracking or bleeding
· Abnormal findings
- Inverted nipples
3. Normal vs abnormal findings in the uterus post partum
Answer
· Normal findings
- Fundus is firm at the umbilicus
· Abnormal findings
- Fundus is boggy
4. What must the patient do before an examination of the uterus?
Answer
void
5. Normal findings in the bowels post partum (2)
,Answer
- Abdomen is soft and non-dis- tended
- Bowel sounds present in all four quadrants (sluggish/hypoactive)
6. Normal (2) vs abnormal findings in the bladder post partum
Answer
· Normal findings
- Non-distended and non-palpable
- Voiding without difficulty
· Abnormal findings
- Urine retention
7. Normal lochia post partum (3)
Answer
- Moderate amount of lochia rubra (dark red)
- Small clots
- No more than 500 mL (moderate)
8. Normal (3) vs abnormal findings in an episiotomy
Answer
· Normal findings
- Mild edema
- Tears or episiotomy are intact and well-approximated
- REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation)
· Abnormal findings
- infection
9. What do we educate the mother about regarding an episiotomy? What do we avoid doing?
Answer
Educate about calf pain but do not do homan's sign
10. What are normal findings regarding hemorrhoids post partum? What posi- tion do we put
, patient in to assess?
Answer
- Rectum intact with small hemorrhoids that are non-tender
- Put patient in Sim's position to assess
11. What should emotional status look like post partum?
Answer
Tired, still taking it all in
12. Normal (2) vs abnormal (2) findings regarding bonding post partum
Answer
· Normal findings
- Good attachment and bonding
- Admiring the baby
· Abnormal findings
- Anything that leads to mal-parenting can lead to bad attachment
- Ex
Answer
really long labor could cause bonding issues
13. What are common post partum maternal concerns/tasks (5)?
Answer
1. Restoring physical condition
2. Developing competence in caring/meeting needs of baby
3. Establishing a relationship with baby
4. Adapting to altered lifestyle and family structure
5. Some new mothers have little to no experience and feel overwhelmed
14. What education do we give to the mother while assessing her (7)?
Answer
o Breast care
