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Postpartum Assessment - 🧠ANSWER ✔✔BUBBLEHERV
BUBBLEHERV - 🧠ANSWER ✔✔B- Breast
U- Uterus
B- Bowel
B- Bladder
L- Lochia
E- Episiotomy/Laceration
H- Hemorrhoids & Homan's Sign
E- Emotion/Education
R- Rhogam & Rubella
,V- Vaccinations
B-Breast - 🧠ANSWER ✔✔-Palpate for filling/engorgement
-Do not palpate if bottle feeding
-Nipple assessment
U-Uterus - 🧠ANSWER ✔✔Fundal height, position, tone
B- Bowel & Bladder - 🧠ANSWER ✔✔-Auscultate bowel sounds, Palpate for
distention
-Bowel movement? Voiding pain/difficulty
L- Lochia - 🧠ANSWER ✔✔Assess peripad for COCA
E- Episiotomy/Laceration - 🧠ANSWER ✔✔Assess location, degree, REEDA
H- Hemorrhoids & Homan's Sign - 🧠ANSWER ✔✔Assess for hemorrhoids,
Thrombophlebitis risk indicator
Homan's Sign - 🧠ANSWER ✔✔1. Position patient's knee in flexed position
2. Forcibly and abruptly bend patient's ankle upward & observe for pain
behind knee
E- Emotion/Education - 🧠ANSWER ✔✔-Taking In/Taking Hold/Letting Go
, -Postpartum depression, Baby blues
R- Rhogam & Rubella - 🧠ANSWER ✔✔-Rhogam for Rh (-) mother & Rh (+)
baby
-Rubella if mom is non-immune (MMR)
V- Vaccinations - 🧠ANSWER ✔✔-Tdap vaccine to prevent whooping cough
in newborn
-Flu/COVID/Tdap
What kind of vaccines are NOT given to pregnant women? - 🧠ANSWER
✔✔Live vaccines such as MMR, VZV/Varicella, Rotavirus
What is Rhogam? - 🧠ANSWER ✔✔A blood product given within 72 hours of
delivery for future pregnancies
Treatment for sore nipples - 🧠ANSWER ✔✔-Alternate and use feeding
positions
-Express colostrum/breastmilk after feeding and allow to dry
-Lanolin cream, Nipple shields
-Start feeding on least sore side
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