➔ Postpartum Assessment
◆ BUBBLE-HE
● Breast
● Uterine
○ Fundus should be firm
◆ Massage if boggy (uterine atony) and midline
◆ Catheterize pt if fundus is boggy and not midline (bladder is
distended)
○ Fundal height should be at umbilicus and midline
◆ Decreases about 2 cm every day after delivery
● Bladder
● Bowel
● Lochia
○ Vaginal drainage
◆ Rubra (red)
◆ Serosa (pink)
◆ Alba (white)
○ Amount
◆ Moderate: 4-6 inches on pad in an hour
◆ Excessive: Saturated a pad in 15 minutes
● Episiotomy
● Homan’s sign
○ Positive Sign → pain at dorsiflexion of foot indicating deep vein thrombosis
on leg
● Emotional status