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BUBBLEHE
| Question | Answer |
|---|---|
| Breast | Monitor for signs of infection (mastitis; engorged or red) |
| Uterus | Needs to be midline & firm after birth; firm indicates good uterine tone; if it is not in midline -> mom needs to pee |
| Bladder | We don’t want to have a full bladder; monitor output by placing a hat in the toilet |
| Bowel | Constipation is common during pregnancy, so not the biggest deal if mom doesn’t have a bowel movement before D/C; routine BM depends on mom; vaginal birth - D/C’d in 48 hrs, c-section - D/C’d in 72 hrs |
| Lochia | Vaginal discharge; 1) rubra -> 2) serosa -> 3) alba (if the color order goes backward before 6 weeks -> could indicate hemorrhage or infection; dark red is good, bright red indicates fresh blood; saturation of a pad in 1 hr could also indicate hemorrhage |
| Episiotomy | REEDA: redness, edema, echomosis, drainage, approximation |
| Homan’s sign | DVT assessment: pain, color, swelling, heat |
| Emotional status | Postpartum blues - lasts 2 weeks Postpartum depression - lasts more than 2 weeks |