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23 Cards in this Set
- Front
- Back
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BUBBLE- HEART is an acronym for assessing a mom. What does the acronym stand for ?
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Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy;
Homan's sign, Emotions, Attachement, Reflexes, Teaching |
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For breast we need to ask are they ? are they ? up with milk, is she having any ?
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soft,
filling, pain |
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What can a mom take if she is having pain ? what else can she do ?
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Motrin 600mg q6,
ice pack, cabbage leaf |
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Our goal for baby feeding is ?-? time in 24hrs each lasting ?-? minutes.
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8-12,
10-20mins |
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To promote intact nipples the mom can use OTC ? there is no need to wipe the nipple off before breastfeeding.
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Lansinoh
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To prevent sore nipples proper ? is nescessary. If mom and baby are having trouble with this the RN needs to consult a ?
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latch-on,
lactation consultant |
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In the Uterus the muscles are interwoven so that there can be a touniquet effect when ?
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contracted
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The Uterus is held in place by 5 sets of ?
The ? is anterior to the Uterus. |
ligaments,
bladder |
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FUN vs BAD Uterus acronyms =
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Firm, @the Umbilicus, Not deviated;
Boggy, above umbilicus, Deviated from midline |
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The fundal height after birth is at the level of the ? and thereafter decreases 1 fingerbreadth(1cm) per day. Ex of how to chart this = F1/U, FU/0.
F1/U=? FU/0=? |
umbilicus,
fundus is 1 above umbilicus, fundus is at the umbilicus |
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The first thing we need to know for our Uterus assessment is, is the Uterus ? or ? and the 2nd thing we need to know is, is the uterus ?
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firm,
boggy, deviated |
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If the uterus is deviated from the midline it may be caused by a full ?
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bladder
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After giving birth and the Uterus is boggy a Nsg dx could be ?
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Nsg Dx- Risk for compication of post partum hemorrhage
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For Uterus assessment we need the pt ? in bad, we should listen to the ? sounds before palpating, ask when she last ?
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flat,
bowel, urinated |
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After a C/S and the pt. hasn't had a BM, a Nsg Dx could be ?
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risk for altered bowel elimination rt-perineal discomfort aeb-decreased gastric motility, pt rates abd pain 6 out of 10
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When assessing Lochia we need to check the ?,?,?,?
For color ? is red usually 1-3 days pp. ? is pink and is seen usually in days 3-10. and ? is white or brown and seen in days ?-? |
Color, Odor, Composition, Amount
Rubra Serosa, Alba |
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Lochia is composed of ? tissue, ?, ?
Lochia can continue for ?-? weeks pp |
endometrial,
blood, lymph, 4-6weeks |
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In documentation Lochia measurement is described as ?,?,?
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scanty,
moderate, large |
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Lochia should never fill up more than 1 maternity size pad in 1 ? or less, if this occurs this is potentially a ?/?
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hour,
hemorrhage/emergency |
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When we are examining the episiotomy we should ? to the pt what i am assessing/seeing during the exam.
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describe
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If the pt has had C/S then she needs to lift her "apron" becuase air needs to circulate ? times per day for at least ? minutes to prevent ?
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4,
15, infection |
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There are two basic types of episiotomy the ? and the ?
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midline,
mediolateral |
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Episiotomy abbreviations MLE=?, LMLE=?, RMLE=?
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Midline episiotomy,
Left mediolateral episiotomy, Right mediolateral episiotomy |
