NUR 4445 The Newborn

NUR 4445 The Newborn

• 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

• 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

• Normal vs abnormal findings in the uterus post partum

Answer · Normal findings

• Fundus is firm at the umbilicus

· Abnormal findings

• Fundus is boggy

• What must the patient do before an examination of the uterus?

Answer void

• Normal findings in the bowels post partum (2) 1 / 3

Answer

• Abdomen is soft and non-dis- tended

• Bowel sounds present in all four quadrants (sluggish/hypoactive)

• 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

• Normal lochia post partum (3)

Answer

• Moderate amount of lochia rubra (dark red)

• Small clots
• No more than 500 mL (moderate)

• 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

• 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

• What are normal findings regarding hemorrhoids post partum? What posi- tion do we put 2 / 3

patient in to assess?

Answer

• Rectum intact with small hemorrhoids that are non-tender

• Put patient in Sim's position to assess

• What should emotional status look like post partum?

Answer Tired, still taking it all in

• 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

• What are common post partum maternal concerns/tasks (5)?

Answer

• Restoring physical condition

• Developing competence in caring/meeting needs of baby
• Establishing a relationship with baby
• Adapting to altered lifestyle and family structure
• Some new mothers have little to no experience and feel overwhelmed

• What education do we give to the mother while assessing her (7)?

Answer

• Breast care
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