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BUBBLED Assessment Handout
Breasts1. Palpate both breasts for engorgement/filling. Minimize palpation for bottle feeding mother to avoid stimulation.
2. Check nipples for pressure sores, cracks, or
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People Also Ask about
How do you assess lochia?
LOCHIA. Lochia is assessed during the postpartum period: Saturating one pad in less than an hour, a constant trickle of lochia, or the presence of large (i.e., golf-ball sized) blood clots is indicative of more serious complications and should be investigated immediately.
What must you ask clients before assessing the amount of lochia?
Assessing the lochia is a priority assessment for the nurse. Always ask the client the last time they changed the peri pad and document the amount of lochia on the pad, the color, and the odor. Assess and document for the presence of any clots or continuous bleeding.
What is the bubble he assessment used for?
2. BUBBLE-HE Postpartum Assessment. The nursing mnemonic BUBBLE-HE is used to remember the components of the postpartum maternal assessment. Nurses need to be aware of the normal physiologic and psychological changes that take place in women's bodies and minds in order to provide comprehensive care during this period.
What must be included in normal assessment of lochia?
The lochia should be assessed for color, amount, and odor. Too much lochia may indicate hemorrhage so it is important to know how the lochia is expected to look. In addition, foul smelling lochia may indicate infection. Lochia is usually bright red and contains small clots after birth.
What is the acronym bubble in nursing?
The nurse can remember the key points of a postpartum assessment by learning the acronym BUBBLE-LE, which stands for breasts, uterus, bladder, bowels, episiotomy, lower extremities, and emotions.
What is the head to toe assessment for postpartum?
The maternal postpartum exam includes a head-to-toe physical that assesses the woman's physiological responses to the completed birth process. A comprehensive cultural assessment should be performed to identify factors that may impact the postpartum family.
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