Mod 4 Flashcards
(45 cards)
what does BUBBLEHE stand for?
B – Breast (soft, engorged) Nipples (inverted, soreness)
U – Uterus Fundus (position, consistency) If C-Section (incision)
B – Bowel Sounds (active, hyperactive, hypoactive) Bowel movement Passing Flatus
B – Bladder (voiding, straight cath, foley) Emptying
L – Lochia (type, amount)
E – Episiotomy/Laceration (See REEDA)
H – Homans’s Sign
E – Edema (location and amount)
What does REEDA stand for?
R – Redness E – Ecchymosis E – Edema D – Discharge A – Approximation
what should the lochia look like day 4-10?
serosa (brownish red or pink)
should a temp be 100.4 after the first 24 hours?
No
If a patient has an overdistended bladder what could it cause?
uterine atony or excessive lochia
The patient has rubra (dark red) lochia for how many days?
1-3 days
after 10 day the lochia should turn to what?
alba (yellowish or whitish)
what is a positive homan’s sign?
pain in the ankle or calf ( possible DVT)
where should the uterus be with in the first 24 hours?
midline at the umbilicus
What is involution?
return of the uterus to its non-pregnant state.
what is Subinvolution?
delayed return of the enlarged uterus to normal size and function
what are S/S of Subinvolution?
prolonged lochia discharge
irregular or excessive bleeding
hemorrhage
what cause Subinvolution?
retained central fragments and pelvic infection
what causes involution?
After birth, the decrease in these hormones causes autolysis – the self-destruction of excess hypertrophies tissue.
What hormone are responsible for the growth of the uterus during pregnancy?
estrogen and progesterone
How do we measure the fundus?
It is measured in centimeters
where should the uterus be on the 6th post partum day?
half way between the umbilicus and the symphysis pubis.
At the end of the third stage of labor, the uterus is where?
in the midline, approximately 2cm below the level of the umbilicus.
where is the uterus 12 hours postpartum?
Within 12 hours it can rise to approximately 1cm above the umbilicus.
By 24 hours after birth, the uterus is located where?
By 24 hours after birth, the uterus is the same size as it was at 20 weeks gestation.
each 24 hours the uterus will descend by how much?
during the next few days descends 1-2cm every 24 hours
when should the uterus no longer be palpable?
after 2 weeks and by 6 weeks, it should have returned to its new pre-pregnant size.
What are contractions?
Tightening of the uterine smooth muscle
How do they prevent postpartum bleeding?
Contraction of the smooth uterine muscle causes compression of intramyometrial blood vessels rather than by platelet aggregation and clot formation.
