Exam (elaborations)
NURSADN4 Postpartum Assessment: Questions And Accurate Answers
- Course
- Institution
NURSADN4 Postpartum Assessment: Questions And Accurate Answers
[Show more]
Content preview
NURSADN4 Postpartum Assessment: Questions AndAccurate Answers
What does BUBBLEE stand for? Right Ans - B - Breasts
U - Uterus
B - Bladder
B - Bowels
L - Lochia
E - Episiotomy/Epidural Site
E - Extremities
What should the nurse assess on a breast in postpartum? Right Ans -
Assess areola for cracking, tenderness, masses; proper breast feeding
technique
What should the nurse assess on a uterus/fundus in postpartum? Right Ans
- Assess for firmness and midline of fundus, level with umbilicus
How quickly should the fundus be descending in postpartum? Right Ans -
Descends 1-2cm every 24 hours, should be 1cm above umbilicus after 12
hours
What may cause a distended fundus? Right Ans - Full bladder
What is an important intervention for patients in postpartum? Right Ans -
Voiding every 2 to 3 hours (Bed pan preferred if on pain meds, ambulate
otherwise)
When should an in and out catheter/straight catheter be used? Right Ans -
If the patient is unable to walk or void properly on their own due to an
epidural or pain meds
TERM:
What is Uterine Atony Right Ans - Soft or boggy feeling of the fundus,
severely increasing the risk for hemorrhaging
, What is an appropriate intervention when uterine atony is present? Right
Ans - Oxytocin infusion (contracts uterus to prevent bleeding) and massage
fundus
A client who gave birth vaginally with an epidural anesthesia reports no urge
to urinate after 3 hours after birth. The fundus is above the umbilicus, but
distended 3 cm to the right. What should the nurse do next? Right Ans -
Perform a straight or in and out catheterization
A client who had a vaginal birth 1 hour ago has a boggy fundus that is deviated
to the left and above the umbilicus. What intervention should the nurse
perform first? Right Ans - Assist the client to use a bed pan to void
What are 3 interventions that are appropriate for a client with a soft and
boggy fundus 8 hours after delivery? Right Ans - Firmly massage fundus,
encourage patient to void, administer methergine per orders
What is Methergine? Right Ans - Analgesic & uterotonic; treats sever
bleeding in the uterus AFTER childbirth (Drastically increases BP,
contraindicated with hypertension or preeclampsia)
6 hours after a vaginal delivery the nurse notes the perineal pad is soaked and
there is blood underneath the patient's buttocks. Which action should the
nurse take first? Right Ans - Assess the fundus
What is the purpose of oxytocin when administered after delivery? Right
Ans - Simulate firm contractions of the uterus
What medication is used for treating a client with sever PP bleeding? Right
Ans - Oxytocin
What is an early sign of excessive blood loss during the fourth stage of labor?
Right Ans - Increased HR of 88-102bpm
What should the be assessed on the bladder in postpartum? Right Ans -
Distention, urinary track infections, incontinence
What should be assess for bowel sounds in postpartum? Right Ans - Assess
bowel sounds, ask when was the last bowel movement
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now