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The postpartum nursing assessment is an important aspect of care in order to identify early signs of complications in the woman who has just given birth and can be remembered by the celebration happening post-baby with the assess-man. He cracks open a bottle of bubbly-champagne, which represents the acronym BUBBLE-LE. B stands for breasts, the breasts starting the toast. Inspect for size, symmetry, shape, and any signs of infection. After 24 hours, clear yellow colostrum may develop and express from the breast. As the milk matures, usually within 72 to 96 hours, the breasts may become heavier and fuller and feel nodular and firm. U stands for uterus, the uterus getting slapped because he’s having too much fun. Assess for a firm and contracting uterus. If it feels boggy, it should be massaged, and if the uterus becomes deviated to one side, it may indicate bladder distention. Which leads to B for bladder, the bladder drinking so much it becomes distended. Postpartum, the woman may experience difficulty voiding resulting in a distended bladder. If this occurs, the woman is at a higher risk for hemorrhage because the distended bladder applies pressure on the uterus. The second B is for bowels, the bowels-bowl worried this party is getting out of hand. It may take 2 or 3 days for the woman to have a bowel movement due to pain, lack of food, dehydration, and soreness from lacerations or hemorrhoids. A stool softener may be given to the woman in order to aid in easier passage of the bowel movement. L is for lochia, the loch-ness in the bloody lake reprimanding the partiers. The lochia should be assessed for color, amount, and odor. Know what is normal and what is not. This creature is cracking the E-pistachi-O as E stands for episiotomy. If the woman had an episiotomy, the nurse should assess for redness, edema, ecchymosis, discharge, and approximation. L is for lower extremities, the legs trying to make a run for it. The lower extremities must be assessed for DVTs as the mother is at increased risk due to increased clotting factors from birth and lying in bed. And lastly, E is for emotions, the emoticons watching this scene take place. Hormone fluctuations, as well as, the birth experience can cause the mother to experience many new and strong emotions. Assess how the mother is feeling to determine whether the mom may be experiencing the postpartum blues. As a side note, E can also include providing “education” to the mother dependent on her needs.&nbsp;&nbsp;So to review. BUBBLE-LE is an acronym to help you remember the postpartum nursing assessment. It stands for breasts, uterus, bladder, bowels, lochia, episiotomy, lower extremities, and emotions.

educational

story

post baby assess man.png

postpartum nursing assessment.png

Post-baby Assess-man

Postpartum Nursing Assessment

Postpartum Interventions

bubbly champagne.png

Bubbly-champagne

BUBBLE - LE

What mnemonic or acronym is used to remember the key points of postpartum nursing assessment?

breasts.png

b.png

Breasts

In the acronym BUBBLE-LE, the first B most likely stands for:

uterus.png

u.png

Uterus

During a postpartum nursing assessment, if the ____________ feels boggy, it should be massaged.

bladder.png

Bladder

If the ____________ becomes distended, the woman is at a higher risk for hemorrhage.

bowels bowl.png

Bowels-bowl

Bowels

It may take 2 or 3 days for the woman to relieve her ____________ due to pain, dehydration, and soreness from lacerations.

loch ness.png

l.png

Loch-Ness

Lochia

During a postpartum nursing assessment, the ____________ should be assessed for color, amount, and odor during a postpartum nursing assessment.

e pistachi os.png

e.png

E-pistachi-O's

Episiotomy (Laceration)

During a postpartum nursing assessment, if the woman had a/an ____________, the nurse should assess for redness, edema, ecchymosis, discharge, and approximation.

legs.png

Legs

Lower Extremities

During a postpartum nursing assessment, the ____________ must be assessed for deep vein thrombosis.

emoticons.png

Emoticons

Emotions

During a postpartum nursing assessment, hormone fluctuations, as well as, the birth experience can cause the mother to experience many new and strong ____________.

First Aid for the USMLE Step 1 2016

Master The Boards USMLE Step 2 CK, 3E

Maternity and Women's Health Care, 11th Edition (Elsevier)

PANCE Prep Pearls: 1st Ed, 2014

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The educational audio for this Picmonic was remastered for academic accuracy and quality.

This Picmonic was reviewed for academic accuracy and the quiz was improved.

Assess-man is the proud new father of a post-baby and he wants to celebrate.&nbsp; He gets the party started by poppin' a bottle of bubbly-champagne and pours a glass for everyone that helped. Then he pours another.&nbsp; And a few more.&nbsp; And before you know it, everyone's a little tipsy. There were the breasts, who didn't appreciate being spilled on everytime the uterus called for a toast to itself for making such a beautiful baby. Then there was the bladder, who just peed in the neighbor's lake. And the defecating bowel-bowl, which soiled itself after they found out that their neighbor, the loch-ness, actually lived in the bloody lake.&nbsp; It cracked their e-pistachi-o from o to o, showing what would happen to them if they didn't quit, but the legs didn't linger for the lesson. They bolted. This entire ordeal was quite emotional for the emoticon. First, it was scared. Then it was sad. But then it ran home to mom, and together, they were happy.

Administer a 500mL fluid bolus of 0.9% normal saline.

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Picmonic NCLEX Question of the Day 06/19/2021

Picmonic NCLEX® Question of the Day

The nurse is performing a postpartum assessment on a 33-year-old, healthy female immediately after delivery of the placenta. Bright red blood is noted coming from the vagina. The nurse palpates the uterus and notes that it feels boggy. Which of the following should be the nurse's priority?

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