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Saunders Comprehensive Review For The NCLEX-RN Examination, 8 Ed.

Unit V: Maternity Nursing

Postpartum Nursing Assessment

BUBBLE - LE

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

Breasts

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

Uterus

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

Bladder

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

Bowels

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

Lochia

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

Episiotomy (Laceration)

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

Lower Extremities

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

Emotions

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

Postpartum Infection

Diagnosis

Fever > 100.4F After 24 Hours (38 C)

Which postpartum finding is most concerning for a postpartum infection?

Risk Factors

Multiple Vaginal Examinations

Which best describes a risk factor for postpartum infection?

Vaginal Trauma

Prolonged Rupture of Membranes

Cesarean Birth

Anemia of Pregnancy

Retained Placental Fragments

Poor Health Status

Postpartum Hemorrhage

Mechanism

Uterine Atony

Which of the following is a common mechanism for postpartum hemorrhage?

Lacerations

Retained Placenta

Signs and Symptoms

Bleeding

Which most obvious complication is commonly seen in postpartum hemorrhage?

Hypotension

Which of the following clinical findings is most likely to be seen in postpartum hemorrhage?

Boggy Uterus

Considerations

Oxytocin

Which of the following interventions is most likely indicated in postpartum hemorrhage?

Bimanual Compression of Uterus

Surgery

Blood Transfusion

Breastfeeding

Benefits

Complete Nutrition

What best describes a feature of breastfeeding?

Antibody Protection

Bonding

Convenient

SIDS Risk Reduced

Possible Enhanced Cognitive Development

Long-Term Health Benefits

25 - Postpartum Period

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