care exam 3: post partum. women and family

post partum physiology

puerperium

undoing nine months of physical changes in about six weeks

factors influencing rate of postpartum recovery

length of labor, type of delivery, health of the newborn, degree of physcial discomfot, emotional state of mother, energy level, knowledge, support, compliance with diet and exercise, other children

BUBBLE LEE assessment

A nursing assessment tool used in the postpartum period to evaluate the uterus, breasts, bladder, bowel, lochia, episiotomy, legs, emotional status, and any other factors affecting recovery.

care management for breasts

sore nipples - common issue during breastfeeding that can be alleviated by proper latch techniques, ensuring the infant is positioned correctly, and using hydrating creams or ointments.

engorgement - swelling and pain in breasts due to milk accumulation, need supporitive bra, and frequent breastfeeding or pumping to relieve pressure.

care management for uterus

boggy: massage

above umbilicus & deviated from midline: empty bladder

care management for bladder

inability to void: catheterization

distended bladder: hemorrhage

care management for bowels

constipation: docusate, fluids, ambulation

hemorrhoids: sitz bath

care management for lochia

heavy bleeding/clots: massage fundus; assess bladder

foul smelling odor: infection

hemorrhage: oxytocin, misoprostol

care management for perineum

pain/hydration: peri-bottle/pericare

edema: ice

care management for pain

ibuprofen, hydrocodone/actaminophen, codeine, oxycodone (depends on pain level)

LEE assessment

assess legs, energy and emotions