EXAM 2 NUR 267 Questions and Correct Answers the Latest Update
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Course
NUR 267
Institution
NUR 267
What does B.U.B.B.L.E. stand for?
Breasts
Uterus
Bladder
Bowel
Lochia
Episiotomy/Emotions
How to assess breasts postpartum:
(breastfeeding vs. nonbreastfeeding)
Breastfeeding:
-Assess if soft/non-tender or firm and warm
-Check for nipple tears/excoriation
-Assess latch of...
✓ Breastfeeding:
✓ -Assess if soft/non-tender or firm and warm
✓
✓ -Check for nipple tears/excoriation
✓
✓ -Assess latch of infant
✓
✓ Nonbreastfeeding:
✓ -Assess for engorgement
What education can you provide regarding breasts postpartum?
✓ -Use breast pump
✓
✓ -Warm compress/massage
✓ before feeding
✓
✓ -Ice after feeding
✓
✓ -Promote different holding styles for feeding
✓
✓ -Ensure baby feeds frequently and well to empty each breast
✓
✓ NonBreastfeeding:
✓ -Wear supportive bra
✓
✓ -Apply ice
✓
✓ -Avoid stimulating
✓
✓ -Cold cabbage leaves in bra provides comfort to sensitivity
If the uterus is not midline upon assessment, what should we try and do first?
✓ Have patient try and use the bathroom
How to assess the bladder postpartum + nursing actions:
✓ -Last time of void
✓
✓ -Warm water to help aid in starting urine stream
✓
✓ -May need bladder scan, straight cath, or foley
How long after birth should a patient be urinating and how much?
✓ 2-4 hours after birth, should be voiding at least 300mL
How to assess the bowels after birth + nursing actions:
✓ -Assess for last BM
✓
✓ -Fluids + ambulation
✓
✓ -Stool softener
Patient education for bowel patterns postpartum:
✓ -May not have a BM for a few days
✓
✓ -Hemorrhoids, episiotomy, or c-section may cause more difficulty having a BM
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