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BUBBLE HE Table Tagged

This document provides guidance for conducting a postpartum assessment using the BUBBLE-HE mnemonic. The mnemonic stands for Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy, Homan's sign, Hemorrhage, Hemorrhoids, Emotions. For each item, the document lists what should be assessed and provides examples of how to document findings, including noting any abnormalities.

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61 views2 pages

BUBBLE HE Table Tagged

This document provides guidance for conducting a postpartum assessment using the BUBBLE-HE mnemonic. The mnemonic stands for Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy, Homan's sign, Hemorrhage, Hemorrhoids, Emotions. For each item, the document lists what should be assessed and provides examples of how to document findings, including noting any abnormalities.

Uploaded by

Wala To
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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BUBBLE – HE ASSESSMENT

POSTPARTUM
ASSESSMENT
Soft? Filling? Engorged? Nipples dry?
B - BREAST Intact? Note abnormalities such as
tenderness, pain, redness, lumps, &/or
cracked, bleeding, flat, inverted nipples.
Soft? Boggy? Firm? Location? Use these
U – UTERUS types of symbols to chart
(Fundus) Examples:
@U (at umbilicus)
1/U (I finger breath above umbilicus)
U/2 (2 finger breaths below umbilicus)

Note abnormalities such as deviated to the


L or R, boggy, firm with massage.
Note when the patient last had a normal
B – BOWEL bowel movement. Has the patient had a
BM since delivery? Document yes ( ) or no
( ). For all post-op patients: Assess bowel
sounds. Passing flatus? Abdomen soft, not
distended?
Has the patient voided since delivery? Is
B – BLADDER she voiding without difficulty? If she is
having difficulty describe what the problem
is, your interventions and evaluation. For
c-section patients, note patency of foley
cath, character and amount of urine, etc.
Check with the instructor before
discontinuing foley.
Note color, amount (examples: mod rubra,
L - LOCHIA scant serosa).
Note abnormalities such as excessive
amount of clots or foul odor.
Is the episiotomy clean, intact, edematous?
E – EPISIOTOMY Do “REEDA” assessment. Note presence
(Perineum) of hemorrhoids.

Incision: Note condition of abdominal


INCISION dressing. Initial dressings are removed by
the doctors.
Describe incision using “REEDA”
assessment.

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Homan’s sign - DVT or blood clot
H – HOMAN’S SIGN
HEMORRHAGE
HEMORRHOIDS
Briefly describe the patient’s emotional
E - EMOTIONS status. Also describe mother-infant
bonding.

This study source was downloaded by 100000856547757 from CourseHero.com on 11-08-2022 08:12:10 GMT -06:00

https://www.coursehero.com/file/126922713/BUBBLE-HE-Table-Taggedpdf/
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