5 Bubblehe
5 Bubblehe
DAY 1 DAY 2
BREAST -Patient’s nipple is dark red -Sore nipples (pain scale: 3
and enlarged; sore nipples out of 10); presence of
(pain scale: 7 out of 10). adequate milk production.
Minimal presence of milk
production.
UTERUS -Fundus is at the level of - Fundus is in the midline,
umbilicus; it is firm 2cm below the level of the
umbilicus
BLADDER Difficulty urinating (pain scale: -Lessened pain upon
5 out of 10). The color is urinating (pain scale: 2 out of
yellow and the bladder is not 10); color yellow and the
distended. bladder is not distended.
BOWEL -Have not yet defecated -Have not yet defecated
-Presence of bowel sounds
every quadrant
LOCHIA -Lochia rubra is present, -Lochia rubra is present,
moderate in amount and dark moderate in amount and dark
reddish in color. reddish in color.
EXTREMITIES No edema present on both No edema present on both
upper and lower extremities. upper and lower extremities.
HOMAN SIGN No pain in the lower No pain in the lower
extremities. No pain during extremities.
dorsiflexion test
EPISIOTOMY -Pain scale: 5 out of 10 -Pain scale: 2 out of 10
2nd degree of laceration. Clients reports less pain in
Patient reports pain when moving.
moving.
EMOTIONAL Patient is able to express her Patient is able to express her
LABILITY emotions and thoughts; the thoughts and emotions. In
patient is on her taking in taking hold phase, begun
phase and is passive, initiating maternal roles
allowing her significant other through breastfeeding.
to attend her new born. Patient is coping on the
postpartum period
appropriately.