Nicolas, Monella M.

BSN-II Weidenbach

BUBBLE HE
Breast

 The size and the shape of the breast is normal but she need to know how to properly do
the breastfeeding
 Breast are assymetrical
 There is no presence of redness
 Nipples are everted
 areola are dark in color and large
 No dimpling
 No cracks in the nipple
 No pus discharge

Uterine function

 Uterus is boggy
 Uterus is not contracting
 Fundus 2/U
 Fundus is palpated in the midline near the umbilicus

Bladder function

 Bladder is full
 Urge to urinate

Bowel function

 Normal
 Hard to defecate

Lochia

 Bright red in color

 No presence of odor
 Presence of small blood clots
 heavy amount of lochia rubra

Episiotomy
Nicolas, Monella M.
BSN-II Weidenbach

 No redness
 No edema
 No bruises
 There is a reddish vaginal discharge
 3cm in approximation

Homan’s Sign

 No pain and tenderness in the calf

 There is no presence of redness, swelling and heat
 Negative in Deep Vein Thrombosis

Emotion

 Mother is in exhausted
 Dependent
 Feels Difficulty
 Problem in attachment with her baby