Title | Postpartum Assessment Checklist-1 |
---|---|
Course | NURSING CARE OF THE CHILDBEARING FAMILY |
Institution | Los Angeles City College |
Pages | 1 |
File Size | 122.1 KB |
File Type | |
Total Downloads | 94 |
Total Views | 171 |
study guide...
Postpartum Skills Testing Checklist NURS 106/116, Maternal-Newborn Nursing BODY SYSTEM OR AREA
1. Pt. ID
2. Psychosocial Bonding
3. Vital Signs
4. Skin 5. Breasts
SKILL Hand hygiene/gloving, introduces self, checks Pt. ID, assesses environmental safety, IV, foley, etc. Baby blues/depression, labile emotions, tearfulness, flat/appropriate affect, abuse Engrossment, enface positioning, touching, stroking, talking Includes: Apical HR & breath sounds Pain: location, characteristics, int ensity Warmth, moistness, turgor, color, capillary refill Visual Inspection for size, trauma, nipples (flat, inverted/everted) Palpation for consistency, fullness, presence of colostr um
6. Abdomen
Inspection: distension, incision/dressing Auscultation: bowel sounds
7. Reproductive
Palpation: consistency, tenderness Fundus: height, position, character Lochia: character, amount, odor, clots
8. Perineum
9. Bowel/ Bladder
10. Lower Extremities
Intactness, color, tenderness, bruising, swelling, hematoma Laceration/episiotomy: sutures, s/s infection, discharge Urinary: voiding or F/C, bladder distension, dysuria Bowel: last BM, constipation, abdominal distension Inspection: color, calf girth/size Palpation: temperature, tenderness, pedal pulse, DTR’s, clonus
Omitted or grossly incorrect
Partially Incorrectly done
Correct but only partially done
Correctly & Fully done
Comments (Pass: 20 points)...