How do you assess fundus postpartum?

UTERUS. The fundus is assessed for: By approximately one hour post delivery, the fundus is firm and at the level of the umbilicus. The fundus continues to descend into the pelvis at the rate of approximately 1 cm or finger-breadth per day and should be nonpalpable by 14 days postpartum.

How often should the fundus be checked postpartum?

Every 5 to 15 minutes, you monitor her blood pressure and pulse, evaluate her fundus, and check for bleeding. Finding her uterus still boggy, you apply fundal massage.

Why do you palpate the fundus postpartum?

After birth, the uterus gradually shrinks and descends into its prepregnancy position in the pelvis; termed involution. Palpation of the uterine fundus postpartum helps to determine uterine size, degree of firmness, and rate of descent, which is measured in fingerbreadths above or below the umbilicus.

What does a boggy uterus indicate?

A boggy uterus refers to an enlarged, soft, and tender uterus identified during physical examination. It is most commonly caused by uterine atony or adenomyosis. The diagnosis mainly depends on physical examination; however, an ultrasound or MRI scan can confirm the diagnosis.

What is postpartum bubble assessment?

Following pregnancy, the woman is at risk for infection, hemorrhage, and the development of a Deep Vein Thrombosis (DVT). The nurse can remember the key points of a postpartum assessment by learning the acronym BUBBLE-LE, which stands for breasts, uterus, bladder, bowels, episiotomy, lower extremities, and emotions.

How do you use Carboprost?

An initial dose of 1 mL of HEMABATE Sterile Solution (containing the equivalent of 250 micrograms of carboprost) is to be administered deep in the muscle with a tuberculin syringe. Subsequent doses of 250 micrograms should be administered at 1½ to 3½ hour intervals depending on uterine response.

What are some nursing diagnosis for postpartum?

Here are eight nursing care plans and nursing diagnoses for postpartum hemorrhage:

• Deficient Fluid Volume. UPDATED!
• Risk for Imbalanced Fluid Volume. UPDATED!
• Ineffective Tissue Perfusion. UPDATED!
• Risk For Infection. UPDATED!
• Acute Pain. NEW!
• Risk for Impaired Attachment. NEW!
• Anxiety. UPDATED!
• Deficient Knowledge. UPDATED!

When is fundus palpable?

At 16 weeks gestation, the fundus of the uterus can be palpated at the midpoint between the umbilicus and the pubic symphysis. At 20 weeks gestation, the fundus can be palpable at the level of the umbilicus.

Which temperature indicates the presence of postpartum infection?

A postpartum infection is usually diagnosed after 24 hours have passed since delivery and the woman has had a temperature of 100.4° F or higher on two occasions at least 6 hours apart.

What is boggy uterus postpartum?

A hypotonic uterus, or “boggy” uterus, is among the most common obstetrical conditions which may cause postpartum infection and postpartum hemorrhage (PPH).

What is the indication of carboprost?

HEMABATE is indicated for the treatment of postpartum hemorrhage due to uterine atony which has not responded to conventional methods of management.

Why carboprost is used in postpartum hemorrhage?

Carboprost tromethamine is a synthetic prostaglandin derivative, which can effectively promote law contraction of the uterus and significantly reduce the amount of bleeding during and after delivery.