Breasts: How are your breast feeling? Uncover 1 at a time checking for redness, pain, swelling, temperature. Note color and texture. Assess nipple everted, inverted or flat. Any bruising, cracks, bleeding.
Uterus: Fundus proper hand placement. Firm, boggy, firm with massage. Where is it located U/U. Midline, left right.
Bowel: Last BM, bowel sounds, last time eaten, passing gas?
Bladder: Last time void, feel the urge to void, encourage every
2-3 hours, odor, color, amount, consistency
Lochia: amount, last time pad has been changed, any clots rubra, serosa, alba
Episiotomy: REDDA scale
Homan’s sign: dorsiflex foot, check for any pain, redness or
swelling, compare pedal pulses. 50% DVTs are asymptomatic
Emotional state: Rubin’s stages Taking in, Taking Hold, Letting Go, happy, sad angry overwhelmed etc.