Complete Shadow Health Focused Exam: Postpartum Care for Gloria Hernandez. Comprehensive postpartum assessment using BUBBLE-HE framework — Breasts, Uterus, Bowel, Bladder, Lochia, Episiotomy/incision, Homans sign, Emotional wellbeing. SBAR handoff to Preceptor Diana and Care Plan included. Used in maternity and obstetric nursing programs.
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Gloria Hernandez is an adult postpartum woman requiring nursing care and assessment following delivery. This focused exam tests your ability to perform a systematic postpartum assessment, respond to a changing clinical situation, provide education and prepare an SBAR handoff to Preceptor Diana.
The postpartum assessment follows the BUBBLE-HE framework: Breasts (engorgement, nipple condition, breastfeeding assessment), Uterus (fundal height, position, firmness — uterine involution), Bowel (bowel sounds, last bowel movement, flatus), Bladder (urinary output, bladder distension, voiding adequacy), Lochia (colour, amount, odour, clots), Episiotomy/incision (REEDA assessment — Redness, Oedema, Ecchymosis, Discharge, Approximation), Homans sign (DVT screening — calf pain on dorsiflexion), Emotional wellbeing (Edinburgh Postnatal Depression Scale, bonding, support system).
The assessment also includes pain management (perineal pain, uterine cramping — afterpains), vital signs monitoring and breastfeeding or formula feeding education. Nursing interventions in response to changing situations are documented as required by the rubric.
SBAR to Preceptor Diana covers: Situation (postpartum day, delivery type), Background (obstetric history), Assessment (all BUBBLE-HE findings), Recommendation (continued monitoring, pain management, discharge planning).