WEEK 4_ SHERPATH_ NGN - POSTPARTUM 1 of 31
CASE STUDY NURSE'S NOTES:
Postpartum - Patient 1 Nurse Handoff Report from Labor and Delivery to Mother/Baby Nurse
0615:
HISTORY & PHYSICAL: Situation: "Hi, I am in labor and delivery. I am going to be bringing you a
postpartum mother in about 15 minutes. I will be bringing the client and her
Client is a 27-year-old Gravida 2 Para 2 who delivered new baby. Her last set of vital signs were taken at 0600 and were: blood
a healthy baby boy at 0402. She had an SVD with no pressure 100/64, pulse 100, oral temperature 99.9 °F (37.72 °C), and
complications, an intact placenta, and a QBL of 260 respiratory rate 16. I will be bringing the client in a bed because she is still
mL. She had epidural anesthesia for the birth. No numb from her knees to her feet from her epidural and she is unable to
reported perineal lacerations. No episiotomy. The ambulate to a wheelchair. Her background is as follows:"
newborn was skin-to-skin for the first 30 minutes after
birth and then breastfed for 15 minutes on the right Background: "The client is a 27-year-old Gravida 2 Para 2 who delivered a
breast at 0445. Prenatal care began at 6 weeks' healthy baby boy at 0402. She had a spontaneous vaginal delivery (SVD),
gestation with no complications during the with no lacerations or episiotomy. She is A+, antibody negative, rubella
pregnancy. immune, negative group beta strep (GBS), and negative for all sexually
transmitted infections (STIs). She received an epidural for anesthesia, and the
nurse anesthetist removed an intact epidural catheter at 0530. Her
Medical History: quantitative blood loss (QBL) was 260 mL. She received a total of 2000 mL
IV lactated Ringer solution during labor and another 1000 mL IV infusion of
-SVD 3 years ago (in 2018) of a healthy girl oxytocin in lactated Ringer solution after the delivery of the placenta. Her IV
2/5/2026 1
,WEEK 4_ SHERPATH_ NGN - POSTPARTUM 2 of 31
was converted to a heparin lock at 0600 in preparation for transfer to the
-Wisdom teeth extraction at age 17 years old mother/baby unit. The healthcare provider emptied her bladder with a
straight catheter after delivery, and a total of 150 mL of concentrated yellow
-Childhood exertional asthma urine was obtained. She drank 100 mL of apple juice and ate a pack of
graham crackers at 0500. She was able to breastfeed her baby on the right
breast at 0445 for 15 minutes total. Do you have any questions?"
2/5/2026 2
,WEEK 4_ SHERPATH_ NGN - POSTPARTUM 3 of 31
0630: Recommendation: Client will be offered a bedpan to void because of the
Assessment: Assessment on admission to inability to ambulate. Her legs are still feeling "numb" from her epidural, her
mother/baby unit: Client is alert and oriented. Vital fundus is three fingerbreadths above the umbilicus and deviated to the right,
signs: blood pressure 110/65, pulse 100, oral and she has a palpable bladder during the examination. If the client cannot
temperature 99.8 °F (37.66 °C), and respiratory rate 18. void via the bedpan, the nurse will refer to the postpartum orders for next
Breasts are soft and nontender. Fundus is firm, three steps.
fingerbreadths above the umbilicus and deviated to
the right. Lochia is heavy, and rubra in color. Bladder
is palpable, perineum is intact, bowel sounds are LABORATORY RESULTS:
hypoactive in all four quadrants, and the Homan sign
is negative. Client can lift her left leg but cannot lift
her right leg and reports "numbness in both of her FLOW SHEET:
lower legs below the knee," reports pain at a "2/10,"
and describes it as "cramping." 0600
Vital signs taken in labor and delivery: blood pressure 100/64, pulse 100, oral
temperature 99.9 °F (37.72 °C), and respiratory rate 16. Client and her
newborn are preparing to transfer to the mother/baby unit via a bed
because client still feels numb from her knees to her feet and unable to
ambulate.
0630
Assessment on admission to mother/baby unit: Client is alert and oriented.
2/5/2026 3
, WEEK 4_ SHERPATH_ NGN - POSTPARTUM 4 of 31
Vital signs: blood pressure 110/65, pulse 100, oral temperature 99.8 °F (37.66
°C), and respiratory rate 18. Breasts are soft and nontender. Fundus is firm,
three fingerbreadths above the umbilicus and deviated to the right. Lochia is
heavy and rubra in color. Bladder is palpable, perineum is intact, bowel
sounds are hypoactive in all four quadrants, and the Homan sign is negative.
Client can lift her left leg but cannot lift her right leg and reports "numbness
in both of her lower legs below the knee," and reports pain at a "2/10" and
describes it as "cramping."
0645
Client is placed in a high Fowler position and offered a bedpan to void. The
nurse provides her with privacy and places the call light within reach to call
when she finishes.
0650
Client calls the nurse and states that she "cannot pee in the bedpan."
2/5/2026 4
CASE STUDY NURSE'S NOTES:
Postpartum - Patient 1 Nurse Handoff Report from Labor and Delivery to Mother/Baby Nurse
0615:
HISTORY & PHYSICAL: Situation: "Hi, I am in labor and delivery. I am going to be bringing you a
postpartum mother in about 15 minutes. I will be bringing the client and her
Client is a 27-year-old Gravida 2 Para 2 who delivered new baby. Her last set of vital signs were taken at 0600 and were: blood
a healthy baby boy at 0402. She had an SVD with no pressure 100/64, pulse 100, oral temperature 99.9 °F (37.72 °C), and
complications, an intact placenta, and a QBL of 260 respiratory rate 16. I will be bringing the client in a bed because she is still
mL. She had epidural anesthesia for the birth. No numb from her knees to her feet from her epidural and she is unable to
reported perineal lacerations. No episiotomy. The ambulate to a wheelchair. Her background is as follows:"
newborn was skin-to-skin for the first 30 minutes after
birth and then breastfed for 15 minutes on the right Background: "The client is a 27-year-old Gravida 2 Para 2 who delivered a
breast at 0445. Prenatal care began at 6 weeks' healthy baby boy at 0402. She had a spontaneous vaginal delivery (SVD),
gestation with no complications during the with no lacerations or episiotomy. She is A+, antibody negative, rubella
pregnancy. immune, negative group beta strep (GBS), and negative for all sexually
transmitted infections (STIs). She received an epidural for anesthesia, and the
nurse anesthetist removed an intact epidural catheter at 0530. Her
Medical History: quantitative blood loss (QBL) was 260 mL. She received a total of 2000 mL
IV lactated Ringer solution during labor and another 1000 mL IV infusion of
-SVD 3 years ago (in 2018) of a healthy girl oxytocin in lactated Ringer solution after the delivery of the placenta. Her IV
2/5/2026 1
,WEEK 4_ SHERPATH_ NGN - POSTPARTUM 2 of 31
was converted to a heparin lock at 0600 in preparation for transfer to the
-Wisdom teeth extraction at age 17 years old mother/baby unit. The healthcare provider emptied her bladder with a
straight catheter after delivery, and a total of 150 mL of concentrated yellow
-Childhood exertional asthma urine was obtained. She drank 100 mL of apple juice and ate a pack of
graham crackers at 0500. She was able to breastfeed her baby on the right
breast at 0445 for 15 minutes total. Do you have any questions?"
2/5/2026 2
,WEEK 4_ SHERPATH_ NGN - POSTPARTUM 3 of 31
0630: Recommendation: Client will be offered a bedpan to void because of the
Assessment: Assessment on admission to inability to ambulate. Her legs are still feeling "numb" from her epidural, her
mother/baby unit: Client is alert and oriented. Vital fundus is three fingerbreadths above the umbilicus and deviated to the right,
signs: blood pressure 110/65, pulse 100, oral and she has a palpable bladder during the examination. If the client cannot
temperature 99.8 °F (37.66 °C), and respiratory rate 18. void via the bedpan, the nurse will refer to the postpartum orders for next
Breasts are soft and nontender. Fundus is firm, three steps.
fingerbreadths above the umbilicus and deviated to
the right. Lochia is heavy, and rubra in color. Bladder
is palpable, perineum is intact, bowel sounds are LABORATORY RESULTS:
hypoactive in all four quadrants, and the Homan sign
is negative. Client can lift her left leg but cannot lift
her right leg and reports "numbness in both of her FLOW SHEET:
lower legs below the knee," reports pain at a "2/10,"
and describes it as "cramping." 0600
Vital signs taken in labor and delivery: blood pressure 100/64, pulse 100, oral
temperature 99.9 °F (37.72 °C), and respiratory rate 16. Client and her
newborn are preparing to transfer to the mother/baby unit via a bed
because client still feels numb from her knees to her feet and unable to
ambulate.
0630
Assessment on admission to mother/baby unit: Client is alert and oriented.
2/5/2026 3
, WEEK 4_ SHERPATH_ NGN - POSTPARTUM 4 of 31
Vital signs: blood pressure 110/65, pulse 100, oral temperature 99.8 °F (37.66
°C), and respiratory rate 18. Breasts are soft and nontender. Fundus is firm,
three fingerbreadths above the umbilicus and deviated to the right. Lochia is
heavy and rubra in color. Bladder is palpable, perineum is intact, bowel
sounds are hypoactive in all four quadrants, and the Homan sign is negative.
Client can lift her left leg but cannot lift her right leg and reports "numbness
in both of her lower legs below the knee," and reports pain at a "2/10" and
describes it as "cramping."
0645
Client is placed in a high Fowler position and offered a bedpan to void. The
nurse provides her with privacy and places the call light within reach to call
when she finishes.
0650
Client calls the nurse and states that she "cannot pee in the bedpan."
2/5/2026 4
