Nursing Documentation
Templates

Postpartum Assessment Form

A systematic postpartum assessment form with fundus, lochia, perineum or incision, bladder, bowel, breasts, legs and emotional status.

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Price
Free, no sign-up
Format
Printable page, save as PDF (US Letter or A4)
Sections
Patient, Vital signs, Breasts, Uterus / fundus, Bladder and bowel, Lochia, Perineum / incision, Legs, Emotional status and bonding, Sign-off

How to use this template

  1. Follow your unit's assessment frequency.
  2. Describe fundal height relative to the umbilicus.
  3. Estimate lochia amount using your unit's reference.

Learn the format