Documentation Guidelines

• Bleeding: Amount, characteristics, precipitating factors

• Fundus: Location (above or below umbilicus, midline or lateral) and firmness

• Vital signs and any signs and symptoms of hypovolemic shock

• Appearance of the perineum, episiotomy, laceration repair (use REEDA [redness, edema, ecchymosis, drainage, approximation] to guide the documentation); fluid intake and output

• Absence or presence of vaginal odor

758 Preeclampsia

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