Discomfort after birth
RN OSCE practice station

The task

Beth Collins is on the postnatal ward one day after vaginal birth and requests help with pain. Assess her pain and function, discuss suitable nursing care and arrange review. The midwifery team and Dr Lee are available.

What this station tests

• Increasing one-sided postnatal pain needs assessment of its cause.
• Limited visible bleeding does not exclude concealed swelling or haematoma.
• Stay within RN competence and obtain consent for intimate assessment.
• Increasing perineal pain with swelling or retention needs early review even when vital signs remain normal.

Sources for the clinical content

• ACSQHC: Comprehensive Care Standard
• ACSQHC: Recognising and Responding to Acute Deterioration Standard

An original practice scenario with invented patients. Not an exam question.

Practise next

• Pain and sedation before PRN oxycodone
• Pain assessment while awaiting abdominal review
• Recognising pain in a resident with limited speech
• Persistent pain after amputation at home
• New chest discomfort during a GP visit