| Course | PA 620 Clinical Clerkship - Obstetrics & Gynecology |
|---|---|
| Week | 6 |
| Paper type | Postpartum progress note |
| Length | About 480 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Physician Assistant Studies (MPAS) |
| Updated | October 2026 |
Free sample paper for PA 620 Week 6
Postpartum Day 1 Note for A.B.: The Day in the First Line, Findings Obtained Today Rather Than Copied, Where the Baby's Record Begins, Medications Given With Times and Yesterday in Two Sentences
Student Name
Chamberlain University
PA 620: Clinical Clerkship - Obstetrics & Gynecology
Instructor Name
Month Day, Year
Postpartum Day 1 Note for A.B.: The Day in the First Line, Findings Obtained Today Rather Than Copied, Where the Baby's Record Begins, Medications Given With Times and Yesterday in Two Sentences
The Day Governs the Page
Postpartum day 1, April 10, 2026, 07:30. A.B., 29, now G2P2, after spontaneous vaginal delivery at 15:42 yesterday.
Short About Yesterday
Delivery was uncomplicated after prelabor rupture of membranes and oxytocin augmentation, with a repaired second-degree tear and about 300 mL of blood lost. No fever in labor.
The labor details are in the labor record; this note does not repeat them.
Rechecked, Not Copied
Symptoms today: pain 3 of 10 at the perineum, controlled with ibuprofen; voiding without difficulty since 21:00; passing flatus; walking in the hallway; breastfeeding every 2 to 3 hours with a good latch, per A.B. and the nurse.
Vital signs 06:00: temperature 36.9 °C, pulse 78, blood pressure 116/72.
Fundus: firm, 1 centimeter below the umbilicus, midline.
Lochia: moderate, rubra, no clots larger than a coin.
Perineum: repair intact, mild swelling, no hematoma.
Legs: no calf tenderness or asymmetric swelling.
Mood: A.B. reports feeling "tired but happy"; no tearfulness or anxiety beyond the expected.
Hemoglobin 06:00: 10.9 g/dL (admission 12.4).
Each finding above was obtained this morning by the student and confirmed by the nurse's 06:00 assessment, not copied from the delivery note. The fundus was palpated with the bladder empty, which matters because a full bladder displaces it.
Given, With a Time
Ibuprofen 600 mg at 02:00 and 06:00. Docusate at 21:00. Rh immune globulin not indicated (Rh positive). Measles, mumps and rubella vaccine not indicated (immune).
Breastfeeding support: lactation consultant visit at 10:00 today, booked by the nurse at A.B.'s request.
Where the Other Record Starts
The baby's feeding, weight and screening results are in the baby's own chart. This note records only what concerns A.B., including the breastfeeding as A.B. experiences it.
Plan
Discharge tomorrow if stable. Contraception discussed: A.B. plans a progestin-only pill, started before discharge. First postpartum contact within three weeks, as ACOG advises (American College of Obstetricians and Gynecologists, 2018), with a full review planned before the twelfth week.
Warning signs reviewed with A.B. before discharge: bleeding that fills a pad within the hour, fever of 38.0 or higher, severe headache or vision changes, chest pain or breathlessness, calf pain or swelling, and thoughts of self-harm. A.B. repeated them back. The postpartum blood pressure check is booked for day 5 at the clinic, since hypertensive disorders can appear after birth even after a normal pregnancy.
References
American College of Obstetricians and Gynecologists. (2018). ACOG committee opinion no. 736: Optimizing postpartum care. Obstetrics & Gynecology, 131(5), e140-e150. https://doi.org/10.1097/AOG.0000000000002633
PA 620 Week 6 instructions, in plain terms
The sixth week asks for a postpartum day note that is brief and carries the day in its first line, because everything is checked against that number. Keep yesterday short: two sentences on the delivery. Write findings obtained today rather than copied from the delivery note, including symptoms, vital signs, fundus, lochia, perineum or incision, legs and mood. Record medications given with times. Say where the baby's record begins, so the mother's note does not become a joint chart; the baby appears only where it affects the mother, such as breastfeeding. End with a plan. If nothing has changed since the previous day, say so with today's findings. Cite guidance behind follow-up timing.
How this PA 620 Week 6 example is built
The first line gives postpartum day 1, April 10, 2026, at 07:30, for A.B., now G2P2, after a 15:42 vaginal delivery. Two sentences recall the delivery, a repaired second-degree laceration and 300 mL blood loss. Rechecked findings cover pain of 3 controlled with ibuprofen, voiding, flatus, walking, breastfeeding every 2 to 3 hours, normal vital signs, a firm midline fundus 1 centimeter below the umbilicus, moderate lochia, an intact repair, calm calves, mood described as tired but happy and a hemoglobin of 10.9. Medications are listed with times, and Rh immune globulin and the MMR vaccine are marked not indicated. A section marks where the baby's chart begins. The plan covers discharge, a progestin-only pill and a visit within three weeks, citing ACOG guidance.
PA 620 Week 6 rubric: what full points look like
Postpartum notes lose the most when they repeat the delivery note, burying today's findings under yesterday's events. Next comes findings copied rather than rechecked, which a grader can spot when numbers match the previous day exactly. Graders deduct for mixing the infant's details into the mother's note. Faculty reward the day in the first line, a full set of postpartum findings and medications with times. A plan that names contraception and follow-up timing earns credit. Mood assessment is expected. Citation of postpartum care guidance, in APA form, completes the rubric. Faculty also look for warning signs given to the patient before discharge and a blood pressure check planned in the first week, since problems can appear after birth.
PA 620 Week 6 help: mistakes that cost points
Postpartum day notes most often fall short by retelling the labor in detail and listing the baby's weight and feeding as if they belonged to the mother. Another common problem is "fundus firm, lochia normal" with no measurement. Some notes also skip mood. If your patient's postpartum course is different, such as after a cesarean or with hypertension, send the delivery summary and today's findings; a note written for you would put the day first, keep yesterday short, record today's findings, list medications with times, mark where the baby's chart begins and end on a plan. If nothing changed, the note would still record each finding.
Get a PA-620 Week 6 example written to your instructions
Send the Week 6 instructions with the case and the day your note is meant for, and a custom entry is written to it and returned inside 24 to 48 hours. The first one is free. If your section marks discharge instruction inside the same document, say so and the example carries that section too.
More PA 620 papers and MPAS samples
- PA 620 Week 1: Prenatal Record Claim Post
- PA 620 Week 2: Obstetric Triage Note
- PA 620 Week 3: Expected Findings Note
- PA 620 Week 4: Labor Course Note Series
- PA 620 Week 5: Mid-Rotation Feedback Memo
- PA 620 Week 7: Two-patient Documentation Brief
- PA 620 Week 8: Case Mix Review
- PA 618 Week 6: Parent Phone Call Note
- PA 616 Week 6: Postoperative Check Note
- PA 614 Week 6: Patient Callback Note
- PA 648 Week 6: Evidence of Closure Memo
PA 620 Week 6 questions, answered
How much of the delivery itself goes into a day note?
Only the part still deciding something today. A day note is not a summary of the admission, and a paragraph retelling the birth pushes the findings actually being graded onto a second page. One line naming what happened, plus anything about it that still shapes what is looked for today, is the working amount in most sections.
The baby has a chart of its own. Do I mention it at all?
Where the two still meet, yes. Feeding, contact and whatever she was told about the baby happened between them and belong in her record as things she did or was given. What does not belong is the other patient's examination copied across. The test is whether the line describes something involving her; if it describes the baby alone, it is in the wrong document.
Suppose the case names a day and nothing on it has changed?
Then the note records what was looked for because of the day and reports it found unchanged, which is a result rather than a silence. Write the checks belonging to that point, give each of them an outcome, and let the entry be short. A brief note full of dated findings marks above a long one repeating the admission.
Where can I find a free PA 620 Week 6 sample paper?
A complete PA 620 Week 6 postpartum day 1 note after a vaginal delivery, with today's findings and a dated plan, is on this page.
When is the first postpartum visit planned in the PA 620 Week 6 sample?
Within three weeks after birth, with a comprehensive visit by 12 weeks, following ACOG's guidance on postpartum care.