HESI Case Study: Postpartum Questions and Answers 100% Correct
1. Prior to discontinuing the IV oxytocin, which assessment is most important for the nurse to obtain?
correct answer Uterine firmness.
10. The HCP prescribed 0.2 mg of methylergonovine, and the vial contains 0.8 mg/mL. How many mL of
methylergonovine should the nurse draw up in the syringe? (Enter numerical value only. If rounding is
necessary, round to the hundredth.) correct answer 0.25
11. The oxytocin has been infusing at the prescribed rate for 20 minutes. The nurse reassesses the client.
11. Which finding is most indicative that the medication is reaching a therapeutic level? correct answer
Firm fundus.
12. Postpartum hemorrhage is designated as blood loss in excess of 500 mL within the first 24 hours of
delivery. Considering the client's history, what etiology is most likely? correct answer Uterine atony.
14. What should the nurse do to prepare for the client's blood transfusion? (Select all that apply. One,
some, or all options may be correct.) correct answer Start an additional IV using a 16 or 18 gauge
angiocath.
Prime a new Y-set blood tubing using a new bag of sodium chloride 0.9%.
Obtain a baseline set of vital signs prior to starting the infusion.
16. Prior to the blood transfusion, the nurse records the client's vital signs as T 97.8° F (36.6o C), heart
rate 110 beats/min, respirations 22 breaths/min, and BP 78/50 mmHg. The blood requisition form, client
identification bracelet, and blood label are checked with another nurse, and then the A negative blood
transfusion is started at 75 mL/hr. Fifteen minutes after the transfusion begins, another set of vital signs
is taken; T 98.5° F (36.9o C), heart rate 112 beats/min, respiration 22 breaths/min and B/P 76/48 mmHg.
The client reports being cold. Which should the nurse do in response to these assessment findings?
correct answer Provide a warm blanket and continue to monitor the client.
18. The client uses the call system to notify the nurse that she would like to ambulate to the bathroom.
Which nursing intervention would be most appropriate at this time? correct answer Tell the client the
nurse will come to assist her to the bedside commode.
1. Prior to discontinuing the IV oxytocin, which assessment is most important for the nurse to obtain?
correct answer Uterine firmness.
10. The HCP prescribed 0.2 mg of methylergonovine, and the vial contains 0.8 mg/mL. How many mL of
methylergonovine should the nurse draw up in the syringe? (Enter numerical value only. If rounding is
necessary, round to the hundredth.) correct answer 0.25
11. The oxytocin has been infusing at the prescribed rate for 20 minutes. The nurse reassesses the client.
11. Which finding is most indicative that the medication is reaching a therapeutic level? correct answer
Firm fundus.
12. Postpartum hemorrhage is designated as blood loss in excess of 500 mL within the first 24 hours of
delivery. Considering the client's history, what etiology is most likely? correct answer Uterine atony.
14. What should the nurse do to prepare for the client's blood transfusion? (Select all that apply. One,
some, or all options may be correct.) correct answer Start an additional IV using a 16 or 18 gauge
angiocath.
Prime a new Y-set blood tubing using a new bag of sodium chloride 0.9%.
Obtain a baseline set of vital signs prior to starting the infusion.
16. Prior to the blood transfusion, the nurse records the client's vital signs as T 97.8° F (36.6o C), heart
rate 110 beats/min, respirations 22 breaths/min, and BP 78/50 mmHg. The blood requisition form, client
identification bracelet, and blood label are checked with another nurse, and then the A negative blood
transfusion is started at 75 mL/hr. Fifteen minutes after the transfusion begins, another set of vital signs
is taken; T 98.5° F (36.9o C), heart rate 112 beats/min, respiration 22 breaths/min and B/P 76/48 mmHg.
The client reports being cold. Which should the nurse do in response to these assessment findings?
correct answer Provide a warm blanket and continue to monitor the client.
18. The client uses the call system to notify the nurse that she would like to ambulate to the bathroom.
Which nursing intervention would be most appropriate at this time? correct answer Tell the client the
nurse will come to assist her to the bedside commode.
