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Exam (elaborations)

HESI Case Study _ Postpartum

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HESI Case Study _ Postpartum

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HESI Case Study: Postpartum revision questions with
correct answers . Make work easier and get your A +

1. Prior to discontinuing the IV oxytocin, which assessment is most important for the nurse to
obtain? - Correct Answers-Uterine firmness.

2. The postpartum client has minimal sensation in her lower extremities, due to the effects of
the epidural anesthesia. What is the priority nursing concern for this client? - Correct Answers-
Fall risk.

3. What is the priority nursing action to address the client's needs related to her repaired 4th
degree perineal laceration? - Correct Answers-Apply perineal ice packs consistently for the first
24 hours.

4. The nurse performs the first assessment upon the client's arrival to the postpartum unit.
Where would the nurse expect to palpate the fundus? - Correct Answers-1 cm above the
umbilicus.

Fifteen minutes after the initial assessment, the nurse finds the client disoriented and lying on
her back in a pool of vaginal blood, with the sheets beneath her saturated with blood.
5. Which action is most important for the nurse to implement immediately? - Correct Answers-
Massage the fundus.

6. What is the best method for the nurse to use to obtain immediate assistance? - Correct
Answers-Activate the priority call light from the bedside.

7. The nurse has requested assistance and personnel are on their way. While waiting for help to
arrive, what is the next priority action? - Correct Answers-Assess for bladder distention.

8. The charge nurse, two staff nurses, and an unlicensed assistive personnel (UAP) rush in to
assist the nurse with the client. Which task is best delegated to the UAP during this crisis? -
Correct Answers-Obtain the vital signs and O2 saturation.

9. The HCP is notified that the client is hemorrhaging and has an estimated blood loss of 1,200
mL since delivery. Her blood pressure is 70/40 mmHg, pulse 120 beats/min, respirations 28
breaths/min, and O2 saturation 73%. The HCP's prescription includes stat oxytocin 10 units in
each liter of normal saline to infuse at 40 milliunits (mU)/minute. How many mL of oxytocin
should the nurse draw up in the syringe to inject into the 1000 mL bag of normal saline? (Enter

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