PN Postpartum HESI Case Study.Precise revision
material with correct answers.Hard work pays
champ!
Prior to discontinuing the IV Pitocin (oxytocin), which data is most important for the practical
nurse (PN) to obtain? - Correct Answers-C. Uterine firmness.
The PN recognizes which is the priority nursing diagnosis for Maureen, who is experiencing
residual effects of epidural anesthesia? - Correct Answers-A. Risk for injury.
What is the priority nursing action to address Maureen's needs related to the repair of her 4th
degree perineal laceration? - Correct Answers-C. Apply perineal ice packs consistently for the
first 24-48 hours.
What is the sequence of nursing actions to assess Maureen's 4th degree perineal laceration? -
Correct Answers-Put on gloves.
Ask the client to turn on her side and flex her upper leg.
Examine laceration for REEDA.
Observe anus for edema which can interfere with bowel elimination.
Apply clean peripad.
Dispose of soiled materials in appropriate waste container.
Considering Maureen's history, for which postpartal complication is she most at risk for
developing? - Correct Answers-D. Hemorrhage.
When assessing maureens blood loss utilizing perineal pad saturation, the nurse weights a
saturated pad and subtacts the weight of a dry pad. The difference is 8 grams. How many mL
does the nurse record? - Correct Answers-8
What is the priority nursing action? - Correct Answers-D. Massage the fundus.
What is the best method for the PN to use to obtain immediate assistance? - Correct Answers-
C. Activate the priority call light from the bedside.
While waiting for help to arrive, what is the next priority action? - Correct Answers-C. Palpate
for bladder distention.
Which task is best delegated to the UAP during this crisis? - Correct Answers-D. Obtain vital
material with correct answers.Hard work pays
champ!
Prior to discontinuing the IV Pitocin (oxytocin), which data is most important for the practical
nurse (PN) to obtain? - Correct Answers-C. Uterine firmness.
The PN recognizes which is the priority nursing diagnosis for Maureen, who is experiencing
residual effects of epidural anesthesia? - Correct Answers-A. Risk for injury.
What is the priority nursing action to address Maureen's needs related to the repair of her 4th
degree perineal laceration? - Correct Answers-C. Apply perineal ice packs consistently for the
first 24-48 hours.
What is the sequence of nursing actions to assess Maureen's 4th degree perineal laceration? -
Correct Answers-Put on gloves.
Ask the client to turn on her side and flex her upper leg.
Examine laceration for REEDA.
Observe anus for edema which can interfere with bowel elimination.
Apply clean peripad.
Dispose of soiled materials in appropriate waste container.
Considering Maureen's history, for which postpartal complication is she most at risk for
developing? - Correct Answers-D. Hemorrhage.
When assessing maureens blood loss utilizing perineal pad saturation, the nurse weights a
saturated pad and subtacts the weight of a dry pad. The difference is 8 grams. How many mL
does the nurse record? - Correct Answers-8
What is the priority nursing action? - Correct Answers-D. Massage the fundus.
What is the best method for the PN to use to obtain immediate assistance? - Correct Answers-
C. Activate the priority call light from the bedside.
While waiting for help to arrive, what is the next priority action? - Correct Answers-C. Palpate
for bladder distention.
Which task is best delegated to the UAP during this crisis? - Correct Answers-D. Obtain vital
