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HESI RN EXIT CASE STUDY - POSTPARTUM
1. 1. Prior to discontinuing the IV oxytocin, which assessment is most impor- tant for the nurse to
obtain
ANS: Uterine firmness.
2. 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
ANS: Fall risk.
3. 3. What is the priority nursing action to address the client's needs related to her repaired 4th
degree perineal laceration
ANS: Apply perineal ice packs consis- tently for the first 24 hours.
4. 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
ANS: 1 cm above the umbilicus.
5. Fifteen minutes after the initial assessment, the nurse finds the client disori- ented 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
ANS: -
Massage the fundus.
6. 6. What is the best method for the nurse to use to obtain immediate assis- tance
ANS: Activate the priority call light from the bedside.
