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HESI Case Study: Postpartum questions and answers rated A+ 2025/2026
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HESI Case Study: Postpartum questions and answers rated A+ 2025/2026
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HESI Case Study: PostpartumMeet the Client: Marie Wilson - ANSMarie Wilson is a 28-yr-vintage consumer who's gravida 2,
para 2, and is transferred to the postpartum unit 1 hour after delivery of a eight lb, 1 ozwoman.
She become in hard work for 16 hours and forceps had been used to help with the delivery.
Marie was given an epidural for anesthesia that changed into powerful. The exertions and
delivery nurse pronounced that Marie had a 4th diploma laceration and her ache became
presently at a 3 out of 10 scale. Her crucial symptoms had been strong and he or she turned
into catheterized for 500 mL of mild yellow urine just prior to delivery. Mr. Wilson was at the
bedside for transport and seemed supportive.
Assessment - ANSA 1, 000 mL bag of Lactated Ringer's answer containing 10 units of oxytocin
(Pitocin) is infusing thru an 18 gauge peripheral IV in the LFA at 125 mL/hr, with 300 mL final
inside the bag. The IV is patent, with out redness or swelling, and can be discontinues whilst the
bag's infusion is whole.
Prior to discontinuing the IV oxytocin (Pitocin), which evaluation is most essential for the nurse
to reap? - ANSuterine firmness
Early detection of, and intervention for, postpartum headaches promotes advantageous patron
consequences. Postpartum protocol calls for that the nurse determine Marie's important signs
and symptoms, fundus, perineum, vaginal bleeding, ache, leg motion, and IV every 15 mins. For
the primary hour after which every hour for the next 3 hours. - ANS
Marie has minimal sensation in her decrease extremities, due to the effects of the epidural
anesthesia. What is the priority nursing diagnosis for Marie, who is experiencing residual
outcomes of epidural anesthesia? - ANSRisk for damage
The nurse performs the primary assessment upon arrival to the postpartum unit. Where might
the nurse assume to palpate the fundus? - ANS1 cm above the umbilicus
What is the concern nursing motion to cope with Marie's wishes r/t the restore of her 4th
diploma perineal laceration? - ANSApply perineal ice packs continually for the first 24 to forty
eight hours.
Postpartum Crisis - ANSFifteen minutes after the preliminary assessment, the nurse reveals
Marie disoriented and lying on her lower back in a pool of vaginal blood, with the sheets
beneath her saturated with blood.
Which movement is most vital for the nurse to implement right now? - ANSMassage the fundus
, What is the nice approach for the nurse to use to reap immediate help? - ANSActivate the
concern name light from the bedside.
The nurse has requested assistance and personnel are on their manner. While awaiting help to
arrive, what is the next precedence action? - ANSAssess for bladder distention
The price nurse, two personnel nurses, and an unlicensed assistive personnel (UAP) rush in to
help the nurse with Marie. Which assignment is satisfactory delegated to the UAP all through
this disaster? - ANSObtain VS and SpO2
The HCP is notified that Marie is hemorrhaging and has an estimated blood lack of 1,two
hundred mL in view that delivery. Her blood stress is 70/forty mm Hg, Pulse one hundred twenty,
RR 28, SpO2 seventy three%. The HCP's prescriptions consist of stat oxytocin (Pitocin) 10
gadgets in each liter of regular saline to infuse at 40 milliunits/minute. The HCP additionally
prescribes zero.2 mg methylergonovine maleate (Methergine) IM to be given right away. The
vial of oxytocin (Pitocin) is labeled 20 devices/mL. The vial of methylergonovine (Methergine) is
categorised zero.Eight mg/mL. How many mL of oxytocin (Pitocin) need to the nurse draw up
within the syringe to inject into the one thousand mL bag of NS? - ANS0.Five
How many mL of methylergonovine should the nurse draw up within the syringe to manage to
Marie? - ANS0.25
Initial Stabilization - ANSThe oxytocin (Pitocin) has been infusing on the prescribed fee for 20
mins. The nurse reassesses the patron.
Which finding is maximum indicative that the medication is accomplishing a healing degree? -
ANSFirm fundus
Postpartum hemorrhage is special as blood loss in excess of 500 mL in the first 24 hours of
shipping. Considering the client's history, what etiology is most probably? - ANSUterine atony
Marie is faded, weak, and demanding, however not disoriented. Her fundus is company and is 1
cm above the umbilicus. She is receiving O2 in step with nasal cannula at 4 L/min and has a
SpO2 of 88%. Her VS are BP 74/forty four, P 116, and RR 26. Her bleeding has slowed
substantially. The nurse asks the UAP to wash Marie and trade the mattress linens.
Marie tells the nurse that her husband went home to pick out up their different toddler to convey
her to the health facility. She states that she does not want her children to see her this way and
asks the nurse to inform Mr. Wilson what has took place. - ANS
What intervention have to the nurse implement to communicate the scenario to Marie's
husband? - ANSCall Mr. Wilson from the nurses' station to tell him of his spouse's fame and
request that he come to the health center soon, without the other infant.
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