1
HESI Case Study: Postpartum
Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the priority nursing assessment immediately after delivery?✔✔Uterine fundus firmness and location
What does a boggy uterus indicate in the postpartum period?✔✔Uterine atony
What is the best initial nursing action for a soft, boggy uterus?✔✔Massage the fundus until firm
What is the expected location of the uterus on the first postpartum day?✔✔One fingerbreadth below the umbilicus
What is lochia rubra composed of?✔✔Blood, tissue, and decidual debris
- / 3
2
What type of lochia is expected 4 to 10 days postpartum?✔✔Lochia serosa
What type of lochia is expected after 10 days postpartum?✔✔Lochia alba
What finding in lochia requires immediate reporting?✔✔Foul odor or large clots
What is the primary risk for postpartum hemorrhage in the first 24 hours?✔✔Uterine atony
What medication is commonly administered to promote uterine contraction postpartum?✔✔Oxytocin
What is the normal range for blood loss during a vaginal delivery?✔✔Less than 500 mL
- / 3
3
What is the normal range for blood loss during a cesarean delivery?✔✔Less than 1000 mL
What is a major sign of postpartum hemorrhage?✔✔Saturating a perineal pad in less than 1 hour
What is the most important assessment when a mother complains of dizziness postpartum?✔✔Vital signs and amount of vaginal bleeding
What does a firm fundus with continued vaginal bleeding suggest?✔✔Genital tract laceration
What intervention helps reduce perineal discomfort after delivery?✔✔Application of ice packs in the first 24 hours
What is the purpose of sitz baths postpartum?✔✔Increase circulation and promote healing
- / 3