Postpartum HESI Case Study

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Postpartum HESI Case Study Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which assessment finding is most concerning in the immediate postpartum period?

• Mild perineal discomfort
• Small amount of lochia rubra

✔✔C. Saturating a peripad in 30 minutes

• Uterus firm and midline

Which position is best for assessing the perineum postpartum?

• Supine with legs extended
• Left lateral position

✔✔C. Lithotomy or dorsal recumbent with knees bent

• Prone position

Which intervention is most effective for uterine atony after delivery?

• Administering oxygen via nasal cannula

✔✔B. Performing fundal massage 1 / 4

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• Encouraging ambulation
• Offering oral fluids

Which lochia pattern indicates normal postpartum recovery by day 4?

• Lochia rubra

✔✔B. Lochia serosa

• Lochia alba
• No vaginal discharge

Which symptom requires immediate follow-up postpartum?

• Perineal swelling
• Mild afterpains
• Breast engorgement

✔✔D. Severe headache with blurred vision

Which assessment finding indicates bladder distention postpartum?✔✔A. Uterus displaced to the right and boggy

• Uterus midline and firm 2 / 4

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• Uterus at the level of the umbilicus
• Small amount of lochia serosa

Which nursing intervention supports bonding between mother and infant?

• Placing the baby in the nursery for rest

✔✔B. Encouraging skin-to-skin contact

• Delaying breastfeeding initiation
• Scheduling visiting hours

Which vital sign change may indicate postpartum hemorrhage?

• Elevated temperature

✔✔B. Tachycardia and hypotension

• Bradycardia
• Stable blood pressure

Which sign indicates a postpartum infection?✔✔A. Foul-smelling lochia

• Lochia progressing from rubra to serosa 3 / 4

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• Perineal discomfort
• Breast fullness

Which teaching is most important for a mother with mastitis?

• Stop breastfeeding immediately

✔✔B. Continue breastfeeding or pumping

• Apply cold compresses only
• Decrease fluid intake

Which contraceptive method is safe for breastfeeding mothers?✔✔A. Progestin-only pills

• Combined oral contraceptives
• Vaginal ring
• Estrogen patch

Which medication is commonly prescribed for postpartum uterine contraction?✔✔A. Oxytocin

• Magnesium sulfate
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