HESI (Health and Environmental Sciences Institute) Health Assessment Practice Test

Bimanual palpation is a technique used to assess certain anatomical structures by using both hands simultaneously to provide a more comprehensive evaluation of the area in question. This method is particularly effective when examining deeper or more organ-specific structures, allowing for better assessment of size, shape, tenderness, and position.

In this scenario, considering the kidneys and uterus, bimanual palpation is appropriate as it enables the nurse to effectively evaluate these abdominal organs. The use of one hand to provide pressure from the back and the other hand to palpate the organ from the front can enhance the ability to feel the contours and any abnormalities that may be present. This method is essential for assessing organs that may be difficult to palpate adequately using just one hand.

Other choices focus on situations where bimanual palpation may not be necessary or appropriate. For example, palpating the thorax of an infant typically involves simpler techniques and does not require the depth and pressure that bimanual palpation offers. Assessing pulsations and vibrations can often be done through lighter or more superficial palpation techniques, while evaluating tenderness and pain may not require the complexity of a bimanual approach.