HESI NCLEX-RN
Comprehensive Review
Maternity | Maternal
Newborn Nursing 2026
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Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, A newborn infant, diagnosed with developmental A
dysplasia of the hip (DDH), is being prepared for Rationale:
discharge. Which nursing intervention should be included It is important that the hips of infants with hip dysplasia are maintained in an
in this infant's discharge teaching plan? abducted position, which can be accomplished by using the Pavlik harness; this
keeps the hips and knees flexed, the hips abducted, and the femoral head in the
A. Observe the parents applying a Pavlik harness. acetabulum. Early treatment often negates the need for surgery, and option B is
B. Provide a referral for an orthopedic surgeon. not indicated until approximately 6 months of age. Option C is not indicated for
C. Schedule a physical therapy follow-up home visit. hip dysplasia. It is best for the pediatrician to monitor hip joint mobility, and
D. Teach the parents to check for hip joint mobility. teaching the parents to perform this technique is likely to increase their anxiety.
A new mother asks the nurse, "How do I know that my B
daughter is getting enough breast milk?" Which Rationale:
explanation is appropriate? The urine will be dilute (straw-colored) and frequent (>6 to 10 times/day), if the
infant is adequately hydrated. Although a weight gain of 30 g/day is indicative of
A. "Weigh the baby daily, and if she is gaining weight, she adequate nutrition, most home scales do not measure this accurately, and the
is getting enough to eat." suggestion will likely make the mother anxious. Option C causes nipple confusion
B. "Your milk is sufficient if the baby is voiding pale, straw- and diminishes the mother's milk production. Option D does not address the
colored urine six to ten times a day." client's question.
C. "Offer the baby extra bottled milk after her feeding
and see if she still seems hungry."
D. "If you're concerned, you might consider bottle
feeding so that you can monitor intake."
Which maternal behavior is the nurse most likely to see B
when a new mother receives her infant for the first time? Rationale:
Attachment and bonding theory indicates that most mothers will demonstrate
A. She eagerly reaches for the infant, undresses the behaviors described in option B during the first visit with the newborn, which may
infant, and examines the infant completely. be at delivery or later. After the first visit, the mother may exhibit different
B. Her arms and hands receive the infant and she then touching behaviors such as eagerly reaching for the infant and cuddling the infant
traces the infant's profile with her fingertips. close to her.
C. Her arms and hands receive the infant and she then
cuddles the infant to her own body.
D. She eagerly reaches for the infant and then holds the
infant close to her own body.
A breastfeeding postpartum client is diagnosed with A
mastitis, and antibiotic therapy is prescribed. Which Rationale:
instruction should the nurse provide to this client? Mastitis, caused by plugged milk ducts, is related to breast engorgement, and
breastfeeding during mastitis facilitates the complete emptying of engorged
A. Breastfeed the infant, ensuring that both breasts are breasts, eliminating the pressure on the inflamed breast tissue. Option B is less
completely emptied. painful but does not facilitate complete emptying of the breast tissue. Option C
B. Feed expressed breast milk to avoid the pain of the will not relieve the engorgement on the affected side. Option D will not decrease
infant latching onto the infected breast. antibiotic effects on the infant.
C. Breastfeed on the unaffected breast only until the
mastitis subsides.
D. Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant.
Comprehensive Review
Maternity | Maternal
Newborn Nursing 2026
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
, A newborn infant, diagnosed with developmental A
dysplasia of the hip (DDH), is being prepared for Rationale:
discharge. Which nursing intervention should be included It is important that the hips of infants with hip dysplasia are maintained in an
in this infant's discharge teaching plan? abducted position, which can be accomplished by using the Pavlik harness; this
keeps the hips and knees flexed, the hips abducted, and the femoral head in the
A. Observe the parents applying a Pavlik harness. acetabulum. Early treatment often negates the need for surgery, and option B is
B. Provide a referral for an orthopedic surgeon. not indicated until approximately 6 months of age. Option C is not indicated for
C. Schedule a physical therapy follow-up home visit. hip dysplasia. It is best for the pediatrician to monitor hip joint mobility, and
D. Teach the parents to check for hip joint mobility. teaching the parents to perform this technique is likely to increase their anxiety.
A new mother asks the nurse, "How do I know that my B
daughter is getting enough breast milk?" Which Rationale:
explanation is appropriate? The urine will be dilute (straw-colored) and frequent (>6 to 10 times/day), if the
infant is adequately hydrated. Although a weight gain of 30 g/day is indicative of
A. "Weigh the baby daily, and if she is gaining weight, she adequate nutrition, most home scales do not measure this accurately, and the
is getting enough to eat." suggestion will likely make the mother anxious. Option C causes nipple confusion
B. "Your milk is sufficient if the baby is voiding pale, straw- and diminishes the mother's milk production. Option D does not address the
colored urine six to ten times a day." client's question.
C. "Offer the baby extra bottled milk after her feeding
and see if she still seems hungry."
D. "If you're concerned, you might consider bottle
feeding so that you can monitor intake."
Which maternal behavior is the nurse most likely to see B
when a new mother receives her infant for the first time? Rationale:
Attachment and bonding theory indicates that most mothers will demonstrate
A. She eagerly reaches for the infant, undresses the behaviors described in option B during the first visit with the newborn, which may
infant, and examines the infant completely. be at delivery or later. After the first visit, the mother may exhibit different
B. Her arms and hands receive the infant and she then touching behaviors such as eagerly reaching for the infant and cuddling the infant
traces the infant's profile with her fingertips. close to her.
C. Her arms and hands receive the infant and she then
cuddles the infant to her own body.
D. She eagerly reaches for the infant and then holds the
infant close to her own body.
A breastfeeding postpartum client is diagnosed with A
mastitis, and antibiotic therapy is prescribed. Which Rationale:
instruction should the nurse provide to this client? Mastitis, caused by plugged milk ducts, is related to breast engorgement, and
breastfeeding during mastitis facilitates the complete emptying of engorged
A. Breastfeed the infant, ensuring that both breasts are breasts, eliminating the pressure on the inflamed breast tissue. Option B is less
completely emptied. painful but does not facilitate complete emptying of the breast tissue. Option C
B. Feed expressed breast milk to avoid the pain of the will not relieve the engorgement on the affected side. Option D will not decrease
infant latching onto the infected breast. antibiotic effects on the infant.
C. Breastfeed on the unaffected breast only until the
mastitis subsides.
D. Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant.
