HESI: MATERNITY & WOMEN'S HEALTH QUESTIONS AND CORRECT VERIFIED ANSWERS

HESI: MATERNITY & WOMEN'S HEALTH
QUESTIONS AND CORRECT VERIFIED
ANSWERS
AA2coupleA2arrivesA2atA2theA2newbornA2nurseryA2askingA2toA2takeA2theirA2newbornA2gr
andsonA2toA2hisA2mother'sA2room.A2WhatA2isA2theA2bestA2responseA2byA2theA2nurse?
A2-A2Ans--1
"I'llA2getA2yourA2grandchild.A2YouA2mustA2beA2veryA2excited."
A2Correct2
"PleaseA2goA2onA2toA2seeA2yourA2daughter.A2I'llA2bringA2theA2babyA2toA2herA2room."
3
"ShowA2meA2yourA2identification.A2IA2needA2toA2seeA2itA2beforeA2IA2canA2giveA2youA2theA2ba
by."
4
"OnlyA2theA2motherA2canA2askA2forA2theA2baby.A2HaveA2herA2callA2usA2toA2bringA2theA2baby
A2toA2her."


TellingA2theA2coupleA2thatA2theA2babyA2willA2beA2broughtA2toA2theA2client'sA2roomA2maintain
sA2theA2nurse'sA2legalA2responsibilityA2ofA2providingA2forA2theA2infant'sA2safetyA2whileA2stillA
2promotingA2aA2positiveA2interactionA2withA2theA2client'sA2family.A2GivingA2theA2infantA2toA2
anotherA2personA2withoutA2theA2mother'sA2knowledgeA2orA2consentA2isA2illegal.A2LegallyA2t
heA2nurseA2mayA2notA2giveA2theA2infantA2toA2theA2grandparents.A2AlthoughA2insistingA2that
A2onlyA2theA2motherA2canA2askA2forA2theA2infantA2mayA2followA2legalA2policy,A2itA2isA2anA2ab
ruptA2nontherapeuticA2responseA2toA2theA2grandparents.

TheA2nurseA2isA2caringA2forA2aA21-hour-
oldA2newborn.A2WhichA2assessmentA2characteristicsA2representA2aA2pretermA2gestational
A2age?A2-A2Ans--Correct1
Skin:A2thin,A2veinsA2visible;A2breasts:A2flatA2areolae,A2noA2buds;A2plantarA2creases:A2absen
t;A2lanugo:A2abundant
2
Skin:A2parchment/
wrinkled;A2breasts:A2flatA2areolae,A2noA2buds;A2plantarA2creases:A2coverA2entireA2sole;A2la
nugo:A2absent
3
Skin:A2thin,A2veinsA2visible;A2breasts:A2flatA2areolae,A2noA2buds;A2plantarA2creases:A2coveri
ngA2theA2entireA2sole;A2lanugo:A2abundant
4
Skin:A2cracking/fewA2veins;A2breasts:A2raisedA2areolaeA2(3-A2toA24-
mmA2buds);A2plantarA2creases:A2coveringA2theA2anteriorA2twoA2thirdsA2ofA2theA2sole;A2lanu
go:A2thinning

,TheA2characteristicsA2ofA2preterm,A2term,A2andA2posttermA2gestationalA2ageA2areA2basedA
2onA2assessmentsA2ofA2physicalA2maturityA2suchA2asA2theA2BallardA2orA2DubowitzA2assess
ment.A2AA2pretermA2infant'sA2skinA2isA2translucent,A2withA2manyA2visibleA2veins.A2AA2termA2
infantA2hasA2someA2crackingA2ofA2theA2skinA2andA2someA2visibleA2veins,A2dependingA2onA2
gestationalA2age.A2TermA2isA2anyA2gestationA2afterA238A2weeks;A2veinsA2areA2lessA2visible
A2atA240A2weeks'A2gestation.A2TheA2posttermA2infantA2typicallyA2hasA2dry,A2leathery,A2parc
hmentlikeA2skinA2withA2numerousA2deepA2wrinkles.A2TheA2areolaeA2ofA2aA2pretermA2infantA
2areA2flat,A2withoutA2buds,A2andA2theyA2becomeA2moreA2raisedA2duringA2development,A2av
eragingA23A2toA24A2mmA2atA2termA2andA25A2toA210A2mmA2inA2theA2posttermA2infant.A2TheA2p
lantarA2creasesA2developA2onA2theA2footA2duringA2gestation,A2beginningA2smooth,A2thenA2c
overingA2twoA2thirdsA2atA2term,A2andA2finallyA2coveringA2theA2entireA2soleA2afterA2term.A2La
nugoA2isA2theA2fineA2downyA2hairA2thatA2diminishesA2asA2theA2infantA2developsA2gestationa
lly.

AA2newbornA2isA2foundA2toA2haveA2aA2diaphragmaticA2hernia.A2WhatA2isA2theA2immediateA2
interventionA2afterA2theA2neonateA2isA2admittedA2toA2theA2neonatalA2intensiveA2careA2unit?
A2-A2Ans--HydratingA2theA2infantA2withA2isotonicA2enemas
2
LimitingA2formulaA2feedingsA2toA2smallA2amounts
3
PlacingA2theA2infantA2inA2theA2TrendelenburgA2position
A2Correct4
ProvidingA2gastricA2decompressionA2viaA2nasogastricA2tube

WhenA2aA2diaphragmaticA2herniaA2isA2present,A2intra-
abdominalA2pressureA2mustA2beA2minimized;A2thisA2isA2accomplishedA2withA2theA2useA2ofA
2gastricA2decompression.A2HydratingA2theA2infantA2withA2isotonicA2enemasA2isA2notA2benef
icial.A2TheseA2infantsA2areA2notA2fedA2orally;A2intravenousA2fluidsA2areA2givenA2withA2caref
ulA2measurementA2ofA2electrolytesA2andA2intakeA2andA2outputA2toA2guideA2replacementA2t
herapy.A2TheA2TrendelenburgA2positionA2isA2contraindicated;A2theA2abdominalA2organsA2
willA2increaseA2pressureA2onA2theA2diaphragm.

AA2clientA2givesA2birthA2toA2aA2full-
termA2maleA2withA2anA28/9A2ApgarA2score.A2WhatA2shouldA2theA2immediateA2nursingA2care
A2ofA2thisA2newbornA2include?A2-A2Ans--Correct1
AssessingA2respirations,A2keepingA2himA2warm,A2andA2identifyingA2him
2
ApplyingA2anA2antibioticA2toA2theA2eyes,A2administeringA2vitaminA2K,A2andA2bathingA2him
3
AspiratingA2theA2oropharynx,A2rushingA2himA2toA2theA2nursery,A2andA2stimulatingA2himA2oft
en
4
WeighingA2him,A2placingA2himA2inA2aA2crib,A2andA2waitingA2untilA2theA2motherA2isA2readyA2t
oA2holdA2him

,EstablishingA2aA2patentA2airway,A2diminishingA2coldA2stress,A2andA2identifyingA2theA2newb
ornA2areA2theA2priorities.A2ApplicationA2ofA2eyeA2prophylaxisA2andA2administrationA2ofA2vita
minA2KA2areA2oftenA2delayedA2toA2allowA2theA2parentsA2toA2bondA2withA2theA2infant;A2aA2bat
hA2atA2thisA2timeA2willA2increaseA2theA2riskA2ofA2coldA2stress.A2AspiratingA2theA2oropharynx,
A2rushingA2himA2toA2theA2nursery,A2andA2stimulatingA2himA2frequentlyA2areA2measuresA2ap
propriateA2forA2aA2compromisedA2newborn;A2anA28/9A2ApgarA2scoreA2isA2indicativeA2ofA2aA2
healthyA2newborn.A2WeighingA2him,A2placingA2himA2inA2aA2crib,A2andA2waitingA2untilA2theA2
motherA2isA2readyA2toA2holdA2himA2areA2notA2theA2priorityA2careA2forA2aA2newborn.

AA2newA2motherA2asksA2theA2nurseA2whyA2herA2babyA2seemsA2toA2haveA2aA2bowelA2move
mentA2afterA2everyA2feeding.A2WhileA2preparingA2aA2responseA2toA2explainA2whyA2thisA2isA2
anA2expectedA2occurrence,A2theA2nurseA2remembersA2thatA2thisA2regularityA2indicatesA2th
atA2whatA2functionA2isA2adequate?A2-A2Ans--1
FluidA2intake
2
CardiacA2sphincter
3
PancreaticA2amylaseA2level
A2Correct4
GastrocolicA2reflexA2response

TheA2gastrocolicA2reflexA2isA2stimulatedA2whenA2theA2newborn'sA2stomachA2beginsA2toA2fill
A2withA2fluid;A2thisA2causesA2anA2increaseA2inA2peristalsis,A2resultingA2inA2theA2passageA2of
A2stoolA2duringA2orA2afterA2aA2feeding.A2SixA2toA210A2voidingsA2aA2dayA2ofA2paleA2straw-
coloredA2urineA2areA2indicativeA2ofA2adequateA2fluidA2intake,A2notA2theA2frequencyA2ofA2bo
welA2movements.A2TheA2cardiacA2sphincterA2isA2unrelatedA2toA2bowelA2movements;A2theA2
cardiacA2sphincter,A2locatedA2betweenA2theA2esophagusA2andA2theA2stomach,A2isA2immat
ureA2inA2theA2newbornA2andA2isA2theA2reasonA2forA2theA2newborn'sA2tendencyA2toA2regurgit
ateA2someA2ofA2theA2feedings.A2AlthoughA2pancreaticA2amylaseA2isA2aA2digestiveA2enzyme
,A2itA2doesA2notA2stimulateA2bowelA2movementsA2afterA2feedings.

AnA2infantA2inA2theA2newbornA2nurseryA2hasA2cyanosisA2ofA2theA2handsA2andA2feetA2andA2c
ircumoralA2pallorA2whenA2crying.A2InA2lightA2ofA2theseA2assessmentA2findings,A2whichA2acti
onsA2shouldA2theA2nurseA2considerA2takingA2next?A2-A2Ans--1
TakingA2noA2specificA2action,A2becauseA2bothA2signsA2areA2expectedA2inA2aA2newbornA2un
tilA22A2weeksA2ofA2age
A2Correct2
NotifyingA2theA2healthA2careA2provider,A2becauseA2circumoralA2pallorA2mayA2signalA2aA2car
diacA2problem
3
TakingA2noA2specificA2action,A2becauseA2circumoralA2pallorA2isA2aA2commonA2findingA2forA
2theA2firstA272A2toA296A2hours
4
NotifyingA2theA2healthA2careA2provider,A2becauseA2cyanosisA2usuallyA2accompaniesA2incr
easedA2intracranialA2pressure

, CardiacA2pathologyA2canA2beA2detectedA2atA2anA2earlyA2age,A2andA2circumoralA2pallorA2m
ayA2beA2aA2sign.A2CircumoralA2pallorA2isA2notA2expectedA2inA2aA2healthyA2newborn,A2orA2in
A2aA2personA2ofA2anyA2age.A2CyanosisA2doesA2notA2indicateA2increasedA2intracranialA2pres
sure.

AA2nursingA2instructorA2providesA2educationA2forA2theA2studentsA2onA2thermoregulationA2i
nA2theA2nursery.A2WhatA2doA2theA2studentsA2determineA2producesA2heatA2inA2theA2healthy
A2full-termA2neonate?A2-A2Ans--1
ShiveringA2whenA2chilled
A2Correct2
MetabolismA2ofA2brownA2fat
Incorrect3
OxidizationA2ofA2fattyA2acids
4
IncreasedA2muscularA2activity

MetabolismA2ofA2brownA2fatA2releasesA2energyA2andA2increasesA2heatA2productionA2inA2th
eA2newborn.A2FattyA2acidsA2areA2by-
productsA2ofA2theA2breakdownA2ofA2brownA2fat.A2ShiveringA2isA2theA2mechanismA2ofA2heat
A2productionA2forA2anA2adult,A2notA2forA2aA2newborn.A2IncreasedA2muscularA2activityA2willA2
notA2beA2successfulA2unlessA2thereA2isA2anA2abundanceA2ofA2brownA2fat.

AA2newbornA2isA2admittedA2toA2theA2neonatalA2intensiveA2careA2unitA2withA2aA2myelomenin
goceleA2locatedA2atA2theA2fourthA2lumbarA2vertebraA2(L4).A2WhatA2isA2theA2priorityA2nursin
gA2interventionA2whileA2theA2infantA2isA2awaitingA2surgery?A2-A2Ans--1
IncreasingA2nutritionalA2intake
Incorrect2
PromotingA2sensoryA2stimulation
A2Correct3
ProvidingA2meticulousA2skinA2care
4
PerformingA2range-of-motionA2exercises

SkinA2careA2isA2essentialA2toA2preventA2ruptureA2ofA2theA2sacA2andA2subsequentA2infection
.A2ThereA2isA2noA2needA2toA2increaseA2nutrition;A2thereA2areA2noA2dataA2toA2confirmA2thatA2t
heA2infantA2isA2malnourished.A2AlthoughA2sensoryA2stimulationA2isA2important,A2itA2isA2notA
2theA2priority.A2ExercisesA2areA2notA2indicatedA2atA2thisA2time;A2theyA2mayA2beA2implement
edA2afterA2surgery.

AA2small-for-gestational-
ageA2(SGA)A2newbornA2hasA2justA2beenA2admittedA2toA2theA2nursery.A2NursingA2assessm
entA2revealsA2aA2high-
pitchedA2cry,A2jitteriness,A2andA2irregularA2respirations.A2WithA2whichA2conditionA2areA2the
seA2signsA2associated?A2-A2Ans--Incorrect1
Hypervolemia
A2Correct2