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FORTIS-PN-MATERNITY HESI PRACTICE EXAM
[LATEST UPDATED VERSION]
A father expresses concern that his 3-day-old infant looks "yellow." Which
information should the practical nurse (PN) provide?
1. This yellow skin condition is the result of hepatic insufficiency.
2. Normal signs of jaundice occur during the first 24 hours of life.
3. Blood incompatibilities between mother and infant blood are common.
4. Physiologic jaundice occurs from a normal reduction in red blood cells. -
ANSWER 4. Physiologic jaundice occurs from a normal reduction in red blood
cells.
Physiologic jaundice in the newborn is observed when an increase in indirect
bilirubin levels peak (maximum serum levels of 5 to 6 mg/dl) between 2 to 4 days
of age due to an immature newborn liver. Physiologic jaundice results in newborns
due to the rapid lysis of red blood cells (RBCs) after birth (D). (A, B, and C) are
inaccurate.
A primiparous client asks the practical nurse (PN) how much her newborn baby
boy should sleep every day. What information should the PN provide?
1. A primiparous client asks the practical nurse (PN) how much her newborn baby
boy should sleep every day. What information should the PN provide?
2. Keep the baby awake during the daytime so he sleeps through the night.
3. A newborn sleeps most of the day and gradually will have increasing periods of
wakefulness.
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4. Expect your baby to follow your sleep and wake patterns once you establish a
pattern at home. - ANSWER 3. Newborn sleeps most of the day and gradually will
have increasing periods of wakefulness.
The first 6 weeks of life involve a steady decrease in the newborn's sleep time,
beginning with approximately 17 hours of sleep a day that progresses to
increasing periods of wakefulness (C) as the need for socializing appears. (A, B,
and D) are not expectations for the normal sleep patterns of a newborn.
A primigravida client asks the practical nurse (PN), "How will I know that I will be
going into labor soon?" Which sign should the PN provide that is a common sign?
1. Burst of energy.
2. Urinary retention.
3. Increase in fundal height.
4. Weight gain of 1.5 to 2 kg. - ANSWER 1. Burst of energy.
Common information that woman often experience with impending labor is a
burst of energy (A). Urinary frequency, not (B), and a decrease in fundal height,
not (C), occur as the fetus drops into the pelvis with the onset of labor. (D) is not a
sign of impending labor.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement?
1. Document the finding in the medical record.
2. Retake the weight after calibrating the scale.
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3. Notify the healthcare provider.
4. Obtain a 24-hour dietary recall. - ANSWER 1. Document the finding in the
medical record.
During pregnancy a client should gain between 25 to 35 pounds. The
recommended weight gain during the first trimester is 3 pounds and
approximately 1 pound/week for the remainder of the pregnancy. This finding is
within the recommended weight gain and should be recorded in the client's
medical record (A). (B, C, and D) are not indicated.
After repeating the vital signs for a newborn who is 4 hours old, the practical
nurse (PN) obtains an axillary temperature of 97.2 F and places the newborn
under a radiant heat warmer. Which additional finding should the PN observe in
the newborn?
1. Tremors of the hands during crying.
2. An increase in heart rate.
3. Flushing of the skin.
4. Respiratory depression. - ANSWER 1. Termors of the hands during crying.
Placing a newborn under a radiant heat warmer with a temperature that persists
below 98 F minimizes further manifestations of cold stress, which in the newborn
causes an increase in glucose utilization resulting in hypoglycemia. An early
indicator of cold stress is the presence of tremors of the hands, arms, and lips
when the newborn cries (A). (B and C) are objective indicators that the heat
source is effective. Cold stress causes an increased respiratory rate, not (D).
FORTIS-PN-MATERNITY HESI PRACTICE EXAM
[LATEST UPDATED VERSION]
A father expresses concern that his 3-day-old infant looks "yellow." Which
information should the practical nurse (PN) provide?
1. This yellow skin condition is the result of hepatic insufficiency.
2. Normal signs of jaundice occur during the first 24 hours of life.
3. Blood incompatibilities between mother and infant blood are common.
4. Physiologic jaundice occurs from a normal reduction in red blood cells. -
ANSWER 4. Physiologic jaundice occurs from a normal reduction in red blood
cells.
Physiologic jaundice in the newborn is observed when an increase in indirect
bilirubin levels peak (maximum serum levels of 5 to 6 mg/dl) between 2 to 4 days
of age due to an immature newborn liver. Physiologic jaundice results in newborns
due to the rapid lysis of red blood cells (RBCs) after birth (D). (A, B, and C) are
inaccurate.
A primiparous client asks the practical nurse (PN) how much her newborn baby
boy should sleep every day. What information should the PN provide?
1. A primiparous client asks the practical nurse (PN) how much her newborn baby
boy should sleep every day. What information should the PN provide?
2. Keep the baby awake during the daytime so he sleeps through the night.
3. A newborn sleeps most of the day and gradually will have increasing periods of
wakefulness.
,2|Page
4. Expect your baby to follow your sleep and wake patterns once you establish a
pattern at home. - ANSWER 3. Newborn sleeps most of the day and gradually will
have increasing periods of wakefulness.
The first 6 weeks of life involve a steady decrease in the newborn's sleep time,
beginning with approximately 17 hours of sleep a day that progresses to
increasing periods of wakefulness (C) as the need for socializing appears. (A, B,
and D) are not expectations for the normal sleep patterns of a newborn.
A primigravida client asks the practical nurse (PN), "How will I know that I will be
going into labor soon?" Which sign should the PN provide that is a common sign?
1. Burst of energy.
2. Urinary retention.
3. Increase in fundal height.
4. Weight gain of 1.5 to 2 kg. - ANSWER 1. Burst of energy.
Common information that woman often experience with impending labor is a
burst of energy (A). Urinary frequency, not (B), and a decrease in fundal height,
not (C), occur as the fetus drops into the pelvis with the onset of labor. (D) is not a
sign of impending labor.
A 14-week gestational client, who weighed 125 pounds before pregnancy, comes
into the health clinic for a prenatal appointment. The client's weight today is 129
pounds. What action should the practical nurse (PN) implement?
1. Document the finding in the medical record.
2. Retake the weight after calibrating the scale.
, 3|Page
3. Notify the healthcare provider.
4. Obtain a 24-hour dietary recall. - ANSWER 1. Document the finding in the
medical record.
During pregnancy a client should gain between 25 to 35 pounds. The
recommended weight gain during the first trimester is 3 pounds and
approximately 1 pound/week for the remainder of the pregnancy. This finding is
within the recommended weight gain and should be recorded in the client's
medical record (A). (B, C, and D) are not indicated.
After repeating the vital signs for a newborn who is 4 hours old, the practical
nurse (PN) obtains an axillary temperature of 97.2 F and places the newborn
under a radiant heat warmer. Which additional finding should the PN observe in
the newborn?
1. Tremors of the hands during crying.
2. An increase in heart rate.
3. Flushing of the skin.
4. Respiratory depression. - ANSWER 1. Termors of the hands during crying.
Placing a newborn under a radiant heat warmer with a temperature that persists
below 98 F minimizes further manifestations of cold stress, which in the newborn
causes an increase in glucose utilization resulting in hypoglycemia. An early
indicator of cold stress is the presence of tremors of the hands, arms, and lips
when the newborn cries (A). (B and C) are objective indicators that the heat
source is effective. Cold stress causes an increased respiratory rate, not (D).
