Maternity HESI Assignment Exam
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Which answer would the nurse give to a client who asks what is the common
cause of a spontaneous abortion?
- physical trauma.
- unresolved stress.
- congenital defects.
- embryonic defects. - ANSWER ✓ embryonic defects
Which nursing action is the priority for a breastfeeding postpartum client
receiving an infusion of magnesium sulfate during the immediate postpartum
period?
- monitoring oral intake.
- monitoring urinary output.
- observing amount of lochia.
- assessing breastfeeding technique. - ANSWER ✓ observing amount of lochia
which condition is correlated with a positive Babinski sign in a newborn infant?
- hypoxia during labor.
- neurological injury during birth.
- hyperreflexia of the muscular system.
- immaturity of the CNS. - ANSWER ✓ immaturity of the CNS
which complication is caused by a rising reticulocyte count in a newborn?
- bacterial infection.
- significant jaundice.
,- aplastic anemia.
- adequate oxygenation - ANSWER ✓ significant jaundice
Which newborn assessment finding would be the most concerning?
- mottling.
- mongolian spot.
- erythema toxicum.
- generalized petechiae - ANSWER ✓ generalized petechiae
Which mechanisms does a newborn use to maintain their body temperature?
SATA.
- flexed fetal position.
- hepatic insulin stores.
- brown fat metabolism.
- peripheral vasoconstriction.
- parasympathetic nervous system. - ANSWER ✓ flexed fetal position, brown fat
metabolism, peripheral vasoconstriction
Which statement made by a future parent indicates effective teaching?
- my mother has already made the cutest pillowcases for the baby's pillows.
- I just bought a new baby seat that can be strapped into the front seat of the car.
- my mother can't believe that babies are supposed to sleep on their backs, not their
stomachs.
- at my shower I was given a baby tub with a special strap that lets me leave the
baby alone in it. - ANSWER ✓ My mother can't believe that babies are supposed
to sleep on their backs, not their stomachs
which is the first concern the nurse anticipates for the mother of a preterm
newborn in the NICU?
- fear of touching the infant.
- failure to bond with the infant.
- inability to provide breast milk for the infant.
- anxiety that the father may not accept the infant. - ANSWER ✓ fear of touching
the infant
,which sign does not reflect opioid withdrawal in neonates?
- hypoactivity.
- frequent sneezing.
- high pitched cry.
- diminished moro reflex. - ANSWER ✓ hypoactivity
A newborn has an Apgar score of 3 at one minuet after birth. Which is the
immediate nursing action in response to this Apgar score?
- start resuscitation.
- administer oxygen.
- place in a heated crib.
- stimulate by tapping the toes. - ANSWER ✓ start resuscitation
The parents of a preterm infant are preparing to take their baby home. How would
the nuse best evaluate the parents' competency in infant care?
- ask the parents what they plan to do at home.
- determine the rationales behind the parents' actions.
- observe the parents while they are giving care to their infant
- demonstrate care before having the parents give a return demonstration -
ANSWER ✓ observe the parents while they are giving care to their infant
When caring for a newly delivered newborn with a HR of 76 and gasping, which
priority action would the nuse take?
- attempt to clear the airway.
- initiate chest compressions.
- prepare to assist with intubation.
- initiate positive pressure ventilation - ANSWER ✓ initiate positive pressure
ventilation
A newborn experiences a hypothermic period while being bathed and changed.
Once the episode has been identified and treated, which is teh next action?
- feeding the infant.
- requesting a CBC.
- monitoring the infant for hyperthermia.
, - allow the infant to rest undisturbed. - ANSWER ✓ feeding the infant
When the nurse is performing a newborn assessment, which finding indicates the
need for follow-up care?
- presence of the Babinski reflex.
- a head circumference of 33 cm.
- an umbilical cord containing three vessels.
- 30 degree abduction of the infant's hips - ANSWER ✓ 30 degree abduction of the
infant's hips
Which sign would the nuse report to the pediatric PHCP?
- temperature of 97.7F.
- pale pink to rust-colored stain in the diaper.
- HR that decreases to 115 bpm.
- breathing pattern with recurrent sternal retractions - ANSWER ✓ breathing
pattern with recurrent sternal retractions
While changing a newborn girl's diaper the nurse observes a brick-red stain on the
diaper. How would the nurse interpret this clinical finding?
- a sign of low iron excretion.
- an uncommon benign occurrence.
- an expected finding in female newborns.
- the result of a medication administered during labor - ANSWER ✓ an uncommon
benign occurrence
an SGA infant has just been admitted to the nursery. Assessment reveals a high-
pitched cry, jitteriness, and irregular respirations. Which condition is the nurse
concerned with regarding these manifestations?
- hypervolemia.
- hypoglycemia.
- hypercalcemia.
- hypothyroidism. - ANSWER ✓ hypoglycemia
Which clinical manifestation of withdrawal will *not* be found in a newborn
exposed to opioids prenatally?
Questions with Correct
Solutions||100% Guaranteed
Pass||Already Graded
A+||<<BRAND NEW VERSION>>
Which answer would the nurse give to a client who asks what is the common
cause of a spontaneous abortion?
- physical trauma.
- unresolved stress.
- congenital defects.
- embryonic defects. - ANSWER ✓ embryonic defects
Which nursing action is the priority for a breastfeeding postpartum client
receiving an infusion of magnesium sulfate during the immediate postpartum
period?
- monitoring oral intake.
- monitoring urinary output.
- observing amount of lochia.
- assessing breastfeeding technique. - ANSWER ✓ observing amount of lochia
which condition is correlated with a positive Babinski sign in a newborn infant?
- hypoxia during labor.
- neurological injury during birth.
- hyperreflexia of the muscular system.
- immaturity of the CNS. - ANSWER ✓ immaturity of the CNS
which complication is caused by a rising reticulocyte count in a newborn?
- bacterial infection.
- significant jaundice.
,- aplastic anemia.
- adequate oxygenation - ANSWER ✓ significant jaundice
Which newborn assessment finding would be the most concerning?
- mottling.
- mongolian spot.
- erythema toxicum.
- generalized petechiae - ANSWER ✓ generalized petechiae
Which mechanisms does a newborn use to maintain their body temperature?
SATA.
- flexed fetal position.
- hepatic insulin stores.
- brown fat metabolism.
- peripheral vasoconstriction.
- parasympathetic nervous system. - ANSWER ✓ flexed fetal position, brown fat
metabolism, peripheral vasoconstriction
Which statement made by a future parent indicates effective teaching?
- my mother has already made the cutest pillowcases for the baby's pillows.
- I just bought a new baby seat that can be strapped into the front seat of the car.
- my mother can't believe that babies are supposed to sleep on their backs, not their
stomachs.
- at my shower I was given a baby tub with a special strap that lets me leave the
baby alone in it. - ANSWER ✓ My mother can't believe that babies are supposed
to sleep on their backs, not their stomachs
which is the first concern the nurse anticipates for the mother of a preterm
newborn in the NICU?
- fear of touching the infant.
- failure to bond with the infant.
- inability to provide breast milk for the infant.
- anxiety that the father may not accept the infant. - ANSWER ✓ fear of touching
the infant
,which sign does not reflect opioid withdrawal in neonates?
- hypoactivity.
- frequent sneezing.
- high pitched cry.
- diminished moro reflex. - ANSWER ✓ hypoactivity
A newborn has an Apgar score of 3 at one minuet after birth. Which is the
immediate nursing action in response to this Apgar score?
- start resuscitation.
- administer oxygen.
- place in a heated crib.
- stimulate by tapping the toes. - ANSWER ✓ start resuscitation
The parents of a preterm infant are preparing to take their baby home. How would
the nuse best evaluate the parents' competency in infant care?
- ask the parents what they plan to do at home.
- determine the rationales behind the parents' actions.
- observe the parents while they are giving care to their infant
- demonstrate care before having the parents give a return demonstration -
ANSWER ✓ observe the parents while they are giving care to their infant
When caring for a newly delivered newborn with a HR of 76 and gasping, which
priority action would the nuse take?
- attempt to clear the airway.
- initiate chest compressions.
- prepare to assist with intubation.
- initiate positive pressure ventilation - ANSWER ✓ initiate positive pressure
ventilation
A newborn experiences a hypothermic period while being bathed and changed.
Once the episode has been identified and treated, which is teh next action?
- feeding the infant.
- requesting a CBC.
- monitoring the infant for hyperthermia.
, - allow the infant to rest undisturbed. - ANSWER ✓ feeding the infant
When the nurse is performing a newborn assessment, which finding indicates the
need for follow-up care?
- presence of the Babinski reflex.
- a head circumference of 33 cm.
- an umbilical cord containing three vessels.
- 30 degree abduction of the infant's hips - ANSWER ✓ 30 degree abduction of the
infant's hips
Which sign would the nuse report to the pediatric PHCP?
- temperature of 97.7F.
- pale pink to rust-colored stain in the diaper.
- HR that decreases to 115 bpm.
- breathing pattern with recurrent sternal retractions - ANSWER ✓ breathing
pattern with recurrent sternal retractions
While changing a newborn girl's diaper the nurse observes a brick-red stain on the
diaper. How would the nurse interpret this clinical finding?
- a sign of low iron excretion.
- an uncommon benign occurrence.
- an expected finding in female newborns.
- the result of a medication administered during labor - ANSWER ✓ an uncommon
benign occurrence
an SGA infant has just been admitted to the nursery. Assessment reveals a high-
pitched cry, jitteriness, and irregular respirations. Which condition is the nurse
concerned with regarding these manifestations?
- hypervolemia.
- hypoglycemia.
- hypercalcemia.
- hypothyroidism. - ANSWER ✓ hypoglycemia
Which clinical manifestation of withdrawal will *not* be found in a newborn
exposed to opioids prenatally?
