2025 HESI Maternity OB Version 5 Exam
Questions and Verified Rationalized Answers,
100% Guarantee Pass A+ Grade
With Multiple Choice Questions and Answers
1. A couple arrives at the newborn nursery asking to take their newborn grandson to
his mother's room. What is the best response by the nurse?: 1 "I'll get your grandchild.
You must be very excited."
Correct2
"Please go on to see your daughter. I'll bring the baby to her room." 3
"Show me your identification. I need to see it before I can give you the baby." 4
"Only the mother can ask for the baby. Have her call us to bring the baby to her."
Telling the couple that the baby will be brought to the client's room maintains the nurse's
legal responsibility of providing for the infant's safety while still promoting a positive
interaction with the client's family. Giving the infant to another person without the mother's
knowledge or consent is illegal. Legally the nurse may not give the infant to the grandparents.
Although insisting that only the mother can ask for the infant may follow legal policy, it is an
abrupt nontherapeutic response to the grandparents.
2. The nurse is caring for a 1-hour-old newborn. Which assessment character- istics
represent a preterm gestational age?: Correct1
Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: absent; lanugo:
abundant
2
Skin: parchment/wrinkled; breasts: flat areolae, no buds; plantar creases: cover entire sole;
lanugo: absent
3
Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: covering the entire sol
,lanugo: abundant
4
Skin: cracking/few veins; breasts: raised areolae (3- to 4-mm buds); plantar creases: covering
the anterior two thirds of the sole; lanugo: thinning
The characteristics of preterm, term, and postterm gestational age are based on
assessments of physical maturity such as the Ballard or Dubowitz assessment. A preterm
infant's skin is translucent, with many visible veins. A term infant has some cracking of the
skin and some visible veins, depending on gestational age. Term
is any gestation after 38 weeks; veins are less visible at 40 weeks' gestation. The postterm
infant typically has dry, leathery, parchmentlike skin with numerous deep wrinkles. The
areolae of a preterm infant are flat, without buds, and they become more raised during
development, averaging 3 to 4 mm at term and 5 to 10 mm
in the postterm infant. The plantar creases develop on the foot during gestation,
,beginning smooth, then covering two thirds at term, and finally covering the entire sole after
term. Lanugo is the fine downy hair that diminishes as the infant develops gestationally.
3. A newborn is found to have a diaphragmatic hernia. What is the immediate
intervention after the neonate is admitted to the neonatal intensive care unit?:
Hydrating the infant with isotonic enemas
2
Limiting formula feedings to small amounts 3
Placing the infant in the Trendelenburg position Correct4
Providing gastric decompression via nasogastric tube
When a diaphragmatic hernia is present, intra-abdominal pressure must be min- imized;
this is accomplished with the use of gastric decompression. Hydrating the infant with
isotonic enemas is not beneficial. These infants are not fed orally;
intravenous fluids are given with careful measurement of electrolytes and intake and output
to guide replacement therapy. The Trendelenburg position is contraindicated; the abdominal
organs will increase pressure on the diaphragm.
4. A client gives birth to a full-term male with an 8/9 Apgar score. What should the
immediate nursing care of this newborn include?: Correct1
Assessing respirations, keeping him warm, and identifying him 2
Applying an antibiotic to the eyes, administering vitamin K, and bathing him 3
Aspirating the oropharynx, rushing him to the nursery, and stimulating him often 4
Weighing him, placing him in a crib, and waiting until the mother is ready to hold him
Establishing a patent airway, diminishing cold stress, and identifying the newborn are the
priorities. Application of eye prophylaxis and administration of vitamin K are often delayed to
allow the parents to bond with the infant; a bath at this time will increase the risk of cold
stress. Aspirating the oropharynx, rushing him to the nursery, and stimulating him
frequently are measures appropriate for a compromised newborn; an 8/9 Apgar score is
indicative of a healthy newborn. Weighing him, placing him in a crib, and waiting until the
mother is ready to hold him are not the priority care for a newborn.
5. A new mother asks the nurse why her baby seems to have a bowel move- ment after
, every feeding. While preparing a response to explain why this is an
Questions and Verified Rationalized Answers,
100% Guarantee Pass A+ Grade
With Multiple Choice Questions and Answers
1. A couple arrives at the newborn nursery asking to take their newborn grandson to
his mother's room. What is the best response by the nurse?: 1 "I'll get your grandchild.
You must be very excited."
Correct2
"Please go on to see your daughter. I'll bring the baby to her room." 3
"Show me your identification. I need to see it before I can give you the baby." 4
"Only the mother can ask for the baby. Have her call us to bring the baby to her."
Telling the couple that the baby will be brought to the client's room maintains the nurse's
legal responsibility of providing for the infant's safety while still promoting a positive
interaction with the client's family. Giving the infant to another person without the mother's
knowledge or consent is illegal. Legally the nurse may not give the infant to the grandparents.
Although insisting that only the mother can ask for the infant may follow legal policy, it is an
abrupt nontherapeutic response to the grandparents.
2. The nurse is caring for a 1-hour-old newborn. Which assessment character- istics
represent a preterm gestational age?: Correct1
Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: absent; lanugo:
abundant
2
Skin: parchment/wrinkled; breasts: flat areolae, no buds; plantar creases: cover entire sole;
lanugo: absent
3
Skin: thin, veins visible; breasts: flat areolae, no buds; plantar creases: covering the entire sol
,lanugo: abundant
4
Skin: cracking/few veins; breasts: raised areolae (3- to 4-mm buds); plantar creases: covering
the anterior two thirds of the sole; lanugo: thinning
The characteristics of preterm, term, and postterm gestational age are based on
assessments of physical maturity such as the Ballard or Dubowitz assessment. A preterm
infant's skin is translucent, with many visible veins. A term infant has some cracking of the
skin and some visible veins, depending on gestational age. Term
is any gestation after 38 weeks; veins are less visible at 40 weeks' gestation. The postterm
infant typically has dry, leathery, parchmentlike skin with numerous deep wrinkles. The
areolae of a preterm infant are flat, without buds, and they become more raised during
development, averaging 3 to 4 mm at term and 5 to 10 mm
in the postterm infant. The plantar creases develop on the foot during gestation,
,beginning smooth, then covering two thirds at term, and finally covering the entire sole after
term. Lanugo is the fine downy hair that diminishes as the infant develops gestationally.
3. A newborn is found to have a diaphragmatic hernia. What is the immediate
intervention after the neonate is admitted to the neonatal intensive care unit?:
Hydrating the infant with isotonic enemas
2
Limiting formula feedings to small amounts 3
Placing the infant in the Trendelenburg position Correct4
Providing gastric decompression via nasogastric tube
When a diaphragmatic hernia is present, intra-abdominal pressure must be min- imized;
this is accomplished with the use of gastric decompression. Hydrating the infant with
isotonic enemas is not beneficial. These infants are not fed orally;
intravenous fluids are given with careful measurement of electrolytes and intake and output
to guide replacement therapy. The Trendelenburg position is contraindicated; the abdominal
organs will increase pressure on the diaphragm.
4. A client gives birth to a full-term male with an 8/9 Apgar score. What should the
immediate nursing care of this newborn include?: Correct1
Assessing respirations, keeping him warm, and identifying him 2
Applying an antibiotic to the eyes, administering vitamin K, and bathing him 3
Aspirating the oropharynx, rushing him to the nursery, and stimulating him often 4
Weighing him, placing him in a crib, and waiting until the mother is ready to hold him
Establishing a patent airway, diminishing cold stress, and identifying the newborn are the
priorities. Application of eye prophylaxis and administration of vitamin K are often delayed to
allow the parents to bond with the infant; a bath at this time will increase the risk of cold
stress. Aspirating the oropharynx, rushing him to the nursery, and stimulating him
frequently are measures appropriate for a compromised newborn; an 8/9 Apgar score is
indicative of a healthy newborn. Weighing him, placing him in a crib, and waiting until the
mother is ready to hold him are not the priority care for a newborn.
5. A new mother asks the nurse why her baby seems to have a bowel move- ment after
, every feeding. While preparing a response to explain why this is an
