HESI MATERNAL NEWBORN 2025 Questions & answers with complete solution
Which nursing interventions help prevent heat loss in newborns? Select all that apply.
A. The nurse keeps the newborn covered in warm blankets.
B. The nurse keeps the newborn under the radiant warmer.
C. The nurse places the newborn on the mother's abdomen.
D. The nurse measures the newborn's temperature regularly.
E. The nurse encrouages the mother to feed the newborn well to maintain the fluid balance. -
(answer)Correct Answers: A, B, C
Rationale: Newborns have impaired thermoregulation due to immaturity of the body systems. The nurse
performs interventions to prevent heat loss in the newborn. Covering the newborn with warm blankets
helps prevent heat loss. The nurse keeps the newborn under the radiant warmer to help maintain the
body temperature. Placing the newborn on the mother's abdomen helps promote warmth through skin-
to-skin contact. Regular measurement of body temperature may help in assessing any significant
change; however, it may not help prevent heat loss. Ensuring that the newborn is fed well does not
prevent heat loss.
Which nursing action promotes psychosocial development for a newborn?
A. Washing hands before holding the newborn.
B. Measuring the newborn using an approved length board.
C. Weighing the newborn on the same scale during hospitalization.
D. Placing the newborn in the mother's arms during the first hour of life - (answer)Correct answer: D
Rationale: Placing a newborn in the mother's arms for the first hour of life is a nursing action that
promotes psychosocial development in the form of bonding with his/her mother. Washing hands before
holding the newborn is hospital policy and promotes infection prevention and control. Measuring the
newborn's length using an approved length board and weighing the newborn on the same scale each
day during hospitalization allow the nurse to assess newborn growth.
Which is the range of heart rate for a healthy, alert neonate?
A. 120 to 180 beats/min
B. 130 to 170 beats/min
, HESI MATERNAL NEWBORN 2025 Questions & answers with complete solution
C. 110 to 160 beats/min
D. 100 to 130 beats/min - (answer)Correct answer: C
Rationale: The newborn's heart rate varies with activity; crying can increase it to 180 beats/min,
whereas deep sleep may lower it to 80 to 100 beats/min; a rate between 110 and 160 beats/min is the
average. A heart rate in an alert, non-crying newborn that is faster than 160 beats/min constitutes
tachycardia. The heart rate of an alert, non-crying newborn that is slower than 110 beats bee minute
constitutes bradycardia.
Which behavior would the nurse expect of a newborn approximately 1 hour after birth?
A. crying and cranky
B. hyperresponsive to stimuli
C. relaxed and sleeping quietly
D. intensely alert with eyes wide open - (answer)Correct answer: C
Rationale: It is expected that a newborn will enter a sleep about 30 minutes after birth. After the initial
cry, the baby will settle down and become quiet and alert. Hyperresponsiveness to stimuli occurs after
the first sleep. Intense alertness with eyes wide open occurs during the first period of reactivity.
After a spontaneous vaginal birth, the nurse's first actions are clearing the airway and stimulating the
newborn to cry. Which nursing intervention would be implemented next?
A. checking the heart rate
B. administering oxygen by mask
C. performing a complete physical assessment
D. placing the infant in skin-to-skin contact with the mother - (answer)Correct Answer: D.
Rationale: Once the airway has been cleared, the nurse would first dry and place the newborn in a warm
environment; skin-to-skin contact with the mother is the best strategy for preventing chilling. Checking
the heart rate is done alter during the newborn assessment. There are no data to indicate that the
newborn requires oxygen. The physical assessment is not the priority at this time; conserving body heat
takes precedence.
Which nursing interventions help prevent heat loss in newborns? Select all that apply.
A. The nurse keeps the newborn covered in warm blankets.
B. The nurse keeps the newborn under the radiant warmer.
C. The nurse places the newborn on the mother's abdomen.
D. The nurse measures the newborn's temperature regularly.
E. The nurse encrouages the mother to feed the newborn well to maintain the fluid balance. -
(answer)Correct Answers: A, B, C
Rationale: Newborns have impaired thermoregulation due to immaturity of the body systems. The nurse
performs interventions to prevent heat loss in the newborn. Covering the newborn with warm blankets
helps prevent heat loss. The nurse keeps the newborn under the radiant warmer to help maintain the
body temperature. Placing the newborn on the mother's abdomen helps promote warmth through skin-
to-skin contact. Regular measurement of body temperature may help in assessing any significant
change; however, it may not help prevent heat loss. Ensuring that the newborn is fed well does not
prevent heat loss.
Which nursing action promotes psychosocial development for a newborn?
A. Washing hands before holding the newborn.
B. Measuring the newborn using an approved length board.
C. Weighing the newborn on the same scale during hospitalization.
D. Placing the newborn in the mother's arms during the first hour of life - (answer)Correct answer: D
Rationale: Placing a newborn in the mother's arms for the first hour of life is a nursing action that
promotes psychosocial development in the form of bonding with his/her mother. Washing hands before
holding the newborn is hospital policy and promotes infection prevention and control. Measuring the
newborn's length using an approved length board and weighing the newborn on the same scale each
day during hospitalization allow the nurse to assess newborn growth.
Which is the range of heart rate for a healthy, alert neonate?
A. 120 to 180 beats/min
B. 130 to 170 beats/min
, HESI MATERNAL NEWBORN 2025 Questions & answers with complete solution
C. 110 to 160 beats/min
D. 100 to 130 beats/min - (answer)Correct answer: C
Rationale: The newborn's heart rate varies with activity; crying can increase it to 180 beats/min,
whereas deep sleep may lower it to 80 to 100 beats/min; a rate between 110 and 160 beats/min is the
average. A heart rate in an alert, non-crying newborn that is faster than 160 beats/min constitutes
tachycardia. The heart rate of an alert, non-crying newborn that is slower than 110 beats bee minute
constitutes bradycardia.
Which behavior would the nurse expect of a newborn approximately 1 hour after birth?
A. crying and cranky
B. hyperresponsive to stimuli
C. relaxed and sleeping quietly
D. intensely alert with eyes wide open - (answer)Correct answer: C
Rationale: It is expected that a newborn will enter a sleep about 30 minutes after birth. After the initial
cry, the baby will settle down and become quiet and alert. Hyperresponsiveness to stimuli occurs after
the first sleep. Intense alertness with eyes wide open occurs during the first period of reactivity.
After a spontaneous vaginal birth, the nurse's first actions are clearing the airway and stimulating the
newborn to cry. Which nursing intervention would be implemented next?
A. checking the heart rate
B. administering oxygen by mask
C. performing a complete physical assessment
D. placing the infant in skin-to-skin contact with the mother - (answer)Correct Answer: D.
Rationale: Once the airway has been cleared, the nurse would first dry and place the newborn in a warm
environment; skin-to-skin contact with the mother is the best strategy for preventing chilling. Checking
the heart rate is done alter during the newborn assessment. There are no data to indicate that the
newborn requires oxygen. The physical assessment is not the priority at this time; conserving body heat
takes precedence.
