HESI Obstetrics/Maternity
Which action should the nurse implement when caring for a newborn immediately after birth?
A. Keep the newborn's airway clear.
B. Foster parent-newborn attachment.
c. Administer eye prophylaxis and vitamin K.
d. Dry the newborn and wrapping in a blanket - ANS Dry the Newborn and wrapping a blanket
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and
her baby jumped in response to the noise. What information should the nurse provide?
This is a demonstration of the fetus's acoustical reflex.
The fetus can respond to sound by 24-weeks gestation.
It is a coincidence the fetus responded at the same time.
Report the fetus's behavior to the healthcare provider. - ANS A
The nurse on the postpartum unit receives report for 4 clients during change of shift. Which
client should the nurse assess for risk of postpartum hemorrhage (PPH)?
A primigravida who had a spontaneous birth of preterm twins.
A multigravida who delivered a 8 pound 2 ounce infant after an 8-hour labor.
A multiparous client receiving magnesium sulfate during induction for severe preeclampsia.
A primiparous client who had an emergency cesarean birth due to fetal distress. - ANS c
When assessing the integument of a 24-hour-old newborn, the nurse notes a pink papular rash
with superimposed vesicles on the thorax, back, and abdomen. What action should the nurse
implement next?
Notify the healthcare provider immediately.
Move the newborn to an isolation nursery.
Document the finding as erythema toxicum.
Obtain a culture from one of the vesicles. - ANS c
Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks
gestation?
Decrease in pulse rate.
Decrease in blood pressure.
Which action should the nurse implement when caring for a newborn immediately after birth?
A. Keep the newborn's airway clear.
B. Foster parent-newborn attachment.
c. Administer eye prophylaxis and vitamin K.
d. Dry the newborn and wrapping in a blanket - ANS Dry the Newborn and wrapping a blanket
A client at 25-weeks gestation tells the nurse that she dropped a cooking utensil last week and
her baby jumped in response to the noise. What information should the nurse provide?
This is a demonstration of the fetus's acoustical reflex.
The fetus can respond to sound by 24-weeks gestation.
It is a coincidence the fetus responded at the same time.
Report the fetus's behavior to the healthcare provider. - ANS A
The nurse on the postpartum unit receives report for 4 clients during change of shift. Which
client should the nurse assess for risk of postpartum hemorrhage (PPH)?
A primigravida who had a spontaneous birth of preterm twins.
A multigravida who delivered a 8 pound 2 ounce infant after an 8-hour labor.
A multiparous client receiving magnesium sulfate during induction for severe preeclampsia.
A primiparous client who had an emergency cesarean birth due to fetal distress. - ANS c
When assessing the integument of a 24-hour-old newborn, the nurse notes a pink papular rash
with superimposed vesicles on the thorax, back, and abdomen. What action should the nurse
implement next?
Notify the healthcare provider immediately.
Move the newborn to an isolation nursery.
Document the finding as erythema toxicum.
Obtain a culture from one of the vesicles. - ANS c
Which cardiovascular findings should the nurse assess further in a client who is at 20-weeks
gestation?
Decrease in pulse rate.
Decrease in blood pressure.
