HESI OB MATERNITY QUESTIONS & ANSWERS Version 1 (V1) ACTUAL EXAM LATEST UPDATE 2024

1. Prior to discharging a 24-hour-old newborn, the nurse assesses the newborn's respiratory status. What would the nurse expect to assess? A. respiratory rate 45 breaths/minute, irregular B. costal breathing pattern C. nasal flaring, rate 65 breaths/minute D. crackles on auscultation Answer: A Rationale: Typically, respirations in a 24-hour-old newborn are symmetric, slightly irregular, shallow, and unlabored at a rate of 30 to 60 breaths/minute. The breathing pattern a/treislty diaphragmatic. Nasal flaring, rates above 60 breaths per minute, and crackles suggest a problem. Question format: Multiple Choice Chapter 18: Nursing Management of the Newborn Cognitive Level: Apply Client Needs: Health Promotion and Maintenance Reference: p. 592 2. The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason? A. to aid in maturing the newborn's sucking reflex B. to encourage the development of maternal antibodies C. to facilitate maternal–infant bonding D. to enhance the clearing of the newborn's respiratory passages Answer: C Rationale: Breastfeeding can be initiated immediately after birth. This immediate maboi rtbh. ceorm–/test newborn contact takes advantage of the newborn's natural alertness and fosters bonding. This contact also reduces maternal bleeding and stabilizes the newborn's temperature, blood glucose level, and respiratory rate. It is not associated with maturing the sucking reflex, encouraging the development of maternal antibodies, or aiding in clearing of the newborn's respirataobri oams/st easgt es. Question format: Multiple Choice Chapter 18: Nursing Management of the Newborn Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Reference: p. 622 3. When making a home visit, the nurse observes a newborn sleeping on his back inabiar s/ tienset t. In one corner of the bassinet is some soft bedding material, and at the other end is a bulb syringe. The nurse determines that the mother needs additional teaching for which reason? lOMoARcPSD| A. The newborn should not be sleeping on his back. B. Soft bedding material should not be in areas where infants sleep. C. The bulb syringe should not be kept in the bassinet. D. This newborn should be sleeping in a crib. Answer: B Rationale: The nurse should instruct the mother to remove all fluffy bedding, quilts, stuffed animals, and pillows from the crib to prevent suffocation. Newborns and infants on their backs to sleep. Having the bulb syringe nearby in the bassinet is appropriate. Although a crib is the safest sleeping location, a bassinet is appropriate initially. Question format: Multiple Choice Chapter 18: Nursing Management of the Newborn Cognitive Level: Analyze Client Needs: Safe, Effective Care Environment: Safety and Infection Control Reference: p. 613