MATERNITY/OB HESI PRACTICE
PART 1 EXAM WITH CORRECT
ANSWERS 2025
1. A primiparous woman has recently given birth to a term infant.
Priority teaching
for the client includes information on:
1. Sudden Infant Death Syndrome (SIDS).
2. Breast-feeding.
3. Infant bathing.
4. Infant sleep-wake cycles. correct answers >> 1. 2. Breast-
fed infants should eat within the first hour of life and
approximately
every 2 to 3 hours. Successful breast-feeding will likely require
sustained support,
encouragement, and instruction from the nurse. Information on
SIDS, infant bathing, and
sleep-wake cycles are also important topics for the new parent,
but can be done at any
time prior to discharge.
2. A newborn who is 20 hours old has a respiratory rate of 66, is
grunting when
,exhaling, and has occasional nasal flaring. The newborn's
temperature is 98°F (36.6°C);
he is breathing room air and is pink with acrocyanosis. The
mother had membranes that
were ruptured 26 hours before birth. Based on these data, the
nurse should include
which of the following in the management of the infant's care?
1. Continue recording vital signs, voiding, stooling, and eating
patterns every 4
hours.
2. Place a pulse oximeter and contact the primary health care
provider for a
prescription to draw blood cultures.
3. Arrange a transfer to the neonatal intensive care unit with
diagnosis of possible
sepsis.
4. Draw a complete blood count (CBC) with differential and feed
the infant. correct answers >> 2. 2. The concern with this
infant is sepsis based on prolonged rupture of
membranes before birth. Blood cultures would provide an
accurate diagnosis of sepsis,
but will take 48 hours from the time drawn. Frequent monitoring
of infant vital signs,
looking for changes, and maintaining contact with the parents is
also part of care
management while awaiting culture results. Continuing with vital
signs, voiding,
stooling, and eating every 4 hours is the standard of care for a
normal newborn, but a
,respiratory rate greater than 60, grunting, and occasional flaring
are not normal.
Although not normal, the need for the intensive care unit is not
warranted as newborns
with sepsis can be treated with antibiotics at the maternal
bedside. The CBC does not
establish the diagnosis of sepsis but the changes in the WBC
levels can identify an infant
at risk. Many experts suggest that waiting until an infant is 6 to
12 hours old to draw a
CBC will give the most accurate results.
3. A neonate is born by primary cesarean section at 36 weeks'
gestation. The
temperature in the birthing room is 70°F (21.1°C). To prevent
heat loss from
convection, which action should the nurse take?
1. Dry the neonate quickly after birth.
2. Keep the neonate away from air conditioning vents.
3. Place the neonate away from outside windows.
4. Prewarm the bed. correct answers >> 3. 2. The neonate
should be kept away from drafts, such as from air conditioning
vents, which may cause heat loss by convection. Evaporation is
one of the most common
mechanisms by which the neonate will lose heat, such as when
the moisture on the
newly born neonate's body is converted to vapor. Radiation is
heat loss between solid
, objects that are not in contact with one another such as walls and
windows. Conduction
is when heat is transferred between solid objects in contact with
one another, such as
when a neonate comes in contact with a cold mattress or scale.
4. Prewarm the bed.
The primary health care provider prescribes ampicillin 100
mg/kg/dose for a newly
admitted neonate. The neonate weighs 1,350 g. How many
milligrams should the nurse
administer?
_______________ mg. correct answers >> 4. 135 mg
The recommended dose of ampicillin for a neonate is 100
mg/kg/dose. First,
determine the neonate's weight in kilograms, and then multiply
the kilograms by 100 mg.
The nurse should use this formula:
5. A neonate born at 30 weeks' gestation and weighing 2,000 g is
admitted to the
neonatal intensive care unit. What nursing measure will decrease
insensible water loss
in a neonate?
1. Bathing the baby as soon after birth as possible.
2. Use of eye patches with phototherapy.
3. Use of humidity in the incubator.
PART 1 EXAM WITH CORRECT
ANSWERS 2025
1. A primiparous woman has recently given birth to a term infant.
Priority teaching
for the client includes information on:
1. Sudden Infant Death Syndrome (SIDS).
2. Breast-feeding.
3. Infant bathing.
4. Infant sleep-wake cycles. correct answers >> 1. 2. Breast-
fed infants should eat within the first hour of life and
approximately
every 2 to 3 hours. Successful breast-feeding will likely require
sustained support,
encouragement, and instruction from the nurse. Information on
SIDS, infant bathing, and
sleep-wake cycles are also important topics for the new parent,
but can be done at any
time prior to discharge.
2. A newborn who is 20 hours old has a respiratory rate of 66, is
grunting when
,exhaling, and has occasional nasal flaring. The newborn's
temperature is 98°F (36.6°C);
he is breathing room air and is pink with acrocyanosis. The
mother had membranes that
were ruptured 26 hours before birth. Based on these data, the
nurse should include
which of the following in the management of the infant's care?
1. Continue recording vital signs, voiding, stooling, and eating
patterns every 4
hours.
2. Place a pulse oximeter and contact the primary health care
provider for a
prescription to draw blood cultures.
3. Arrange a transfer to the neonatal intensive care unit with
diagnosis of possible
sepsis.
4. Draw a complete blood count (CBC) with differential and feed
the infant. correct answers >> 2. 2. The concern with this
infant is sepsis based on prolonged rupture of
membranes before birth. Blood cultures would provide an
accurate diagnosis of sepsis,
but will take 48 hours from the time drawn. Frequent monitoring
of infant vital signs,
looking for changes, and maintaining contact with the parents is
also part of care
management while awaiting culture results. Continuing with vital
signs, voiding,
stooling, and eating every 4 hours is the standard of care for a
normal newborn, but a
,respiratory rate greater than 60, grunting, and occasional flaring
are not normal.
Although not normal, the need for the intensive care unit is not
warranted as newborns
with sepsis can be treated with antibiotics at the maternal
bedside. The CBC does not
establish the diagnosis of sepsis but the changes in the WBC
levels can identify an infant
at risk. Many experts suggest that waiting until an infant is 6 to
12 hours old to draw a
CBC will give the most accurate results.
3. A neonate is born by primary cesarean section at 36 weeks'
gestation. The
temperature in the birthing room is 70°F (21.1°C). To prevent
heat loss from
convection, which action should the nurse take?
1. Dry the neonate quickly after birth.
2. Keep the neonate away from air conditioning vents.
3. Place the neonate away from outside windows.
4. Prewarm the bed. correct answers >> 3. 2. The neonate
should be kept away from drafts, such as from air conditioning
vents, which may cause heat loss by convection. Evaporation is
one of the most common
mechanisms by which the neonate will lose heat, such as when
the moisture on the
newly born neonate's body is converted to vapor. Radiation is
heat loss between solid
, objects that are not in contact with one another such as walls and
windows. Conduction
is when heat is transferred between solid objects in contact with
one another, such as
when a neonate comes in contact with a cold mattress or scale.
4. Prewarm the bed.
The primary health care provider prescribes ampicillin 100
mg/kg/dose for a newly
admitted neonate. The neonate weighs 1,350 g. How many
milligrams should the nurse
administer?
_______________ mg. correct answers >> 4. 135 mg
The recommended dose of ampicillin for a neonate is 100
mg/kg/dose. First,
determine the neonate's weight in kilograms, and then multiply
the kilograms by 100 mg.
The nurse should use this formula:
5. A neonate born at 30 weeks' gestation and weighing 2,000 g is
admitted to the
neonatal intensive care unit. What nursing measure will decrease
insensible water loss
in a neonate?
1. Bathing the baby as soon after birth as possible.
2. Use of eye patches with phototherapy.
3. Use of humidity in the incubator.
