ESTUDYR
HESI LPN–ADN MOBILITY EXAM MATERNAL–CHILD
NURSING (A+ GRADED 100% VERIFIED)
A patient with gestational diabetes has an important fetal outcome goal. Which is the
primary goal?
A. Prevent maternal weight gain
B. Prevent macrosomia and shoulder dystocia
C. Prevent maternal hypoglycemia only
D. Prevent delivery of a large-for-gestational-age (LGA) infant
Rationale: Tight maternal glucose control reduces fetal hyperinsulinemia and LGA risk,
decreasing birth trauma and neonatal complications.
The day after delivery a mother has a WBC of 15,000. What should you do?
A. Start antibiotics immediately
B. Do nothing — mild leukocytosis postpartum is expected
C. Notify the physician for sepsis workup
D. Order a repeat CBC and blood cultures
Rationale: WBC commonly rises postpartum (can reach ~25,000); moderate elevation without
other infection signs is often physiologic.
Where do you place the skin (probe) temperature sensor on an infant under an overhead
warmer?
A. Over the clavicle
B. On the abdomen (avoid over bone)
C. On the forehead
D. On the thigh bone
Rationale: Abdomen over abdomenal wall provides reliable core-surface approximation; avoid
bony areas which distort readings.
An 18–20 week ultrasound is primarily performed to:
A. Confirm fetal heartbeat only
B. Provide fetal blood sampling
C. Assess anatomy, fetal growth, and determine gestational age
D. Screen for maternal diabetes
Rationale: The anatomy scan (~20 wks) evaluates fetal structures and refines gestational age.
You admit a mother with active genital herpes who delivered in a taxi en route. What is your
first action for the newborn?
A. Bathe the infant and return to mother
B. Isolate the infant and notify neonatal team
C. Start empiric antibiotics immediately
D. Place infant in mother's room (rooming-in)
, ESTUDYR
Rationale: Neonates exposed to active HSV require isolation, evaluation, and prompt
infectious-disease/NEO team involvement to prevent transmission.
Which is the best clinical sign that a woman is pregnant?
A. Positive home urine test
B. Hegar’s sign (uterine softening on bimanual exam)
C. Morning sickness
D. Breast tenderness
Rationale: Hegar’s sign is a specific physical exam finding; biochemical tests are supportive but
exam findings confirm clinical pregnancy.
After assisting with epidural placement, your immediate priority is to:
A. Assess fetal heart tones
B. Monitor maternal blood pressure
C. Check urine output in 4 hours
D. Remove the IV line
Rationale: Epidurals commonly cause hypotension via sympathetic blockade — immediate BP
monitoring is crucial.
A patient at 32 weeks is bleeding, hypotensive, diaphoretic, tachypneic. What is the priority
initial intervention?
A. Start tocolytics
B. Begin IV fluid resuscitation (LR or NS) for volume expansion
C. Give IV antibiotics
D. Prepare for immediate transfer to L&D OR
Rationale: Stabilize maternal hemodynamics first with fluids; further interventions follow
stabilization.
A 4-hour-old infant becomes jittery with unstable vitals. What should you check first?
A. Blood calcium
B. Temperature
C. Blood glucose
D. Hemoglobin
Rationale: Neonatal jitteriness and instability commonly indicate hypoglycemia — check
glucose immediately.
When does menses usually return for a breastfeeding mother?
A. Immediately postpartum
B. At 2 weeks postpartum
C. Often delayed (can be >12 weeks) but ovulation may occur earlier
D. Never returns while breastfeeding
Rationale: Lactational amenorrhea often delays menses, but ovulation can precede menses —
contraception counseling is needed.
HESI LPN–ADN MOBILITY EXAM MATERNAL–CHILD
NURSING (A+ GRADED 100% VERIFIED)
A patient with gestational diabetes has an important fetal outcome goal. Which is the
primary goal?
A. Prevent maternal weight gain
B. Prevent macrosomia and shoulder dystocia
C. Prevent maternal hypoglycemia only
D. Prevent delivery of a large-for-gestational-age (LGA) infant
Rationale: Tight maternal glucose control reduces fetal hyperinsulinemia and LGA risk,
decreasing birth trauma and neonatal complications.
The day after delivery a mother has a WBC of 15,000. What should you do?
A. Start antibiotics immediately
B. Do nothing — mild leukocytosis postpartum is expected
C. Notify the physician for sepsis workup
D. Order a repeat CBC and blood cultures
Rationale: WBC commonly rises postpartum (can reach ~25,000); moderate elevation without
other infection signs is often physiologic.
Where do you place the skin (probe) temperature sensor on an infant under an overhead
warmer?
A. Over the clavicle
B. On the abdomen (avoid over bone)
C. On the forehead
D. On the thigh bone
Rationale: Abdomen over abdomenal wall provides reliable core-surface approximation; avoid
bony areas which distort readings.
An 18–20 week ultrasound is primarily performed to:
A. Confirm fetal heartbeat only
B. Provide fetal blood sampling
C. Assess anatomy, fetal growth, and determine gestational age
D. Screen for maternal diabetes
Rationale: The anatomy scan (~20 wks) evaluates fetal structures and refines gestational age.
You admit a mother with active genital herpes who delivered in a taxi en route. What is your
first action for the newborn?
A. Bathe the infant and return to mother
B. Isolate the infant and notify neonatal team
C. Start empiric antibiotics immediately
D. Place infant in mother's room (rooming-in)
, ESTUDYR
Rationale: Neonates exposed to active HSV require isolation, evaluation, and prompt
infectious-disease/NEO team involvement to prevent transmission.
Which is the best clinical sign that a woman is pregnant?
A. Positive home urine test
B. Hegar’s sign (uterine softening on bimanual exam)
C. Morning sickness
D. Breast tenderness
Rationale: Hegar’s sign is a specific physical exam finding; biochemical tests are supportive but
exam findings confirm clinical pregnancy.
After assisting with epidural placement, your immediate priority is to:
A. Assess fetal heart tones
B. Monitor maternal blood pressure
C. Check urine output in 4 hours
D. Remove the IV line
Rationale: Epidurals commonly cause hypotension via sympathetic blockade — immediate BP
monitoring is crucial.
A patient at 32 weeks is bleeding, hypotensive, diaphoretic, tachypneic. What is the priority
initial intervention?
A. Start tocolytics
B. Begin IV fluid resuscitation (LR or NS) for volume expansion
C. Give IV antibiotics
D. Prepare for immediate transfer to L&D OR
Rationale: Stabilize maternal hemodynamics first with fluids; further interventions follow
stabilization.
A 4-hour-old infant becomes jittery with unstable vitals. What should you check first?
A. Blood calcium
B. Temperature
C. Blood glucose
D. Hemoglobin
Rationale: Neonatal jitteriness and instability commonly indicate hypoglycemia — check
glucose immediately.
When does menses usually return for a breastfeeding mother?
A. Immediately postpartum
B. At 2 weeks postpartum
C. Often delayed (can be >12 weeks) but ovulation may occur earlier
D. Never returns while breastfeeding
Rationale: Lactational amenorrhea often delays menses, but ovulation can precede menses —
contraception counseling is needed.
