HESI Case Study: Healthy Newborn
Exam Questions and Answers 100% Pass
The nurse places the infant under a radiant warmer and starts to dry him quickly. -
ANSWER-Convective heat loss from evaporation is reduced. Rationale: Drying
the infant quickly and placing him under a radiant warmer reduces heat loss
through evaporation and radiation.
At 1 minute of age, the infant is alert and active, and has a strong cry. He has a
heart rate of 172 and a respiratory rate of 50. The infant's arms and legs are flexed,
the color of his body is pink, and the color of both feet is blue. The nurse
continues a physical assessment of the infant looking for normal and abnormal
findings. - ANSWER-Which APGAR score should the nurse assign? (Enter
numeric value only.)
One point is deducted for acrocyanosis. The correct score is 9
Upon inspection of the umbilical cord, which finding should the nurse report to
the healthcare provider (HCP)? - ANSWER-One artery and one vein are present
Two arteries and one vein should be present.
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, The infant's head is molded from the vaginal delivery. Upon seeing the baby, the
parent says, "Oh, he is so beautiful, but something is wrong with his head." -
ANSWER-How should the nurse respond?
Caput succedaneum is an edematous area on the head from pressure against the
cervix. It may cross suture lines.
"His head has been molded from delivery through the birth canal, which is
normal."
Which response by the mother indicates an understanding of infant safety
measures to prevent infant abduction at the hospital? - ANSWER-"The
identification bands will be rechecked any time my baby is returned to my room."
Identification bands must be verified to ensure the safety and security of all
hospitalized newborns.
Upon admission to the transition care nursery, the baby's axillary temperature is
97.4° F (36.3° C).
Which action should the nurse take? - ANSWER-Place the infant in a radiant
warmer and monitor his temperature
Rationale: The baby's temperature is not within normal range, which is 97.7° F to
99.5° F (36.5° C to 37.5° C). The infant should remain in the radiant heat warmer
until her temperature has stabilized.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Exam Questions and Answers 100% Pass
The nurse places the infant under a radiant warmer and starts to dry him quickly. -
ANSWER-Convective heat loss from evaporation is reduced. Rationale: Drying
the infant quickly and placing him under a radiant warmer reduces heat loss
through evaporation and radiation.
At 1 minute of age, the infant is alert and active, and has a strong cry. He has a
heart rate of 172 and a respiratory rate of 50. The infant's arms and legs are flexed,
the color of his body is pink, and the color of both feet is blue. The nurse
continues a physical assessment of the infant looking for normal and abnormal
findings. - ANSWER-Which APGAR score should the nurse assign? (Enter
numeric value only.)
One point is deducted for acrocyanosis. The correct score is 9
Upon inspection of the umbilical cord, which finding should the nurse report to
the healthcare provider (HCP)? - ANSWER-One artery and one vein are present
Two arteries and one vein should be present.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, The infant's head is molded from the vaginal delivery. Upon seeing the baby, the
parent says, "Oh, he is so beautiful, but something is wrong with his head." -
ANSWER-How should the nurse respond?
Caput succedaneum is an edematous area on the head from pressure against the
cervix. It may cross suture lines.
"His head has been molded from delivery through the birth canal, which is
normal."
Which response by the mother indicates an understanding of infant safety
measures to prevent infant abduction at the hospital? - ANSWER-"The
identification bands will be rechecked any time my baby is returned to my room."
Identification bands must be verified to ensure the safety and security of all
hospitalized newborns.
Upon admission to the transition care nursery, the baby's axillary temperature is
97.4° F (36.3° C).
Which action should the nurse take? - ANSWER-Place the infant in a radiant
warmer and monitor his temperature
Rationale: The baby's temperature is not within normal range, which is 97.7° F to
99.5° F (36.5° C to 37.5° C). The infant should remain in the radiant heat warmer
until her temperature has stabilized.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
