Med Surge HESI Real Exam
NUR 230 Exam 4 – Galen OB/Peds (2026)
Actual Questions & Correct Answers |
Guarantee Pass Test Bank Exam 2026/2027 –
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops
localized edema on the right side of his head. The nurse knows that, in the newborn, an
accumulation of blood between the periosteum and skull which does not cross the suture line
is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent further
complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
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, Med Surge HESI Real Exam
D. a subdural hematoma which can result in lifelong damage –
Correct Answer :A. a cephalhematoma, caused by forceps trauma and may last up to 8
weeks
Cephalhematoma, a slight abnormal variation of the newborn, usually arises within the first 24
hours after delivery. Trauma from delivery causes capillary bleeding between the periosteum
and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery.
Which assessment finding should the nurse report to the healthcare provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise –
Correct Answer :A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone and its covering, the
periosteum. Due to the breakdown of the red blood cells within a hematoma, the infant is at
a greater risk for jaundice, so a yellowish tinge to the skin should be reported.
P a g e 2 | 77
, Med Surge HESI Real Exam
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil Newborn
Formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the
neonate's formula to Simialc Soy Isomil formula, a soy protein isolate based infant formula.
What information should the nurse provide to the mother about the newly prescribed
formula?
A. The new formula is a coconut milk formula used with babies with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose –
Correct Answer :D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance may be related to the
lactose found in cow's milk formula and is being replaced with the soy-based formula that
contains sucrose, which is well-tolerated in infants with milk allergies and lactose intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which information is
most important for the nurse to receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
- Correct Answer :B. Infant's condition at birth and treatment received
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, Med Surge HESI Real Exam
Immediate care is most dependent on the infant's current status (i.e., Apgar scores at 1 and 5
minutes) and any treatment or resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role. Which factor has the
greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned –
Correct Answer :A. The client's readiness to learn
When teaching any client, readiness to learn is the most important criterion. For example, the
client with severe morning sickness in the first trimester may not be "ready to learn" about
labor and delivery, but is probably very "ready to learn" about ways to relieve morning
sickness.
A women with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents
are discontinued. Which intervention is most important for the nurse to implement?
A. Describe diet changes that can improve the management of her diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic during pregnancy
C. Demonstrate self-administration of insulin
D. Evaluate the client's ability to do glucose monitoring - Correct Answer :A. Describe diet
changes that can improve the management of her diabetes
P a g e 4 | 77
NUR 230 Exam 4 – Galen OB/Peds (2026)
Actual Questions & Correct Answers |
Guarantee Pass Test Bank Exam 2026/2027 –
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
Twenty-four hours after admission to the newborn nursery, a full-term male infant develops
localized edema on the right side of his head. The nurse knows that, in the newborn, an
accumulation of blood between the periosteum and skull which does not cross the suture line
is a newborn variation known as
A. a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B. a subarachnoid hematoma, which requires immediate drainage to prevent further
complications
C. molding, caused by pressure during labor and will disappear withing 2 to 3 days
P a g e 1 | 77
, Med Surge HESI Real Exam
D. a subdural hematoma which can result in lifelong damage –
Correct Answer :A. a cephalhematoma, caused by forceps trauma and may last up to 8
weeks
Cephalhematoma, a slight abnormal variation of the newborn, usually arises within the first 24
hours after delivery. Trauma from delivery causes capillary bleeding between the periosteum
and the skull.
The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery.
Which assessment finding should the nurse report to the healthcare provider?
A. Yellowish tinge to the skin
B. Babinski reflex present bilaterally
C. Pink papular rash on the face
D. Moro reflex noted after a loud noise –
Correct Answer :A. Yellowish tinge to the skin
Cephalohematomas are characterized by bleeding between the bone and its covering, the
periosteum. Due to the breakdown of the red blood cells within a hematoma, the infant is at
a greater risk for jaundice, so a yellowish tinge to the skin should be reported.
P a g e 2 | 77
, Med Surge HESI Real Exam
After each feeding, a 3-day-old newborn is spitting up large amounts of Enfamil Newborn
Formula, a nonfat cow's milk formula. The pediatric healthcare provider changes the
neonate's formula to Simialc Soy Isomil formula, a soy protein isolate based infant formula.
What information should the nurse provide to the mother about the newly prescribed
formula?
A. The new formula is a coconut milk formula used with babies with impaired fat absorption
B. enfamil Formula is a demineralized whey formula that is needed with diarrhea
C. The new formula is a casein protein source that is low in phenylalanine
D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose –
Correct Answer :D. Similac Soy Isomil Formula is a soy-based formula that contains sucrose
The nurse should explain that the newborn's feeding intolerance may be related to the
lactose found in cow's milk formula and is being replaced with the soy-based formula that
contains sucrose, which is well-tolerated in infants with milk allergies and lactose intolerance.
A full term infant is transferred to the nursery from labor and delivery. Which information is
most important for the nurse to receive when planning immediate care for the newborn?
A. Length of labor and method of delivery
B. Infant's condition at birth and treatment received
C. Feeding method chosen by the parents
D. History of drugs given to the mother during labor
- Correct Answer :B. Infant's condition at birth and treatment received
P a g e 3 | 77
, Med Surge HESI Real Exam
Immediate care is most dependent on the infant's current status (i.e., Apgar scores at 1 and 5
minutes) and any treatment or resuscitation that was indicated.
Client teaching is an important part of the maternity nurse's role. Which factor has the
greatest influence on successful teaching of the gravid client?
A. The client's readiness to learn
B. The client's educational background
C. The order in which the information is presented
D. The extent to which the pregnancy was planned –
Correct Answer :A. The client's readiness to learn
When teaching any client, readiness to learn is the most important criterion. For example, the
client with severe morning sickness in the first trimester may not be "ready to learn" about
labor and delivery, but is probably very "ready to learn" about ways to relieve morning
sickness.
A women with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents
are discontinued. Which intervention is most important for the nurse to implement?
A. Describe diet changes that can improve the management of her diabetes
B. Inform the client that oral hypoglycemic agents are teratogenic during pregnancy
C. Demonstrate self-administration of insulin
D. Evaluate the client's ability to do glucose monitoring - Correct Answer :A. Describe diet
changes that can improve the management of her diabetes
P a g e 4 | 77
